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Implementation of delirium screening in the emergency department: A qualitative study with early adopters.
J Am Geriatr Soc
December 2024
Department of Emergency Medicine, Massachusetts General Hospital, Boston, Massachusetts, USA.
Introduction: Delirium affects 15% of older adults presenting to emergency departments (EDs) but is detected in only one-third of cases. Evidence-based guidelines for ED delirium screening exist, but are underutilized. Frontline staff perceptions about delirium and time and resource constraints are known barriers to ED delirium screening uptake.
View Article and Find Full Text PDFEnhancing the physician-scientist workforce: evaluating a mentored research program for medical students' research competencies and intentions.
Res Sq
August 2024
Institute for Clinical and Translational Science, University of California, Irvine.
Background: The growing recognition of the need to incorporate scientific discoveries into healthcare decisions underscores an urgency for a robust physician-scientist workforce to advance translational research. Despite the correlation between medical students' research engagement and their academic productivity and success, significant gaps remain in the scientific workforce exacerbated by the "leaky pipeline" phenomenon from medical school to academic medicine, where potential physician-scientists veer away from research careers.The purpose of this study was to assess the effectiveness of a structured mentored research program for enhancing medical students' research competencies and sustaining their interest in research careers, thereby potentially enhancing the physician-scientist workforce.
View Article and Find Full Text PDFBlood pressure management after endovascular thrombectomy: Insights of recent randomized controlled trials.
CNS Neurosci Ther
August 2024
Department of Neurology, Xuanwu Hospital, Capital Medical University, Beijing, China.
Article Synopsis
- The study reviews the effectiveness of different blood pressure (BP) management strategies post-endovascular thrombectomy (EVT) and highlights uncertainty regarding the ideal BP target.* -
- Recent randomized controlled trials (RCTs) found that intensive BP control did not lead to better clinical outcomes or reduce the risk of intracranial hemorrhage (ICH), contrasting with earlier observational studies.* -
- Future research should focus on individualized BP management, reducing BP fluctuations, and multi-stage approaches to determine optimal BP strategies after successful EVT.*
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