Surgery for appendicitis is the most common emergency operation in children. A new study has found that the UK has the highest reported national rate of ‘normal appendicectomy,’ where children undergo surgery for suspected appendicitis but laboratory examination of the removed appendix finds it to be normal. Although most children who are misdiagnosed as having appendicitis improve without…
The rapid scanning and dynamic imaging capabilities offered by point-of-care ultrasound make it an invaluable tool for emergency medicine. Dr Enrique Ortiz Villacian (from Emergency Services at Donostia University Hospital in San Sebastián) and Dr Juanjo Zafra Sanchez (from the Emergency Unit at San Eloy Hospital in Barakaldo) discussed the role ultrasound plays in their respective emergency…
Dr Philippe Mahiou practices anaesthesia in the Grenoble area, splitting his time between a private clinic and working as a helicopter doctor to attend mountaineering accidents. As part of his work, Mahiou routinely uses ultrasound, and understands the importance of the technology to guide anaesthesia in the operating room and assess patients in the field. When anaesthetist Dr Philippe Mahiou…
Whilst researchers acknowledge ultrasound, when used as a tool to assess intracranial pressure in an emergency, is not a replacement for current gold standard invasive approaches, they believe it has enormous potential as a non-invasive and fast, cost-effective, and patient-friendly way to assess possible brain injury at a patient’s bedside. Consultant anaesthetist Dr Chiara Robba, a specialist…
Today is World Restart a Heart Day. That's why medical students from Cardiff University are taking part in what is expected to be the largest mass CPR training event ever conducted. Medics and other lifesavers all around the globe will teach cardiopulmonary resuscitation (CPR) to members of the public. Almost 239,000 people learned CPR in the UK alone as part of last year’s event and organisers…
Martin Möckel and Dorothee Riedlinger, from the Charité Medical University Berlin, Emergency and Acute Medicine Campus Virchow-Klinikum, and Campus Charité-Mitte report on POCT testing in the A&E Department to screen for Staphylococcus aureus colonisation of the nose or throat. People colonised with Staphylococci are at increased risk of developing a nosocomial, i.e. hospital acquired…
The pros and cons of CT (computed tomography), MRI (magnetic resonance imaging) and CEUS (contrast enhanced ultrasound) for emergency abdominal use were highlighted by speakers in an ECR 2019 session under the broader heading: ‘Abdominal Emergencies: advanced imaging in daily routine’.
Staff shortages are among the most urgent healthcare problems. While digitisation might offer relief, unfortunately many hospitals lag behind in transforming their processes. As pressure mounts, the chorus is heard: ‘It’s high time for bold changes’. Indeed, this was the motto of the 2019 Western German Health Congress held in Cologne, an event that focuses on health policy and health…
Two millions: this is, worldwide, the number of babies which suffer suffocation during birth every year. A resuscitation procedure is sometimes the key to avert irreparable damages for the baby. And, for successful outcomes, promptness of action and preparation are vital. Researcher Mark Thielen (Industrial Design) from the Eindhoven University of Technology (TU/e) developed a 3D printed baby…
Artificial intelligence clinics and rehab bikes, exoskeletons and stylish protections masks – healthcare in Taiwan has many faces and facets as the international medical & healthcare exhibition Medical Taiwan in Taipei will show from 27 to 30 June 2019. We visited participating companies and hospitals to give you a sneak preview of some of the highlights that might well create a buzz in…
In a simulation training study, pediatric team leaders who wore a blindfold improved their leadership skills ratings by 11% over the course of 3 resuscitation scenarios, versus 5% for non-blindfolded leaders. Published in Frontiers in Pediatrics, the findings demonstrate a promising tool for improving training and outcomes in pediatric resuscitation. “Our study suggests that blindfolding the…
Radiometer Limited’s AQT90 FLEX analysers have been used in a successful trial to asses D-dimer point-of-care testing (POCT) for suspected lower limb deep vein thrombosis (DVT). The editorial piece, published in Emergency Nurse, describes a reduction in patient waiting times of up to 75%. The article, authored by Neal Aplin, Advanced Clinical Practitioner at the Great Western Hospitals NHS…
