The American journal of emergency medicine
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The number of emergency department (ED) visits has been on steady increase globally. Artificial Intelligence (AI) technologies, including Large Language Model (LLMs)-based generative AI models, have shown promise in improving triage accuracy. This study evaluates the performance of ChatGPT and Copilot in triage at a high-volume urban hospital, hypothesizing that these tools can match trained physicians' accuracy and reduce human bias amidst ED crowding challenges. ⋯ ChatGPT and Copilot outperform traditional nurse triage in identifying high-acuity patients, but real-time ED capacity data is crucial to prevent overcrowding and ensure high-quality of emergency care.
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Review
Evaluating data sharing statements in leading emergency medicine journals: A mixed methods review.
Emergency medicine remains as the front line of healthcare, providing acute care to a diverse population during urgent and critical moments. Our objective was to systematically quantify the prevalence of data sharing statements (DSS) in high-impact emergency medicine journals and assess their implementation by contacting corresponding authors who indicated data available upon request. ⋯ Our study revealed a lack of adherence to DSS, with a slight improvement recently. Listed funding sources and publishers influence DSS presence, highlighting their policy impacts on open science. Our recommendations include increased funding for data sharing, implementation of FAIR (Findability, Accessibility, Interoperability, and Reuse of digital assets) principles, and encouraging DSS inclusion as a publication requirement to enhance transparency and reproducibility, improving patient care. Further research needs to address barriers to data sharing and develop sustainable solutions in a dynamic research environment.
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Various regional anesthesia techniques have been studied for blunt chest wall trauma over the past decades, but their impact on patient outcomes remains unclear. This systematic review and Bayesian network meta-analysis aimed to identify the most effective regional anesthesia techniques for different outcomes in blunt thoracic trauma patients. ⋯ Various locoregional techniques are being investigated for managing pain in blunt thoracic trauma, with thoracic epidural showing consistent positive effects on pain and other key outcomes. Fascial blocks are emerging as potential alternatives with similar pain relief, though evidence on other outcomes is limited. Future studies should compare the efficacy of these techniques on more definitive endpoints.
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The earthquakes that struck Türkiye on February 6, 2023, significantly impacted the province of Hatay. A portion of the patients presenting to emergency departments (ED) following the earthquake were exposed to secondary effects without experiencing direct physical trauma. This study aims to evaluate the demographic, clinical, and psychosocial characteristics of patients presenting to the ED during the early post-earthquake period due to secondary effects, as well as to examine the challenges encountered during this process. ⋯ Patients affected by secondary health impacts began presenting to the ED shortly after the earthquake, with many requiring medical treatment, hospitalization, or referral. The most common reasons for ED visits were disruptions in access to medical supplies and the exacerbation of chronic diseases.