keyword
https://read.qxmd.com/read/38525882/artificial-intelligence-to-advance-acute-and-intensive-care-medicine
#1
JOURNAL ARTICLE
Laurens A Biesheuvel, Dave A Dongelmans, Paul W G Elbers
PURPOSE OF REVIEW: This review explores recent key advancements in artificial intelligence for acute and intensive care medicine. As artificial intelligence rapidly evolves, this review aims to elucidate its current applications, future possibilities, and the vital challenges that are associated with its integration into emergency medical dispatch, triage, medical consultation and ICUs. RECENT FINDINGS: The integration of artificial intelligence in emergency medical dispatch (EMD) facilitates swift and accurate assessment...
March 14, 2024: Current Opinion in Critical Care
https://read.qxmd.com/read/38525360/prehospital-mass-casualty-incident-triage-simulation-builds-knowledge-and-confidence-in-medical-trainees
#2
JOURNAL ARTICLE
Elaine Yu, Christanne Coffey
BACKGROUND: Mass casualty incident (MCI) triage simulation is an increasingly useful tool for teaching triage systems to medical students, trainees, and hospital staff. MCI simulation in the prehospital setting has not yet been studied in this population. OBJECTIVES/AIMS: We aimed to assess the effectiveness of a prehospital MCI simulation in medical students, residents, and fellows. Our primary outcome was knowledge of the components of the triage algorithms used in MCI response...
April 2024: AEM Education and Training
https://read.qxmd.com/read/38521713/obstructive-myocardial-infarction-with-normal-automated-ecg-interpretation-a-case-report
#3
Daniel Herzog, Christopher N Scavelli
Emergency Medicine physicians experience a significant number of interruptions throughout their work day. One common cause of interruptions is the immediate interpretation of triage electrocardiograms (ECGs). Recent studies have suggested that ECGs interpreted as normal via automated analysis by the ECG machine rarely require urgent cardiac intervention and suggested that providers may not have to be interrupted to interpret these "normal" ECGs. We describe the case of a patient who presented to the Emergency Department (ED) with chest pain and an ECG interpreted as normal by an automated reading from the ECG machine, despite having acute coronary syndrome requiring emergent intervention...
March 7, 2024: American Journal of Emergency Medicine
https://read.qxmd.com/read/38520819/deep-learning-for-real-time-multi-class-segmentation-of-artefacts-in-lung-ultrasound
#4
JOURNAL ARTICLE
Lewis Howell, Nicola Ingram, Roger Lapham, Adam Morrell, James R McLaughlan
Lung ultrasound (LUS) has emerged as a safe and cost-effective modality for assessing lung health, particularly during the COVID-19 pandemic. However, interpreting LUS images remains challenging due to its reliance on artefacts, leading to operator variability and limiting its practical uptake. To address this, we propose a deep learning pipeline for multi-class segmentation of objects (ribs, pleural line) and artefacts (A-lines, B-lines, B-line confluence) in ultrasound images of a lung training phantom. Lightweight models achieved a mean Dice Similarity Coefficient (DSC) of 0...
January 29, 2024: Ultrasonics
https://read.qxmd.com/read/38520814/the-gartland-classification-for-expediting-supracondylar-humerus-fracture-triage-a-collaborative-approach-to-structured-reporting-between-pediatric-radiologists-and-orthopedists
#5
JOURNAL ARTICLE
Callie S Bridges, Tristen N Taylor, Albert Han, Aharon Z Gladstein, Brian G Smith, J Herman Kan
BACKGROUND: The modified Gartland classification is an important tool for evaluation of pediatric supracondylar humerus fractures (SCHF) because it can direct treatment decisions. Gartland type I can be managed outpatient, while emergent surgical consult occurs with type II and III. This study assesses the interobserver reliability of the Gartland classification between pediatric radiologists and orthopedic providers. METHODS: A retrospective review of 320 children diagnosed with a SCHF at a single tertiary children's hospital during 2022 was conducted...
March 11, 2024: Clinical Imaging
https://read.qxmd.com/read/38519089/consensus-based-quality-standards-for-emergency-departments-in-palestine
#6
JOURNAL ARTICLE
Abed Alra'oof Bani Odeh, Lee A Wallis, Motasem Hamdan, Willem Stassen
OBJECTIVES: The present study aimed to establish appropriate quality standards for emergency departments (EDQS) in Palestine. METHODS: The study comprised four phases. First, a comprehensive literature review was conducted to develop a framework for assessing healthcare services in EDs. Second, the initial set of EDQS was developed based on the review findings. Third, local experts provided feedback on the EDQS, suggesting additional standards, and giving recommendations...
