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Malignant spinal cord compression: Atypical presentation, false localizing signs, time course, and implications for the emergency physician. 恶性脊髓压迫症:非典型表现、假性定位体征、时间过程以及对急诊科医生的影响。
IF 3.4 3区 医学 Q1 EMERGENCY MEDICINE Pub Date : 2024-07-01 Epub Date: 2024-02-09 DOI: 10.1111/acem.14855
Anastasios Georgiou, Adam Farmer, Loukas Georgiou, Brian Walker
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引用次数: 0
A death with a plan. 有计划的死亡
IF 3.4 3区 医学 Q1 EMERGENCY MEDICINE Pub Date : 2024-07-01 Epub Date: 2024-03-22 DOI: 10.1111/acem.14876
Zhaohui Su
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引用次数: 0
Gender and emergency physicians' experiences of leading decision making about restraint use: A qualitative study. 性别与急诊医生在领导使用限制措施的决策过程中的经历:定性研究。
IF 3.4 3区 医学 Q1 EMERGENCY MEDICINE Pub Date : 2024-07-01 Epub Date: 2024-02-09 DOI: 10.1111/acem.14851
Anita Chary, Beatrice Torres, Elise Brickhouse, Datonye Charles, Ynhi Thomas, Michelle Suh
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引用次数: 0
Epidemiology of brief resolved unexplained events and impact of clinical practice guidelines in general and pediatric emergency departments. 简短解决不明原因事件的流行病学以及临床实践指南对普通科室和儿科急诊室的影响。
IF 3.4 3区 医学 Q1 EMERGENCY MEDICINE Pub Date : 2024-07-01 Epub Date: 2024-03-01 DOI: 10.1111/acem.14881
Nassr Nama, Amy M DeLaroche, Mark I Neuman, Manoj K Mittal, Bruce E Herman, Daniela Hochreiter, Ron L Kaplan, Allayne Stephans, Joel S Tieder

Objectives: The aim of this study was to describe the incidence of brief resolved unexplained events (BRUEs) and compare the impact of a national clinical practice guideline (CPG) on admission and diagnostic testing practices between general and pediatric emergency departments (EDs).

Methods: Using the Nationwide Emergency Department Sample for 2012-2019, we conducted a cross-sectional study of children <1 year of age with an International Classification of Diseases diagnostic code for BRUE. Population incidence rate was estimated using Centers for Disease Control and Prevention birth data. ED incidence rate was estimated for all ED encounters. We used interrupted time series to evaluate the associated impact of the CPG publication on the outcomes of ED disposition (discharge, admission, and transfer) and electrocardiogram (ECG) use.

Results: Of 133,972 encounters for BRUE, 80.0% occurred in general EDs. BRUE population incidence was 4.28 per 1000 live births and the annual incidence remained stable (p = 0.19). BRUE ED incidence was 5.06 per 1000 infant ED encounters (p = 0.14). The impact of the BRUE CPG on admission rates was limited to pediatric EDs (level shift -23.3%, p = 0.002). Transfers from general EDs did not change with the CPG (level shift 2.2%, p = 0.17). After the CPG was published, ECGs increased by 13.7% in pediatric EDs (p = 0.005) but did not change in general EDs (level shift -0.2%, p = 0.82).

Conclusions: BRUEs remain a common pediatric problem at a population level and in EDs. Although a disproportionate number of infants present to general EDs, there is differential uptake of the CPG recommendations between pediatric and general EDs. These findings may support quality improvement opportunities aimed at improving care for these infants and decreasing unnecessary hospital admissions or transfers.

