Current Trends and Prospects of Critical Emergency Medicine

A special issue of Journal of Clinical Medicine (ISSN 2077-0383). This special issue belongs to the section "Emergency Medicine".

Deadline for manuscript submissions: 15 July 2025 | Viewed by 140

Special Issue Editor


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Guest Editor
1. Department of Emergency Medicine, University of Maryland School of Medicine, Baltimore, MD 21201, USA
2. Program in Trauma, The R Adams Cowley Shock Trauma Center, University of Maryland School of Medicine, Baltimore, MD 21201, USA
Interests: emergency medicine; critical care; resuscitation; neurological injuries; interhospital transfer; transferred critically ill patients

Special Issue Information

Dear Colleagues,

Emergency medicine as a specialty has seen rapid growth in the past two decades. Since 2020 and the COVID-19 pandemic, emergency medicine has faced many challenges, but we have also encountered more opportunities and advancements, especially in regard to caring for critically ill patients.

With staff shortages, many Emergency Departments (EDs) are keeping patients longer in them, which hinders care and affect outcomes for all patients. The “boarding” issue and how to improve patient care in this setting is becoming increasingly important. Additionally, since 2020, emergency clinicians have become first-line defenders for critically ill patients. Since then, emergency medicine has also encountered more opportunities to care for patients, including the widespread adoption of point-of-care ultrasound to evaluate patients’ volume status, right heart strain with Tricuspid Annular Plane Systolic Excursion (TAPSE), and the advancement of Extracorporeal Cardiopulmonary Resuscitation (ECPR) for eligible patients with out-of-hospital cardiac arrest, etc.

In this Special Issue, we welcome authors to submit scholarly works that suggest solutions or trends to current issues generally applicable to emergency medicine patients or critically ill patients. We also welcome submissions regarding managements or interventions that will benefit critically ill patients in EDs.

Dr. Quincy K. Tran
Guest Editor

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Keywords

  • critically ill patients
  • critical care
  • resuscitation
  • emergency medicine
  • trends
  • prospects
  • outcomes

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Published Papers (1 paper)

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16 pages, 572 KiB  
Systematic Review
The Experience of Frail Older Patients in the Boarding Area in the Emergency Department: A Qualitative Systematic Review
by Pasquale Iozzo, Giovanna Cannizzaro, Stefano Bambi, Luana Maria Amato, Simona Fanuli, Dhurata Ivziku, Giuliano Anastasi, Alberto Lucchini, Noemi Spina and Roberto Latina
J. Clin. Med. 2025, 14(10), 3556; https://doi.org/10.3390/jcm14103556 - 19 May 2025
Abstract
Background/Objectives: Boarding refers to the period when patients deemed stable in the emergency department (ED) are temporarily monitored, wait to be admitted, and receive appropriate care. As life expectancy increases, so does the importance of understanding the dynamics and experiences of older adults [...] Read more.
Background/Objectives: Boarding refers to the period when patients deemed stable in the emergency department (ED) are temporarily monitored, wait to be admitted, and receive appropriate care. As life expectancy increases, so does the importance of understanding the dynamics and experiences of older adults with frailty in emergency settings. The absence of a care environment tailored to specific needs could diminish the overall quality of care provided, threatening the health and well-being of this population. To our knowledge, how frail older adults experience this has not yet been synthesized in a qualitative systematic review. The aim of this study was to explore the lived experiences of frail older adults during the emergency department (ED) boarding phase Methods: This systematic review was conducted using PubMed, OVID, and Scopus in October 2024. No time restrictions were settled and only articles published in English were included. Following the predefined inclusion criteria, two researchers independently extracted and synthesized the data using the Joanna Briggs Institute (JBI) meta-aggregation methodology and instruments. Results: Seven studies were included. Thirty-one findings were identified and grouped into seven categories and three themes regarding the lived experiences of frail people in ED boarding areas. The themes we identified were discomfort, distress, frustration, the experience of positive/negative attitudes of healthcare providers, and the supportive role of family members during ED LOS (length of stay). Conclusions: Older frail adults experience significant physical and psychological distress during ED boarding. It is necessary to manage their specific needs through targeted actions aimed at improving their overall experience and quality of care in emergency settings. Full article
(This article belongs to the Special Issue Current Trends and Prospects of Critical Emergency Medicine)
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