Archive for emergency medicine
Status epilepticus: What’s changed, what to know, and a global perspective
Status epilepticus, or a prolonged seizure lasting more than five minutes, is a rare complication of epilepsy and a medical emergency that can occur even in people without a diagnosis of epilepsy. If not treated quickly, it can cause brain damage, lifelong complications, and even death. “A prolonged seizure is a race against time to ... Read More about Status epilepticus: What’s changed, what to know, and a global perspective
Injected microbubbles could be a safe way to deliver emergency oxygen
For years, researchers and clinicians have been trying to find a way to rapidly deliver oxygen to patients when traditional means of oxygenation are difficult or ineffective during critical moments of cardiac or respiratory arrest. Sometimes, hypoxemia caused by airway obstruction or lung disease can be so severe that methods to boost low-oxygen levels (including ... Read More about Injected microbubbles could be a safe way to deliver emergency oxygen
Emergency department or urgent clinic? Understanding your options if your child is injured
Having an active or adventurous child often means comforting them when they come home with bumps or bruises. But when an injury is more serious, parents don’t always know where to seek the right level of care. The injury may look serious, but a trip to the emergency department may seem over the top — ... Read More about Emergency department or urgent clinic? Understanding your options if your child is injured
Reversing the trend: Easing the mental health boarding crisis in emergency rooms
Anxiety, depression, and suicide attempts have been rising over the past decade, especially among teens, often landing them in emergency departments (EDs). Due to a nationwide shortage of beds in psychiatric treatment programs, virtually all pediatric hospitals are having to keep patients in the ED and on inpatient medical and surgical floors — sometimes for ... Read More about Reversing the trend: Easing the mental health boarding crisis in emergency rooms
Revisiting race and ethnicity in clinical guidelines
Health care institutions often rely on clinical pathways in assessing patients and making decisions about their care. Some of these care algorithms incorporate race, ethnicity, or ancestry as factors in decision making. But is this helpful or harmful? And is there solid evidence to justify treating people of different racial or ethnic backgrounds differently? Robert ... Read More about Revisiting race and ethnicity in clinical guidelines
A state policy made it harder for families to find shelter. Research helped change the policy.
Physicians and policy makers usually work in separate worlds: those of medicine and government. But when a change in Massachusetts policy led to an unprecedented increase in the number of homeless families seeking shelter in the emergency department (ED), physicians at Boston Children’s Hospital set out to reverse that policy. What happened next shows that ... Read More about A state policy made it harder for families to find shelter. Research helped change the policy.
An off-the-shelf tamponade kit provides surgeons with ‘the luxury of time’ during a life-threatening emergency
It was a late Friday afternoon in April when the call came: A young boy was being transferred to Boston Children’s emergency department after swallowing a button battery. Although his mother had previously taken him to another local hospital when she noticed he wasn’t eating or drinking much, the battery ingestion had been missed until ... Read More about An off-the-shelf tamponade kit provides surgeons with ‘the luxury of time’ during a life-threatening emergency
Study shows young adults don’t easily transition to self-care of diabetes
Diabetes is challenging to manage at any age, but even more so for young adults who are handling the condition on their own for the first time. They need to transition from pediatric to adult care as smoothly as possible — but a recent study finds this isn’t happening. Research led by Katharine Garvey, MD, MPH, ... Read More about Study shows young adults don’t easily transition to self-care of diabetes
A new symptom of COVID-19 in young children: Croup
During the Omicron surge, pediatricians and emergency departments (EDs) began noticing something new: a surge in croup among infants and young children. Marked by a distinctive “barking” cough and sometimes noisy, high-pitched intakes of breath, croup can happen when colds and other viral infections cause the voice box, windpipe, and bronchial tubes to become inflamed ... Read More about A new symptom of COVID-19 in young children: Croup
Cannabis edibles: Keep kids safe from adult ‘treats’
Candy and chips aren’t necessarily for kids anymore. These days, a chocolate bar, gummy, or bag of cheesy treats may contain a very adult ingredient: cannabis (also known as marijuana). As more states legalize marijuana for medical and recreational use, more of these potent treats are finding their ways into children’s mouths. While older kids ... Read More about Cannabis edibles: Keep kids safe from adult ‘treats’