A new analysis from University College London, King's and the University of Manchester finds an extra 69 lives are being saved every year as a result of further centralisation of services in Greater Manchester. In London, where earlier research had shown that centralising acute stroke services saved an extra 96 extra lives per year, these improvements have been sustained over time. Strokes, which…
Point-of-care ultrasound (POCUS) has become an important adjunct to clinical diagnosis and procedural guidance in the Pediatric Emergency Department (PED), supported by literature demonstrating that its use can improve patient safety and expedite life-saving care. POCUS further helps to reduce costs and children’s exposure to ionizing radiation. Not only is POCUS ideally suited for…
Imagine a first responder answering the call to a natural disaster, a house fire, or an active shooter incident where there may be multiple injuries and unknown casualties. The information the responder needs to fulfill the mission is immeasurable. When you also consider the volume of data they receive from other responders, dispatch, command centers, victims, and onlookers while receiving and…
Experts report that a new blood test to diagnose heart attacks could be carried out on a hand-held device in the not-too-distant future. The test, devised by a team at Kings College London, uses similar technology to the troponin test, but instead analyses cardiac myosin-binding protein C (cMyC). In research presented at the British Cardiovascular Society conference in Manchester, UK, this June,…
The clinical performance of Beckman Coulter's high-sensitivity troponin I (hsTnI) assay Access hsTnI has been validated in a study. Within 2 hours, the assay delivers an accurate assessment of patients with suspected acute coronary syndrome (ACS).
Anthrax, plague and tularemia are three potent agents terrorists would be likely to use in an attack, according to the Centers for Disease Control and Prevention. Each is highly and quickly lethal to humans. But there are no licensed vaccines for tularemia and plague, and although there is an anthrax vaccine, it requires a burdensome immunization schedule and has severe side effects. Now, a…
An Italian law requiring citizens to hold a certificate to use a defibrillator must change to improve survival from cardiac arrest, researchers argued today at Acute Cardiovascular Care 2018, a European Society of Cardiology congress. “Automated external defibrillator (AED) use before the arrival of the emergency medical services (EMS) plays a key role in improving victim survival from…
Emergency radiology is no longer a babbling field; professionalisation will bring more recognition to this young subspecialty, according to Elizabeth Dick, a London-based consultant, who will coordinate part of the new European Diploma in Emergency Radiology (EDER), the European Society of Radiology’s new tool. We interviewed the radiologist, who spoke of her daily practice and why she loves…
SP Services (UK) is ready to supply thousands of newly designed lightweight tourniquets for use in public places in the event of a bomb, shooting or knife attack. The medical equipment has been specifically designed for people without medical experience by Brigadier Tim Hodgetts CBE, a UK surgeon who has worked in multiple war zones and is renowned for his innovations in dealing with combat…
The television drama, Grey’s Anatomy, may be giving viewers a false impression of the realities of trauma care, including the speed at which patients recover after sustaining serious injuries, finds research published in the online journal Trauma Surgery & Acute Care Open. Unrealistic expectations of healthcare may be important in an era in which patient satisfaction is a key component of…
Newcastle stroke experts are backing a regional campaign launched by Public Health England (PHE). The Act F.A.S.T. stroke campaign launched in the North East urges the public to call 999 if they notice even one of the signs of a stroke in themselves, or in others. Current figures show there are over 64,500 people on GP registers in the North East who have had a stroke, and in 2016 1,765 people…
Time is of the essence in an emergency situation, and may be the difference between life and death. Ambulance crews on the front line must decide rapidly whether or not a patient is suffering from a life-threatening condition requiring specialist treatment, and point-of-care ultrasound can provide vital guidance. Geert-Jan Deddens, a nurse practitioner in emergency care with the Rotterdam…
Coordinating the response to heart attacks among emergency responders and hospitals reduces the time to treatment and saves lives - even on a large, regional scale, according to a study led by the Duke Clinical Research Institute with support from the American Heart Association. In the largest demonstration of the coordinated approach - 132 hospitals and 946 EMS agencies in 12 U.S. regions -…