研究目的本研究旨在描述短暂缓解的不明原因事件(BRUE)的发生率,并比较国家临床实践指南(CPG)对普通急诊科和儿科急诊科入院和诊断检测做法的影响:方法: 我们利用 2012-2019 年全国急诊科样本,对儿童进行了一项横断面研究:在 133,972 例 BRUE 患者中,80.0% 在普通急诊科就诊。BRUE人群发病率为每千名活产婴儿4.28例,年发病率保持稳定(p = 0.19)。每 1000 例婴儿中,BRUE 急诊室发病率为 5.06 例(p = 0.14)。BRUE CPG 对入院率的影响仅限于儿科急诊室(水平变化-23.3%,p = 0.002)。从普通急诊室转来的病人并没有因为 CPG 而发生变化(水平移动 2.2%,p = 0.17)。CPG发布后,儿科急诊室的心电图检查增加了13.7%(p = 0.005),但普通急诊室的心电图检查没有变化(水平移动-0.2%,p = 0.82):结论:在人口层面和急诊室,BRUEs 仍是儿科常见问题。尽管到普通急诊室就诊的婴儿人数不成比例,但儿科急诊室和普通急诊室对 CPG 建议的接受程度不同。这些发现可能有助于提高质量,改善对这些婴儿的护理,减少不必要的入院或转院。
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引用次数: 0
Using natural language processing in emergency medicine health service research: A systematic review and meta-analysis. 在急诊医学健康服务研究中使用自然语言处理:系统回顾和荟萃分析。
IF 3.4 3区 医学 Q1 EMERGENCY MEDICINE Pub Date : 2024-07-01 Epub Date: 2024-05-16 DOI: 10.1111/acem.14937
Hao Wang, Naomi Alanis, Laura Haygood, Thomas K Swoboda, Nathan Hoot, Daniel Phillips, Heidi Knowles, Sara Ann Stinson, Prachi Mehta, Usha Sambamoorthi

Objectives: Natural language processing (NLP) represents one of the adjunct technologies within artificial intelligence and machine learning, creating structure out of unstructured data. This study aims to assess the performance of employing NLP to identify and categorize unstructured data within the emergency medicine (EM) setting.

Methods: We systematically searched publications related to EM research and NLP across databases including MEDLINE, Embase, Scopus, CENTRAL, and ProQuest Dissertations & Theses Global. Independent reviewers screened, reviewed, and evaluated article quality and bias. NLP usage was categorized into syndromic surveillance, radiologic interpretation, and identification of specific diseases/events/syndromes, with respective sensitivity analysis reported. Performance metrics for NLP usage were calculated and the overall area under the summary of receiver operating characteristic curve (SROC) was determined.

Results: A total of 27 studies underwent meta-analysis. Findings indicated an overall mean sensitivity (recall) of 82%-87%, specificity of 95%, with the area under the SROC at 0.96 (95% CI 0.94-0.98). Optimal performance using NLP was observed in radiologic interpretation, demonstrating an overall mean sensitivity of 93% and specificity of 96%.

Conclusions: Our analysis revealed a generally favorable performance accuracy in using NLP within EM research, particularly in the realm of radiologic interpretation. Consequently, we advocate for the adoption of NLP-based research to augment EM health care management.

目的:自然语言处理(NLP)是人工智能和机器学习的辅助技术之一,可从非结构化数据中创建结构。本研究旨在评估在急诊医学(EM)环境中使用 NLP 识别和分类非结构化数据的性能:我们在MEDLINE、Embase、Scopus、CENTRAL和ProQuest Dissertations & Theses Global等数据库中系统地搜索了与急诊医学研究和NLP相关的出版物。独立审稿人对文章质量和偏差进行了筛选、审查和评估。NLP 的使用分为综合征监测、放射学解释和特定疾病/事件/综合征的识别,并报告了各自的敏感性分析。计算了NLP使用的性能指标,并确定了接收者操作特征曲线汇总(SROC)下的总体面积:共有 27 项研究进行了荟萃分析。研究结果表明,总体平均灵敏度(召回率)为 82%-87%,特异性为 95%,SROC 下面积为 0.96 (95% CI 0.94-0.98)。在放射学判读中,NLP的表现最佳,总体平均灵敏度为93%,特异性为96%:我们的分析表明,在电磁学研究中使用 NLP 的准确性普遍较高,尤其是在放射学判读领域。因此,我们提倡采用基于 NLP 的研究来加强电磁医疗管理。
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引用次数: 0
Prospective evaluation of single-dose aminoglycosides for treatment of complicated cystitis in the emergency department. 对急诊科单剂量氨基糖苷类药物治疗复杂性膀胱炎的前瞻性评估。
IF 3.4 3区 医学 Q1 EMERGENCY MEDICINE Pub Date : 2024-07-01 Epub Date: 2024-03-07 DOI: 10.1111/acem.14886
Jordan E Jenrette, Kyle Coronato, Matthew A Miller, Kyle C Molina, Alexander Quinones, Gabrielle Jacknin

