Trauma Providers’ Perceptions of Frailty Assessment: A Mixed-Methods Analysis of Knowledge, Attitudes, and Beliefs

Objectives: Quality improvement in geriatric trauma depends on timely identification of frailty, yet little is known about providers’ knowledge and beliefs about frailty assessment. This study sought to understand trauma providers’ understanding, beliefs, and practices for frailty assessment. Methods: We developed a 20-question survey using the Health Belief Model...

CME Article: Clinical Utility of Routine Chest X-Rays During the Initial Stabilization of Trauma Patients

Objectives: The Advanced Trauma Life Support (ATLS) course encourages the use of chest x-ray (CXR) to identify injuries that may change clinical management during the initial stage of trauma resuscitations. Several studies have failed to show benefit for the routine use of CXR without a clinical indication, however. We...

Healthcare Professionals and In-Flight Medical Emergencies: Resources, Responsibilities, Goals, and Legalities as a Good Samaritan

Common in-flight emergencies include syncope, respiratory symptoms, nausea/vomiting, cardiac symptoms, and seizures. Flight conditions, such as changes in air pressure and humidity, can exacerbate existing chronic medical conditions. In 2017, US airlines carried 849.3 million passengers. Undoubtedly, there were many requests for in-flight medical assistance. Whenever a medical event...

Characteristics of Dog Bites in Arkansas

Objective: Dog bite injuries are encountered frequently in emergency departments and can cause significant morbidity. The objective of this study was to explore the associations between the multiple variables at play during these occurrences (eg, the patient’s age, the bite location, the bite severity, the dog’s relationship with the...

Bathing Habits in Emergency Department Patients with Cellulitis or Abscess Versus Controls

Objective: Cellulitis is a leading cause of emergency department (ED) visits, with more than 200 cases per 100,000 people per year. Although many risk factors have been identified, including edema, skin breakdown, and penetrance of the skin, there are few data available on whether personal hygiene habits (bathing and...

Helmets Matter: Kentucky Motorcycle Crash Victims Seen at a Tennessee Trauma Center

Objectives: Motorcycle helmet laws vary by state, with Kentucky requiring helmets only for younger riders. We hypothesized that motorcyclists injured in Kentucky and seen at a Tennessee trauma center would be more likely to be unhelmeted, have more severe head injuries, and sustain more fatal injuries than those injured...

Association Between Perceived Discrimination and Emergency Department Use Among Safety-Net Patients in the Southwestern United States

Objectives: Patients’ perceptions of how they are treated in their interactions with the healthcare system represent important and valid measures of healthcare quality that may influence health utilization, outcomes, and costs. Perceived discrimination or the sense of being treated unfairly is an important patient perception known to adversely affect...

Developing a Mass Casualty Surge Capacity Protocol for Emergency Medical Services to Use for Patient Distribution

Objectives: Metropolitan areas must be prepared to manage large numbers of casualties related to a major incident. Most US cities do not have adequate trauma center capacity to manage large-scale mass casualty incidents (MCIs). Creating surge capacity requires the distribution of casualties to hospitals that are not designated as...

Cross-Sectional Study of the Relation of Health Literacy to Primary Language and Emergency Department Length of Stay

Objectives: The primary aim of this study was to determine whether emergency department (ED) length of stay (LOS) or primary language was related to the degree of health literacy of patients. Methods: Adult English-speaking and Spanish-speaking patients were recruited for the study. Participants completed the Newest Vital Sign (NVS)...