Canadian EM

MARCH 19, 2024

Vivianne Dubois is an 84-year-old female presenting to your Emergency Department with her daughter. The post Clinical Question: How do I measure frailty in the Emergency Department? The post Clinical Question: How do I measure frailty in the Emergency Department? Recently, she has had several falls, and her.

Emergency Department 52

Emergency Department 52

Emergency Medicine Journal

APRIL 22, 2024

The Emergency Department (ED) represents a potentially valuable opportunity to deliver a smoking cessation intervention if it is sufficiently resourced. Background Supporting people to quit smoking is one of the most powerful interventions to improve health.

Emergency Department 97

Emergency Department Outcomes 97

First 10 EM

JANUARY 8, 2024

My practice includes emergency and inpatient care in Broome Hospital in the remote Kimberley region of Western Australia. I also work in a large tertiary […] The post On the Ethical Detention of Patients in the Emergency Department appeared first on First10EM.

Emergency Department 91

Emergency Department Hospitals 91

St. Emlyn

NOVEMBER 16, 2023

St.Emlyn's - Emergency Medicine #FOAMed We review a paper from the EMJ looking at the diagnosis of acute aortic syndrome in the ED and the accuracy of clinical decision rules and clinician gestalt The post JC: The DAShED Study – Diagnosis of Acute Aortic Syndrome in the Emergency Department appeared first on St.Emlyn's.

Emergency Department 110

Emergency Department Research 110

The Bottom Line

OCTOBER 23, 2023

In trauma patients with exsanguinating haemorrhage, does the use of the REBOA (resuscitative endovascular balloon occlusion of the aorta) device with standard care in the emergency department, compared with standard care alone, impact 90-day-mortality?

Emergency Department 114

Emergency Department Resuscitation 114

ACEP Now

DECEMBER 11, 2023

The Emergency Department Benchmarking Alliance (EDBA) is a membership organization composed of high-performance emergency departments (EDs) that share a commitment to quality. Association between boarding in the emergency department and in-hospital mortality: A systematic review. ED boarding. ACEP website.

Emergency Department 52

Emergency Department Hospitals EMS Operations 52

AENJ: Current Issue

SEPTEMBER 30, 2023

This article reviews the results of a randomized controlled trial, “Rapid Agitation Control with Ketamine in the Emergency Department: A Blinded, Randomized Controlled Trial” by D. Barbic et al. The findings are discussed in the context of practice change for patient stabilization within the ED.

Emergency Department 98

Emergency Department Outcomes Research 98

AENJ: Current Issue

SEPTEMBER 30, 2023

PI monitoring and treatment are often overlooked in the emergency department (ED). Emergency care professionals must be proactive about PI early identification and prevention strategies. Pressure injuries (PIs) are an important quality and patient safety metric for health care organizations.

Emergency Department 97

Emergency Department Patient Safety Documentation/Coding Research 97

ACEP Now

MARCH 13, 2024

Emergency departments (EDs) provide the essential service of evaluating patients with unscheduled, acute, undifferentiated, and decompensated conditions. Dr. Kluesner is an emergency physician in Iowa City, Iowa, at UnityPoint Health-Iowa Methodist Medical Center. Academic Emergency Medicine 22.2 PloS one 13.8

Ethical Issues 52

Ethical Issues Emergency Department Operations Hospitals 52

Canadian EM

JANUARY 23, 2024

‘Ken’ is a 47-year-old unhoused man presenting to the Emergency Department (ED) with severe opioid withdrawal symptoms. The post Approach to Unhoused Patients Presenting to the Emergency Department with a History of Opioid Use Disorder first appeared on CanadiEM. His last dose was 28 hours ago.

Emergency Department 52

Emergency Department 52

Emergency Medicine Journal

APRIL 22, 2024

In this edition of the Emergency Medicine Journal , Dr Cooper and her colleagues explore the facilitators and barriers to the effectiveness of different general practitioner service models in or alongside EDs (GP-ED). 1 The findings are not surprising, as they align with international experience.

Emergency Department 52

Emergency Department Urgent Care Hospitals 52

Don't Forget the Bubbles

MAY 10, 2023

You’re in the paediatric emergency department, typing some notes for the child you’ve just discharged. Promoting hot debriefing in an emergency department. Scand J Trauma Resusc Emerg Med. Emergency Medicine Residents Experience Acute Stress While Working in the Emergency Department.

