First of our @EMAJournal
trainee section series on in-patient trauma physicians. Edited by myself and Joshua Smith.
Shared Care Between Trauma Surgeons and Geriatricians for Older Trauma Patients
Kate Gregorevic & Rebecca Tai
https://t.co/qcR7uGVu1z
#TOPSTrauma#OlderPeople
First of our @EMAJournal
trainee section series on in-patient trauma physicians. Edited by myself and Joshua Smith.
Shared Care Between Trauma Surgeons and Geriatricians for Older Trauma Patients
Kate Gregorevic & Rebecca Tai
https://t.co/qcR7uGVu1z
#TOPSTrauma#OlderPeople
Risk factors for geriatric trauma readmission were explored, specifically, discharge functional status. Discharge functional status does not predict geriatric trauma readmission however having 3 or more comorbidities and increasing length of stay does predict readmission.
https://t.co/zyEn4P7aGa
The impact of Geriatric Emergency Department Initiative involvement on clinical outcomes, stratified by 4AT score
https://t.co/BY1YhCy033
@WileyHealth@acemonline
New open-access paper from @EAAARAID
What is the value of HEMS?
Not just the intervention. Not just the aircraft. Not just speed. This study asks crews what HEMS actually adds at the scene.
Free full paper: https://t.co/rwgkFFWXdv
This study suggests that extracorporeal cardiopulmonary resuscitation (ECPR) may be associated with improved outcomes in selected children with out-of-hospital cardiac arrest. Because the number of children who received ECPR was small, these findings should be interpreted as hypothesis-generating and support further prospective—and ideally randomized—evaluation of pediatric ECPR.
Check it out! Link in Bio
#EmergencyMedicine #EM #Pediatrics #PEM #Peds #CriticalCare #CritCare #EMS #MedED #FOAM #FOAMed #EBM
Clinician uptake and estimated modelled documentation time savings for an AI-scribe system in an ED
https://t.co/FT4Atrwaux
#OpenAccess@WileyHealth@acemonline
What happens when you remove the hospital as the boundary?
Advanced, targeted interventions & diagnostics can be delivered in the field enhancing cardiac arrest care
Reframing resuscitation as precision critical care @cliffreid@PrecareSyd@SydneyHEMS
https://t.co/wGXuWN64mz
Watchful waiting:
The Power of Patience: High-Impact Insights on Pediatric Abdominal Trauma Observation 🩺🛡️
Can a little extra time in the ED save a child from unnecessary radiation? ⏱️ This massive study of 7,442 children proves that observation is a game-changer for blunt abdominal trauma, but it’s important to understand the full picture,.
💪🏾Why this study is a heavyweight (Strengths):
-Massive Scale: This was a rigorous prospective multicenter cohort study involving children across six level-1 trauma centers,.
-Precision Modeling: Researchers used multivariable logistic regression to adjust for critical factors like age, clinician suspicion, and PECARN risk variables,.
-Proven Safety: The study successfully showed reduced CT use—especially in intermediate-risk cases—without an increase in missed injuries,.
-Standardized Training: Enrolling clinicians underwent standardized training to ensure consistent documentation of clinical findings.
⚠️ Know the fine print (Limitations):
-Setting Matters: The study was conducted in pediatric-specific EDs, so the results might differ in general community hospitals with less pediatric trauma experience.
-Unstructured Observation: There was no set protocol for the observation period; the duration, lab tests, and ultrasound use were left to clinician discretion.
-Older Kids Skew: The study population skewed toward older children, who are often easier to evaluate for abdominal pain and tenderness than younger ones.
-Cost-Effectiveness: No specific cost-effectiveness analysis was conducted for abdominal trauma observation in this study.
🤓The Bottom Line: Choosing to observe rather than scan can safely lower CT utilization with a minimal median increase in ED stay of only 27 minutes.
🔗 Read the full paper here: https://t.co/Ey5kIVouyo
#PediatricTrauma #EmergencyMedicine #EvidenceBasedMedicine #ERDoctor #MedicalResearch
📚Reference: Ishimine P, et al. Emergency Department Observation and Computed Tomography Use in Children With Blunt Abdominal Trauma. Annals of Emergency Medicine. 2026
The diagnostic performance of the STONE score and modified STONE score in predicting ureteric calculi
https://t.co/DZcnd0KCvp
@kellyam_jec@WileyHealth@acemonline