Background: Antimicrobial resistance among Enterobacterales continues to be a growing problem, particularly in those with urinary infections. Previous studies have demonstrated safety and efficacy with the use of single-dose aminoglycosides in uncomplicated cystitis. However, data in complicated infections are limited. Single-dose aminoglycosides may provide a convenient alternative for those with or at risk for resistant pathogens causing complicated urinary infections, especially when oral options are unavailable due to resistance, allergy, intolerance, or interactions with other medications. This study evaluated the safety and effectiveness of single-dose aminoglycosides in treatment of complicated cystitis in the emergency department (ED).

Methods: This was a multicenter, prospective study performed between July 2022 and March 2023 of patients who met criteria for complicated cystitis and were otherwise stable for discharge at an academic ED. Primary outcomes were clinical or microbiologic failure within 14 days of treatment. Safety was assessed by review of adverse events. Descriptive statistics were used.

Results: Thirteen patients were included. Complicating factors were male sex (n = 4), kidney stone (n = 2), urinary catheter (n = 6), recent urologic procedure (n = 1), urinary hardware (n = 1), antibiotic allergy precluding use of alternate oral options (n = 4), immunocompromised status (n = 2), and <1-year history of multidrug-resistant organisms on urine culture (n = 8). Eleven patients (85%) had positive urine cultures in the preceding 12 months with no oral antimicrobial option. Eight patients (62%) received amikacin (median dose 15 mg/kg), four patients (31%) received gentamicin (median dose 5 mg/kg), and one patient (8%) received tobramycin (5 mg/kg) for treatment. Ten patients (77%) reported resolved urinary symptoms after treatment and 11 patients (85%) reported no new urinary symptoms since discharge. No patient required hospital admission for treatment failure, and no adverse events were noted.

Conclusions: Single-dose aminoglycosides appear to be a reasonably effective and safe treatment for complicated cystitis, which avoided hospital admission in this cohort.

背景:肠杆菌的抗菌药耐药性仍是一个日益严重的问题,尤其是在泌尿系统感染患者中。以往的研究表明,在无并发症的膀胱炎中使用单剂量氨基糖苷类药物具有安全性和有效性。然而,用于复杂感染的数据却很有限。单剂量氨基糖苷类药物可为那些因耐药病原体引起复杂性泌尿系统感染或面临耐药风险的患者提供一种便捷的选择,尤其是在因耐药、过敏、不耐受或与其他药物相互作用而无法选择口服药物的情况下。本研究评估了单剂量氨基糖苷类药物治疗急诊科(ED)复杂性膀胱炎的安全性和有效性:这是一项多中心前瞻性研究,研究时间为 2022 年 7 月至 2023 年 3 月,研究对象为符合复杂性膀胱炎标准且病情稳定可出院的学术性急诊科患者。主要结果为治疗 14 天内临床或微生物学失败。安全性通过回顾不良事件进行评估。研究采用了描述性统计方法:共纳入 13 名患者。并发症因素包括男性(4 例)、肾结石(2 例)、导尿管(6 例)、近期泌尿系统手术(1 例)、泌尿系统硬件(1 例)、抗生素过敏(4 例)、免疫力低下(2 例)和结论:单剂量氨基糖苷类药物似乎是治疗复杂性膀胱炎的一种相当有效且安全的方法,可避免患者入院治疗。
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引用次数: 0
Is older age an appropriate criterion alone for ordering cervical spine computed tomography after trauma. 外伤后颈椎计算机断层扫描检查是否仅以年龄为标准?
IF 3.4 3区 医学 Q1 EMERGENCY MEDICINE Pub Date : 2024-06-28 DOI: 10.1111/acem.14976
Mahla Radmard, Armin Tafazolimoghadam, Meisam Hoseinyazdi, Mona Shahriari, Javad R Azadi, Arjun Chanmugam, David M Yousem

Background: Cervical spine computed tomography (CSCT) scans are frequently performed in older emergency department (ED) trauma patients based on the 65-year-old high-risk criterion of the Canadian Cervical Spine Rule (CCR). We sought to determine the positivity rate of CSCT scans in symptomatic and asymptomatic patients to assess the current applicability of age in the CCR.

