J Emerg Med
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The complexity of older patients along with trends in poorer outcomes in the emergency department (ED) has prompted research into how EDs can adapt to meet the needs of an aging population. A separate Older People's Emergency Department (OPED) has been proposed to improve care at the front door. ⋯ Assessment in the OPED was not associated with a significantly reduced likelihood of hospitalization. However, patients had a shorter wait for clinical assessment, with concomitant reduction in department length of stay.
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The COVID-19 pandemic presents a significant challenge to the global health care system. Implementing timely, accurate, and cost-effective screening approaches is crucial in preventing infections and saving lives by guiding disease management. ⋯ This study developed and validated three machine learning prediction models for COVID-19 mortality based on accessible clinical features. The RF model showed the best performance among the three models. The nine variables identified in the models may warrant further investigation as potential prognostic indicators of severe COVID-19.
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The U.S. Medical Licensing Examination (USMLE) Step 1 has been used as a screening tool for residency selection. In February 2020, Step 1 numerical scoring changed to pass/fail. ⋯ Most EM programs disagree with pass/fail scoring of Step 1 and will most likely use Step 2 score as a screening tool. The cSLOEs, EM rotation grades, and interview are considered the most important selection factors.