March 22, 2024: BMJ Open Quality
https://read.qxmd.com/read/38515061/evaluating-emergency-response-at-a-hospital-near-the-gaza-border-within-24%C3%A2-h-of-increased-conflict
#7
JOURNAL ARTICLE
Hezi Levi, Gili Givaty, Yaniv S Ovadia, Yaniv Alon, Mor Saban
BACKGROUND: Frontline hospitals near active hostilities face unique challenges in delivering emergency care amid threats to infrastructure and personnel safety. Existing literature focuses on individual aspects like mass casualty protocols or medical neutrality, with limited analysis of operating acute services directly under fire. OBJECTIVES: To describe the experience of a hospital situated meters from hostilities and analyze strategies implemented for triage, expanding surge capacity, and maintaining continuity of care during attacks with limited medical staff availability due to hazardous conditions...
March 21, 2024: BMC Emergency Medicine
https://read.qxmd.com/read/38514189/portable-cerebral-blood-flow-monitor-to-detect-large-vessel-occlusion-in-patients-with-suspected-stroke
#8
JOURNAL ARTICLE
Christopher G Favilla, Grayson L Baird, Kedar Grama, Soren Konecky, Sarah Carter, Wendy Smith, Rebecca Gitlevich, Alexa Lebron-Cruz, Arjun G Yodh, Ryan A McTaggart
BACKGROUND: Early detection of large vessel occlusion (LVO) facilitates triage to an appropriate stroke center to reduce treatment times and improve outcomes. Prehospital stroke scales are not sufficiently sensitive, so we investigated the ability of the portable Openwater optical blood flow monitor to detect LVO. METHODS: Patients were prospectively enrolled at two comprehensive stroke centers during stroke alert evaluation within 24 hours of onset with National Institutes of Health Stroke Scale (NIHSS) score ≥2...
March 21, 2024: Journal of Neurointerventional Surgery
https://read.qxmd.com/read/38512949/validation-of-the-emergency-department-paediatric-early-warning-score-ed-pews-for-use-in-low-and-middle-income-countries-a-multicentre-observational-study
#9
JOURNAL ARTICLE
Naomi Kemps, Natanael Holband, Navin P Boeddha, Abdoulie Faal, Amadu E Juliana, Godfrey A Kavishe, Kristina Keitel, Kevin H van 't Kruys, Elizabeth V Ledger, Henriëtte A Moll, Andrew M Prentice, Fatou Secka, Rainer Tan, Effua Usuf, Stefan A Unger, Joany M Zachariasse
Early recognition of children at risk of serious illness is essential in preventing morbidity and mortality, particularly in low- and middle-income countries (LMICs). This study aimed to validate the Emergency Department-Paediatric Early Warning Score (ED-PEWS) for use in acute care settings in LMICs. This observational study is based on previously collected clinical data from consecutive children attending four diverse settings in LMICs. Inclusion criteria and study periods (2010-2021) varied. We simulated the ED-PEWS, consisting of patient age, consciousness, work of breathing, respiratory rate, oxygen saturation, heart rate, and capillary refill time, based on the first available parameters...
2024: PLOS Glob Public Health
https://read.qxmd.com/read/38512433/trends-in-non-focal-neurological-chief-complaints-and-ct-angiography-utilization-among-adults-in-the-emergency-department
#10
JOURNAL ARTICLE
Grant H Rigney, Alexander H King, Janice Chung, Soham Ghoshal, Aditya Jain, Zhuo Shi, Shahaan Razak, Joshua A Hirsch, Michael H Lev, Karen Buch, Marc D Succi
Prudent imaging use is essential for cost reduction and efficient patient triage. Recent efforts have focused on head and neck CTA in patients with emergent concerns for non-focal neurological complaints, but have failed to demonstrate whether increases in utilization have resulted in better care. The objective of this study was to examine trends in head and neck CTA ordering and determine whether a correlation exists between imaging utilization and positivity rates. This is a single-center retrospective observational study at a quaternary referral center...
March 21, 2024: Internal and Emergency Medicine
https://read.qxmd.com/read/38512417/higher-risk-of-traumatic-intracranial-hemorrhage-with-antiplatelet-therapy-compared-to-oral-anticoagulation-a-single-center-experience
#11
JOURNAL ARTICLE
Emily Niklasson, Elin Svensson, Lars André, Christian Areskoug, Jakob Lundager Forberg, Tomas Vedin
PURPOSE: Traumatic brain injury is the main reason for the emergency department visit of up to 3% of the patients and a major worldwide cause for morbidity and mortality. Current emergency management guidelines recommend close attention to patients taking oral anticoagulation but not patients on antiplatelet therapy. Recent studies have begun to challenge this. The aim of this study was to determine the impact of antiplatelet therapy and oral anticoagulation on traumatic intracranial hemorrhage...