Methods: We reviewed CSCT ED reports from two institutional hospitals from 2018 to 2023. The primary variable was age; however, we also recorded fracture types and sites and type of treatments. Patients were separated into symptomatic and asymptomatic cohorts. We used a Fisher's exact test to compare variables between the asymptomatic and symptomatic groups and chi-square tests for comparison between age groups.

Results: Of 9455 CSCTs performed in patients ≥ 65 years, 192 (2.0%) fractures were identified (113 females); 28 (0.30%) were in asymptomatic patients. The rates of fractures (1.6%) and asymptomatic fractures (0.18%) were lowest in the 65- to 70-year age group. There were no distinguishing features as to the level or part of the vertebra fractured or surgical treatment rate between asymptomatic and symptomatic patients.

Conclusions: Cervical spine fractures in posttrauma patients ≥ 65 years are uncommon, with the lowest incidence in those 65 to 70 years old. Excluding asymptomatic individuals aged 65-70 from routine CSCT presents a minimal risk of missed fractures (0.18%). This prompts consideration for refining age-based screening and integrating shared decision making into the clinical protocol for this demographic, reflecting the low incidence of fractures and the changing health profile of the aging population.

背景:根据加拿大颈椎规则(CCR)中的 65 岁高风险标准,对年龄较大的急诊科(ED)创伤患者经常进行颈椎计算机断层扫描(CSCT)。我们试图确定有症状和无症状患者的 CSCT 扫描阳性率,以评估年龄在 CCR 中的适用性:我们回顾了两家机构医院从 2018 年到 2023 年的 CSCT ED 报告。主要变量是年龄;不过,我们还记录了骨折类型和部位以及治疗类型。患者被分为有症状和无症状两组。我们使用费雪精确检验来比较无症状组和有症状组之间的变量,并使用卡方检验来比较不同年龄组之间的变量:在为年龄≥65岁的患者进行的9455例CSCT检查中,发现了192例(2.0%)骨折(113例女性);28例(0.30%)为无症状患者。65至70岁年龄组的骨折率(1.6%)和无症状骨折率(0.18%)最低。无症状和有症状的患者在椎体骨折的程度、部位或手术治疗率方面没有明显区别:结论:创伤后≥65岁患者的颈椎骨折并不常见,65至70岁患者的发病率最低。将无症状的 65-70 岁患者排除在常规 CSCT 之外,漏诊骨折的风险极低(0.18%)。这促使我们考虑完善基于年龄的筛查,并将共同决策纳入该人群的临床方案中,以反映骨折的低发病率和老龄人口不断变化的健康状况。
{"title":"Is older age an appropriate criterion alone for ordering cervical spine computed tomography after trauma.","authors":"Mahla Radmard, Armin Tafazolimoghadam, Meisam Hoseinyazdi, Mona Shahriari, Javad R Azadi, Arjun Chanmugam, David M Yousem","doi":"10.1111/acem.14976","DOIUrl":"https://doi.org/10.1111/acem.14976","url":null,"abstract":"<p><strong>Background: </strong>Cervical spine computed tomography (CSCT) scans are frequently performed in older emergency department (ED) trauma patients based on the 65-year-old high-risk criterion of the Canadian Cervical Spine Rule (CCR). We sought to determine the positivity rate of CSCT scans in symptomatic and asymptomatic patients to assess the current applicability of age in the CCR.</p><p><strong>Methods: </strong>We reviewed CSCT ED reports from two institutional hospitals from 2018 to 2023. The primary variable was age; however, we also recorded fracture types and sites and type of treatments. Patients were separated into symptomatic and asymptomatic cohorts. We used a Fisher's exact test to compare variables between the asymptomatic and symptomatic groups and chi-square tests for comparison between age groups.</p><p><strong>Results: </strong>Of 9455 CSCTs performed in patients ≥ 65 years, 192 (2.0%) fractures were identified (113 females); 28 (0.30%) were in asymptomatic patients. The rates of fractures (1.6%) and asymptomatic fractures (0.18%) were lowest in the 65- to 70-year age group. There were no distinguishing features as to the level or part of the vertebra fractured or surgical treatment rate between asymptomatic and symptomatic patients.