Emergency Department 91

Emergency Department Resuscitation Documentation/Coding Teamwork 91

ACEP Now

JULY 7, 2023

Last month’s article focused on ACEP’s efforts and resources to support EDs and patients with psychiatric emergencies. Emergency departments (EDs) focus on rapid initiation of medical treatment. Clinical Policy: Critical Issues in the Diagnosis and Management of the Adult Psychiatric Patient in the Emergency Department.

Emergency Department 52

Emergency Department Psychiatric Administration Best Practices 52

ACEP Now

NOVEMBER 13, 2023

Physicians, nurses, and staff in emergency departments (EDs) across the country have encountered workplace violence for years. 1,2 In a 2018 study by ACEP, nearly half of emergency physicians polled reported a physical assault while at work. J Emerg Nurs. J Am Coll Emerg Physicians Open. J Emerg Nurs.

Emergency Department 52

Emergency Department Documentation/Coding Psychiatric Best Practices 52

ACEP Now

JUNE 7, 2023

The preliminary results of the 2022 Emergency Department Benchmarking Alliance performance measures survey found a significant deterioration in patient processing due to inpatient boarding. Preliminary results of the survey are being released to help emergency physicians understand that current challenges are occurring nationwide.

Emergency Department 52

Emergency Department Documentation/Coding Operations EMS 52

Emergency Medicine Journal

APRIL 22, 2024

The Royal College of Emergency Medicine Toxicology Special Interest Group has produced guidance to support emergency medicine clinicians with the recognition and treatment of people experiencing CHS. Cannabinoid hyperemesis syndrome (CHS) is an episodic syndrome of cyclic vomiting in the context of the prolonged use of cannabis.

Best Practices 98

Best Practices Emergency Department 98

ACEP Now

OCTOBER 9, 2023

emergencies, patient’s request). However, actual increases in available services in emergency departments based on prior state-level requirements have been mixed. Google translate as a tool for emergency department discharge instructions? 4 The Joint Commission’s standards follow similar requirements. Not so fast!

Emergency Department 64

Emergency Department Documentation/Coding EMS Wellness 64

ACEP Now

NOVEMBER 14, 2023

The emergency department (ED) at UVA was rebuilt in 2019 and the department had not fully optimized its operations when COVID-19 hit. These real-time strategies being employed at UVA Health are cutting-edge operations and not yet embedded into many emergency department operations.

Academics 52

Academics Emergency Department Leadership Operations 52

AENJ: Current Issue

DECEMBER 31, 2023

Complications of DM, including diabetic ketoacidosis and hyperglycemic hyperosmolar state, often present in the emergency department requiring emergent management. Diabetes mellitus (DM) is a chronic medical condition that continues to increase in prevalence.

Emergency Department 40

Emergency Department EKG/ECG 40

Emergency Medicine Journal

NOVEMBER 28, 2023

We propose using a qualitative approach called ‘deep listening’ to explore the sonic environment of emergency departments. We organised a public participation workshop to explore perspectives on the sonic environment of an emergency department as well as their perceptions and experiences of the deep listening methodology.

Emergency Department 74

Emergency Department Patient Safety Hospitals Research 74

AENJ: Current Issue

SEPTEMBER 30, 2023

The emergency department (ED) is a frequent utilizer of alternative routes of medication administration (e.g., intranasal) for a variety of indications. Over the last several years, investigations into the use of medications via the nebulization route have greatly increased, with varying degrees of efficacy identified.

Emergency Department 69

Emergency Department Administration 69

Canadian EM

MARCH 12, 2024

In this issue, we collaborated with the CJEM team to present “Hypotension and respiratory events related to electrical cardioversion for atrial fibrillation or atrial flutter in the emergency department” in a visual abstract format​1​.

Emergency Department 52

Emergency Department 52

ACEP Now

MAY 5, 2023

What is your role as the emergency physician? Introduction Law enforcement officers frequently accompany emergency department (ED) trauma patients or patients who are under arrest or require assistance. Law enforcement gathering in the emergency department: Legal and ethical background and practical approaches.

Emergency Department 52

Emergency Department Documentation/Coding 52

EM Ottawa

JUNE 12, 2023

with an improvement in sepsis bundle […] The post Quality initiative to improve emergency department sepsis bundle compliance through utilisation of an electronic health record tool appeared first on EMOttawa Blog. Findings: Overall EHR tool use increased from 23.3

Sepsis 98

Sepsis Emergency Department 98

AENJ: Current Issue

SEPTEMBER 30, 2023

Patients with headaches who present to the emergency department (ED) need prompt pain management. Headaches are a common complaint in the ED. Urgent evaluation is critical to assess for life-threatening headache causes.