March 21, 2024: European Journal of Trauma and Emergency Surgery: Official Publication of the European Trauma Society
https://read.qxmd.com/read/38509185/burn-or-trauma-scoring-experience-of-the-burn-unit-of-the-queen-astrid-military-hospital-during-the-terror-attacks-on-22-march-2016
#12
JOURNAL ARTICLE
Lotte Bruyninckx, Serge Jennes, Jean-Paul Pirnay, Jean-Charles de Schoutheete
PURPOSE: On 22 March 2016, the burn unit (BU) of Queen Astrid Military Hospital assessed a surge in severely injured victims from terror attacks at the national airport and Maalbeek subway station according to the damage control resuscitation (DCR) and damage control surgery (DCS) principles. This study delves into its approach to identify a suitable triage scoring system and to determine if a BU can serve as buffer capacity for mass casualty incidents (MCIs). METHODS: The study reviewed retrospectively the origin of explosion, demographic data, sustained injuries, performed surgery, and length of stay of all admitted patients...
March 20, 2024: European Journal of Trauma and Emergency Surgery: Official Publication of the European Trauma Society
https://read.qxmd.com/read/38509133/inter-hospital-external-validation-of-interpretable-machine-learning-based-triage-score-for-the-emergency-department-using-common-data-model
#13
JOURNAL ARTICLE
Jae Yong Yu, Doyeop Kim, Sunyoung Yoon, Taerim Kim, SeJin Heo, Hansol Chang, Gab Soo Han, Kyung Won Jeong, Rae Woong Park, Jun Myung Gwon, Feng Xie, Marcus Eng Hock Ong, Yih Yng Ng, Hyung Joon Joo, Won Chul Cha
Emergency departments (ED) are complex, triage is a main task in the ED to prioritize patient with limited medical resources who need them most. Machine learning (ML) based ED triage tool, Score for Emergency Risk Prediction (SERP), was previously developed using an interpretable ML framework with single center. We aimed to develop SERP with 3 Korean multicenter cohorts based on common data model (CDM) without data sharing and compare performance with inter-hospital validation design. This retrospective cohort study included all adult emergency visit patients of 3 hospitals in Korea from 2016 to 2017...
March 20, 2024: Scientific Reports
https://read.qxmd.com/read/38508612/emergency-medical-dispatchers-experiences-of-using-the-medical-priority-dispatch-system-telephone-triage-to-identify-maternity-emergencies-a-qualitative-focus-group-study
#14
JOURNAL ARTICLE
Joanna Shaw, Clara Bannister, Ayoola Ariyibi, Rachael Fothergill
OBJECTIVES: The ambulance service plays a pivotal role in the provision of care in out-of-hospital maternity emergencies. Telephone triage of this patient group is complex and must be sensitive to an emergency situation to prevent unnecessary delays in treatment. This study aimed to explore emergency medical dispatchers' (EMDs) perceptions of the structured protocol they use. DESIGN: Voluntary participation in semistructured phenomenological focus groups. The participants were asked to discuss their experiences of using Medical Priority Dispatch System Protocol 24 (pregnancy, childbirth and miscarriage)...
March 19, 2024: BMJ Open
https://read.qxmd.com/read/38507849/early-identification-of-suspected-serious-infection-among-patients-afebrile-at-initial-presentation-using-neural-network-models-and-natural-language-processing-a-development-and-external-validation-study-in-the-emergency-department
#15
JOURNAL ARTICLE
Dong Hyun Choi, Sae Won Choi, Ki Hong Kim, Yeongho Choi, Yoonjic Kim
OBJECTIVE: To develop and externally validate models based on neural networks and natural language processing (NLP) to identify suspected serious infections in emergency department (ED) patients afebrile at initial presentation. METHODS: This retrospective study included adults who visited the ED afebrile at initial presentation. We developed four models based on artificial neural networks to identify suspected serious infection. Patient demographics, vital signs, laboratory test results and information extracted from initial ED physician notes using term frequency-inverse document frequency were used as model variables...
March 16, 2024: American Journal of Emergency Medicine
https://read.qxmd.com/read/38505971/rapid-triage-and-transfer-system-for-patients-with-proven-covid-19-at-emergency-department
#16
JOURNAL ARTICLE
Martin Jakl, Jana Berkova, Tomas Veleta, Vladimir Palicka, Petra Polcarova, Jan Smetana, Petr Grenar, Martina Cermakova, Jan Vanek, Jan M Horacek, Jaromir Koci
BACKGROUND: COVID-19 is a viral disease notorious for frequent worldwide outbreaks. It is difficult to control, thereby resulting in overload of the healthcare system. A possible solution to prevent overcrowding is rapid triage of patients, which makes it possible to focus care on the high-risk patients and minimize the impact of crowding on patient prognosis. METHODS: The triage algorithm assessed self-sufficiency, oximetry, systolic blood pressure, and the Glasgow coma scale...