</p><p><strong>Conclusions: </strong>Cervical spine fractures in posttrauma patients ≥ 65 years are uncommon, with the lowest incidence in those 65 to 70 years old. Excluding asymptomatic individuals aged 65-70 from routine CSCT presents a minimal risk of missed fractures (0.18%). This prompts consideration for refining age-based screening and integrating shared decision making into the clinical protocol for this demographic, reflecting the low incidence of fractures and the changing health profile of the aging population.</p>","PeriodicalId":7105,"journal":{"name":"Academic Emergency Medicine","volume":null,"pages":null},"PeriodicalIF":3.4,"publicationDate":"2024-06-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141465360","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Factors associated with incentive redemption among participants in a multicenter prospective syncope clinical study. 一项多中心前瞻性晕厥临床研究的参与者中与奖励兑换相关的因素。
IF 3.4 3区 医学 Q1 EMERGENCY MEDICINE Pub Date : 2024-06-28 DOI: 10.1111/acem.14979
Wachira Wongtanasarasin, Daniel K Nishijima, Nancy Wood, John DeAngelis, Alan Storrow, Jonathan Schimmel, Nataly Beltre, Dana Sacco, Marc A Probst
{"title":"Factors associated with incentive redemption among participants in a multicenter prospective syncope clinical study.","authors":"Wachira Wongtanasarasin, Daniel K Nishijima, Nancy Wood, John DeAngelis, Alan Storrow, Jonathan Schimmel, Nataly Beltre, Dana Sacco, Marc A Probst","doi":"10.1111/acem.14979","DOIUrl":"10.1111/acem.14979","url":null,"abstract":"","PeriodicalId":7105,"journal":{"name":"Academic Emergency Medicine","volume":null,"pages":null},"PeriodicalIF":3.4,"publicationDate":"2024-06-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141465359","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Telephone advice on first aid in hypoglycemia: Developing an evidence-based dispatcher algorithm. 低血糖急救电话咨询:开发基于证据的调度员算法。
IF 3.4 3区 医学 Q1 EMERGENCY MEDICINE Pub Date : 2024-06-28 DOI: 10.1111/acem.14977
Alexei A Birkun
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引用次数: 0
Precision emergency medicine. 精准急诊医学。
IF 3.4 3区 医学 Q1 EMERGENCY MEDICINE Pub Date : 2024-06-28 DOI: 10.1111/acem.14962
Matthew Strehlow, Al'ai Alvarez, Andra L Blomkalns, Holly Caretta-Wyer, Laleh Gharahbaghian, Daniel Imler, Ayesha Khan, Moon Lee, Viveta Lobo, Jennifer A Newberry, Ryan Riberia, Stefanie Sebok-Syer, Sam Shen, Michael A Gisondi

Background: Precision health is a burgeoning scientific discipline that aims to incorporate individual variability in biological, behavioral, and social factors to develop personalized health solutions. To date, emergency medicine has not deeply engaged in the precision health movement. However, rapid advances in health technology, data science, and medical informatics offer new opportunities for emergency medicine to realize the promises of precision health.

Methods: In this article, we conceptualize precision emergency medicine as an emerging paradigm and identify key drivers of its implementation into current and future clinical practice. We acknowledge important obstacles to the specialty-wide adoption of precision emergency medicine and offer solutions that conceive a successful path forward.

