Emergency Department Patient Satisfaction Scores Are Lower for Patients Who Arrive During the Night Shift.

Background: Increasingly, patient satisfaction scores are being used to assess emergency physicians. We sought to determine whether the patient satisfaction scores collected by our hospital system are lower for patients who are treated in the emergency department (ED) on night shifts as compared to those treated on day shifts.

Methods: We performed a cross-sectional analysis of patient satisfaction scores from three EDs in Florida.

Gaining consensus on a protocol for general surgery physician assistants in the management of non-compressible abdominal haemorrhage in military austere environments: a Delphi study.

Background: Non-compressible abdominal haemorrhage (NCAH) is a potentially preventable cause of death due to injury. Limited exploratory laparotomy by a non-surgeon is a temporary intervention to sustain life until definitive surgical intervention by trauma surgeons can be obtained. This study aims to establish consensus on a protocol for general surgery physician assistants performing limited exploratory laparotomy to manage NCAH in an austere environment.

Management of non-compressible torso hemorrhage of the abdomen in civilian and military austere environments: a scoping review.

Background: Non-compressible abdominal hemorrhage (NCAH) is the leading cause of potentially preventable deaths in both civilian and military austere environments, and an improvement in mortality due to this problem has not been demonstrated during the past quarter century. Several innovations have been developed to control hemorrhage closer to the point of injury.

Objective: This review assessed NCAH interventions in civilian and military settings, focusing on austere environments.

Animal-mediated plant niche tracking in a changing climate.

Over half of plant species are animal-dispersed, and our understanding of how animals can help plants move in response to climate change - a process known as niche tracking - is limited, but advancing rapidly. Recent research efforts find evidence that animals are helping plants track their niches. They also identify key conditions needed for animal-mediated niche tracking to occur, including alignment of the timing of seed availability, the directionality of animal movements, and microhabitat conditions where seeds are deposited.