Articles related to Emergency Medicine

Although the 2020 numbers will likely look MUCH different, the Merritt Hawkins survey from 2019 showed increased gains from previous years. Of the 62 responses representing 93 hospitals, cardiovascular surgery drove the most revenue. Still, the outlook remains bleak post-pandemic.

Among critically ill adults with COVID-19, treatment with convalescent plasma had a low likelihood of providing improvement in organ support–free days, defined as days alive and free of intensive care unit–based organ support.

The exact ways in which COVID-19 is impacting children, particularly those under age 12, is still being examined. Reported at the IDWeek conference, Arkansas health officials presented data demonstrating the severe impact that the fast-moving Delta variant of COVID-19 can have on children. Key findings: From January 2021, the Delta variant led to 42% more hospitalizations, 69% more ICU admissions, and a 300% increase in the use of mechanical ventilation.

Shawna McCafferty, MD, a US Navy Veteran and a pediatrician in Charleston, South Carolina, provides a glimpse into her role as a “terrified and angry” doctor and mother seeing kids suffer from this latest wave and ultimately asking the question, “…exactly how much child death and devastation is acceptable?”  

An OBGYN voices frustration — “silently cursing behind my mask” – with the patients who “recite a litany of scientifically illiterate reasons for not taking” the COVID-19 vaccine despite its 99%+ effectiveness in keeping them alive. Do you share this doctor’s sentiments?

Can you differentiate between bradykinin-mediated angioedema and the more common histamine-mediated angioedema? How significant is a delayed diagnosis? Do you favor on-demand or preventative therapy? What is the recommended therapy? Access to specialist care and effective treatment in the past 10 years has improved the quality of life and reduced the mortality rate in patients with hereditary angioedema. This wide-ranging report from the British Journal of Hospital Medicine covers emerging treatments and outlines where we’ve been, where we are, and where we’re going in hereditary angioedema (HAE) care.