Results: Precision emergency medicine is defined as the use of information and technology to deliver acute care effectively, efficiently, and authentically to individual patients and their communities. Key drivers and opportunities include leveraging human data, capitalizing on technology and digital tools, providing deliberate access to care, advancing population health, and reimagining provider education and roles. Overcoming challenges in equity, privacy, and cost is essential for success. We close with a call to action to proactively incorporate precision health into the clinical practice of emergency medicine, the training of future emergency physicians, and the research agenda of the specialty.

Conclusions: Precision emergency medicine leverages new technology and data-driven artificial intelligence to advance diagnostic testing, individualize patient care plans and therapeutics, and strategically refine the convergence of the health system and the community.

背景:精准医疗是一门新兴的科学学科,旨在结合生物、行为和社会因素中的个体差异,制定个性化的医疗解决方案。迄今为止,急诊医学尚未深入参与精准健康运动。然而,医疗技术、数据科学和医学信息学的快速发展为急诊医学实现精准医疗的承诺提供了新的机遇:在本文中,我们将精准急诊医学概念化为一种新兴模式,并确定了将其应用于当前和未来临床实践的关键驱动因素。我们承认精准急诊医学在整个专科范围内应用的重要障碍,并提供了设想成功前进道路的解决方案:精准急诊医学的定义是利用信息和技术,有效、高效、真实地为患者及其社区提供急诊服务。关键的驱动力和机遇包括利用人类数据、利用技术和数字工具、提供审慎的医疗服务、促进人口健康以及重新规划医疗服务提供者的教育和角色。克服公平、隐私和成本方面的挑战是成功的关键。最后,我们呼吁采取行动,积极将精准医疗纳入急诊医学的临床实践、未来急诊医师的培训以及该专业的研究议程中:精准急诊医学利用新技术和数据驱动的人工智能来推进诊断检测、个性化患者护理计划和治疗方法,并从战略上完善医疗系统与社区的融合。
{"title":"Precision emergency medicine.","authors":"Matthew Strehlow, Al'ai Alvarez, Andra L Blomkalns, Holly Caretta-Wyer, Laleh Gharahbaghian, Daniel Imler, Ayesha Khan, Moon Lee, Viveta Lobo, Jennifer A Newberry, Ryan Riberia, Stefanie Sebok-Syer, Sam Shen, Michael A Gisondi","doi":"10.1111/acem.14962","DOIUrl":"https://doi.org/10.1111/acem.14962","url":null,"abstract":"<p><strong>Background: </strong>Precision health is a burgeoning scientific discipline that aims to incorporate individual variability in biological, behavioral, and social factors to develop personalized health solutions. To date, emergency medicine has not deeply engaged in the precision health movement. However, rapid advances in health technology, data science, and medical informatics offer new opportunities for emergency medicine to realize the promises of precision health.</p><p><strong>Methods: </strong>In this article, we conceptualize precision emergency medicine as an emerging paradigm and identify key drivers of its implementation into current and future clinical practice. We acknowledge important obstacles to the specialty-wide adoption of precision emergency medicine and offer solutions that conceive a successful path forward.</p><p><strong>Results: </strong>Precision emergency medicine is defined as the use of information and technology to deliver acute care effectively, efficiently, and authentically to individual patients and their communities. Key drivers and opportunities include leveraging human data, capitalizing on technology and digital tools, providing deliberate access to care, advancing population health, and reimagining provider education and roles. Overcoming challenges in equity, privacy, and cost is essential for success. We close with a call to action to proactively incorporate precision health into the clinical practice of emergency medicine, the training of future emergency physicians, and the research agenda of the specialty.</p><p><strong>Conclusions: </strong>Precision emergency medicine leverages new technology and data-driven artificial intelligence to advance diagnostic testing, individualize patient care plans and therapeutics, and strategically refine the convergence of the health system and the community.</p>","PeriodicalId":7105,"journal":{"name":"Academic Emergency Medicine","volume":null,"pages":null},"PeriodicalIF":3.4,"publicationDate":"2024-06-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141465432","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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Academic Emergency Medicine
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