Approximately one fifth of COVID-19 patients admitted to German hospitals between the end of February and mid-April died. For patients receiving ventilation, the mortality rate was 53%. For those not receiving ventilation, the rate was significantly lower at 16%. 17% of all patients were ventilated during this period. These are the main results of an analysis by WIdO, the research institute of…
CT has a critical role to play in management of mass casualty incidents with the ability to image patients from head to toe, offering a rapid overview for clinicians. The benefits of CT were outlined by Dr Elizabeth Dick during an ECR session examining the role of radiology in the management of mass casualty incidents, terror attacks and assaults.
Patients and the general public appear to significantly overestimate the success of cardiopulmonary resuscitation (CPR) and underestimate the negative impact it can have on a person’s health, new research suggests. US researchers have therefore recommended clinicians discuss CPR with patients and their loved ones to clarify the practice’s success rate and the real benefits and risks involved…
The COVID-19 pandemic has affected children with direct impacts of the infection as well as on them leading normal lives. Schooling, play and vaccinations are among issues that can affect children’s health. Delay in taking paediatric patients to the emergency room (ER) has also had a negative impact, for example late treatment of acute appendicitis. Two experts from Spain tackled these topics…
COVID-19 can cause serious cardiovascular complications including heart failure, heart attacks and blood clots that can lead to strokes, emergency medicine doctors at the University of Virgina report in a new scientific paper. They also caution that COVID-19 treatments can interact with medicines used to manage patients’ existing cardiovascular conditions.
Accident and Emergency departments across the NHS have seen dramatic falls in attendances amid the ongoing coronavirus crisis. Senior A&E practitioners are becoming increasingly concerned that people who need to be seen for serious conditions such as suspected heart attacks are staying away – or not seeking help until much later – because they are frightened of contracting coronavirus.
As radiologists worldwide continue to share their knowledge of COVID-19 to help fight the pandemic, two chest experts from France and Spain talked about their country perspectives and the practical experience at their hospital in a dedicated online session organized by the European Society of Radiology (ESR).
The European Stroke Organisation (ESO) cautions against the consequences of the Coronavirus-Crisis on stroke care.
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.
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.
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).