March 2024: Journal of Applied Biomedicine
https://read.qxmd.com/read/38505483/international-evaluation-of-an-artificial-intelligence-powered-electrocardiogram-model-detecting-acute-coronary-occlusion-myocardial-infarction
#17
JOURNAL ARTICLE
Robert Herman, Harvey Pendell Meyers, Stephen W Smith, Dario T Bertolone, Attilio Leone, Konstantinos Bermpeis, Michele M Viscusi, Marta Belmonte, Anthony Demolder, Vladimir Boza, Boris Vavrik, Viera Kresnakova, Andrej Iring, Michal Martonak, Jakub Bahyl, Timea Kisova, Dan Schelfaut, Marc Vanderheyden, Leor Perl, Emre K Aslanger, Robert Hatala, Wojtek Wojakowski, Jozef Bartunek, Emanuele Barbato
AIMS: A majority of acute coronary syndromes (ACS) present without typical ST elevation. One-third of non-ST-elevation myocardial infarction (NSTEMI) patients have an acutely occluded culprit coronary artery [occlusion myocardial infarction (OMI)], leading to poor outcomes due to delayed identification and invasive management. In this study, we sought to develop a versatile artificial intelligence (AI) model detecting acute OMI on single-standard 12-lead electrocardiograms (ECGs) and compare its performance with existing state-of-the-art diagnostic criteria...
March 2024: European heart journal. Digital health
https://read.qxmd.com/read/38498777/shock-index-as-a-predictor-of-mortality-and-hospital-admission-in-prehospital-gastrointestinal-bleeding-a-retrospective-cohort-study
#18
JOURNAL ARTICLE
Joshua Lowe, Zacharia Lowe, Rachel Ely
Objective: To evaluate the Shock Index (SI) as a predictive tool for triage of gastrointestinal bleeding (GI) in the prehospital setting, assessing its correlation with mortality, admission rates, and hospital length of stay. Methods: In this retrospective cohort study, we analyzed data from the ESO Data Collaborative encompassing EMS records from the year 2022, focusing on 1525 patients with a primary GI bleeding diagnosis. The primary measure was the SI, calculated at initial contact and highest recorded prior to ED arrival...
March 18, 2024: Prehospital Emergency Care
https://read.qxmd.com/read/38492979/a-national-analysis-of-burn-injuries-among-homeless-persons-presenting-to-emergency-departments
#19
JOURNAL ARTICLE
Jennifer K Shah, Farrah Liu, Priscila Cevallos, Uchechukwu O Amakiri, Thomas Johnstone, Rahim Nazerali, Clifford C Sheckter
INTRODUCTION: Burn injuries among the homeless are increasing as record numbers of people are unsheltered and resort to unsafe heating practices. This study characterizes burns in homeless encounters presenting to US emergency departments (EDs). METHODS: Burn encounters in the 2019 Nationwide Emergency Department Sample (NEDS) were queried. ICD-10 and CPT codes identified homelessness, injury regions, depths, total body surface area (TBSA %), and treatment plans...
March 1, 2024: Burns
https://read.qxmd.com/read/38492272/experiences-of-implementing-and-working-with-obstetric-emergency-triage-a-qualitative-study-among-swedish-midwifes-auxiliary-nurses-and-obstetricians
#20
JOURNAL ARTICLE
Linnéa Lindroos, Verena Sengpiel, Helen Elden
INTRODUCTION: Obstetric emergency triage is a relatively new form of emergency triage and is not yet implemented in Sweden. Adaptations enables safe assessment of the childbearing woman, fetus and labor status. Failure to identify severely ill childbearing women and women post childbirth has repeatedly led to adverse outcomes. Introducing obstetric emergency triage constitutes a profound alteration in management that may challenge preconceived notions on how to provide best care. This study aimed at exploring and describing obstetric staff's experiences of working with obstetric emergency triage...
March 11, 2024: Sexual & Reproductive Healthcare: Official Journal of the Swedish Association of Midwives
keyword
keyword
158277
1
2
Fetch more papers »
Fetching more papers... Fetching...
Remove bar
Read by QxMD icon Read
×

Save your favorite articles in one place with a free QxMD account.

×

Search Tips

Use Boolean operators: AND/OR

diabetic AND foot
diabetes OR diabetic

Exclude a word using the 'minus' sign

Virchow -triad

Use Parentheses

water AND (cup OR glass)

Add an asterisk (*) at end of a word to include word stems

Neuro* will search for Neurology, Neuroscientist, Neurological, and so on

Use quotes to search for an exact phrase

"primary prevention of cancer"
(heart or cardiac or cardio*) AND arrest -"American Heart Association"

We want to hear from doctors like you!

Take a second to answer a survey question.