Emergency Department 75

Emergency Department EKG/ECG 75

Emergency Medicine Journal

SEPTEMBER 27, 2023

The Emergency Department (ED) has long been considered a ‘safety net’ for healthcare. In the USA this term is often used to indicate that patients who cannot afford to go elsewhere can always receive care in the ED.

Emergency Department 75

Emergency Department Research 75

Canadian EM

JUNE 13, 2023

The post Tiny Tips: The 6 S’s Mnemonic for Mitigating Cognitive Bias in the Emergency Department first appeared on CanadiEM. The post Tiny Tips: The 6 S’s Mnemonic for Mitigating Cognitive Bias in the Emergency Department appeared first on CanadiEM and was written by Jason Wang. 2,3 So what can be done?

Emergency Department 52

Emergency Department 52

Emergency Medicine Journal

MARCH 21, 2024

Background Staff retention in Emergency Medicine (EM) is at crisis level and could be attributed in some part to adverse working conditions. This study aimed to better understand current concerns relating to working conditions and working practices in Emergency Departments (EDs).

Emergency Department 52

Emergency Department Leadership EMS Wellness 52

Emergency Medicine Journal

AUGUST 23, 2023

Background High emergency department (ED) usage by older individuals for non-emergencies is a global concern. ED avoidance initiatives have proven effective in addressing this issue. To specifically cater to individuals aged 65 and above, the Southern Adelaide Local Health Network introduced an innovative ED avoidance service.

Emergency Department 75

Emergency Department Urgent Care Hospitals 75

AENJ: Current Issue

DECEMBER 31, 2023

The review was conducted to develop an evidence-based algorithm specific for management of heatstroke in the emergency department with implications for improving recognition, initiating rapid cooling, and providing supportive care to reduce patient mortality and morbidity. Rublee et al.

Emergency Department 40

Emergency Department Research 40

Emergency Medicine Journal

JULY 24, 2023

Background Although frequent emergency department (ED) users have been widely studied in cross-sectional settings, there is some evidence suggesting that most frequent ED users do not remain frequent users over multiple consecutive years.

Emergency Department 40

Emergency Department Outcomes 40

PHARM

JUNE 3, 2023

Preventing unrecognized esophageal intubation in the emergency department – PMC — Read on www.ncbi.nlm.nih.gov/pmc/articles/PMC10148380/

Emergency Department 40

Emergency Department 40

EM Ottawa

JULY 4, 2023

Findings: Monthly average BUN ordering declined from 1905 to 448, and BUN test to […] The post Reduction of urea test ordering in the emergency department: multicomponent intervention including education, electronic ordering, and data feedback appeared first on EMOttawa Blog.

Emergency Department 75

Emergency Department 75

PDC Healthcare

SEPTEMBER 25, 2020

Emergency departments are one of the most, if not the most, dangerous departments in modern-day hospitals. Emergency department staff are tasked with caring for people in a variety of different situations, from drug overdoses to cases of extreme violence.

Emergency Department 52

Emergency Department Hospitals 52

Emergency Medicine Journal

SEPTEMBER 27, 2023

The International Federation for Emergency Medicine report on emergency department crowding and access block: A brief summary. Emerg Med J 2021;38:245–46. Javidan AP, Hansen K, Higginson I et al. Since first publication the provenance and peer review statement has been added to this article.

Emergency Department 52

Emergency Department 52

EM Ottawa

NOVEMBER 27, 2023

Question and Methods: Multi-center pragmatic Bayesian RCT comparing 90d all-cause mortality and 10 secondary outcomes in trauma patients with hemorrhage receiving REBOA + standard of care vs. standard of care alone Findings: At 90d, 54% of patients in the […] The post Emergency Department Resuscitative Endovascular Balloon Occlusion of the Aorta (..)

Emergency Department 57

Emergency Department Resuscitation Outcomes 57

Emergency Medicine Journal

NOVEMBER 28, 2023

Aims and Objectives Research in the Emergency Department needs to be delivered in real time, within a specific clinical time-frame, and on a wide variety of conditions and states of emergency, on participants presenting in an unscheduled manner at any time.

Emergency Department 40

Emergency Department Research Outcomes Hospitals 40