The Subarachnoid Haemorrhage in the Emergency Department (SHED) Study
St. Emlyn
SEPTEMBER 26, 2024
St.Emlyn's - Emergency Medicine #FOAMed The diagnosis of subarachnoid haemorrhage in the emergency department is a constant source of anxiety.
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St. Emlyn
SEPTEMBER 26, 2024
St.Emlyn's - Emergency Medicine #FOAMed The diagnosis of subarachnoid haemorrhage in the emergency department is a constant source of anxiety.
St. Emlyn
SEPTEMBER 3, 2024
St.Emlyn's - Emergency Medicine #FOAMed @LizCrowe2 gives us a fantastic critical appraisal of an EMJ paper discussing the patient experience in the emergency department. FOAMed @stemlyns The post JC: The patient experience in the Emergency Department. appeared first on St.Emlyn's.
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St. Emlyn
JULY 2, 2024
St.Emlyn's - Emergency Medicine #FOAMed Learn about how to look after patients with eating disorders in the Emergency Department. The post Podcast – Eating Disorders in the Emergency Department appeared first on St.Emlyn's. Listen to this podcast recorded live at the Premier Conference 2024.
First 10 EM
SEPTEMBER 23, 2024
I definitely talk to people about smoking, but aside from brief counseling and occasionally prescribing nicotine replacement for […] The post Smoking cessation in the emergency department (The COSTED trial) appeared first on First10EM.
St. Emlyn
AUGUST 4, 2024
St.Emlyn's - Emergency Medicine #FOAMed Background Smoking is a leading cause of preventable morbidity and mortality worldwide.
The Skeptics' Guide to EM
DECEMBER 16, 2023
Patient Perceptions of Microaggressions and Discrimination Towards Patients During Emergency Department Care. AEM Dec 2023 Date: December 14, 2023 Guest Skeptic: Dr. Chris Bond is an emergency medicine physician and assistant Professor at the University of Calgary. Reference: Punches et al. Reference: Punches et al.
AENJ: Current Issue
NOVEMBER 4, 2024
Additionally, many countries are experiencing increased demands in the form of emergency services, with long waiting times and severe crowding in emergency departments. Many countries have a wide variation in educational requirements, resulting in a lack of adequate advanced practice nursing training and regulation of practice.
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.
Canadian EM
SEPTEMBER 3, 2024
Introduction Test result follow-up can be especially challenging in the Emergency Department (ED) due to its multiplicity of moving parts. The post HiQuiPs: Test Result Follow-up in the Emergency Department first appeared on CanadiEM.
EMDocs
MARCH 4, 2024
Darnall Army Medical Center) // Reviewed by: Joshua Lowe, MD (EM Attending Physician, USAF); Marina Boushra (EM-CCM, Cleveland Clinic Foundation); Brit Long, (@long_brit) Disclaimer: The views expressed in this post are those of the authors and do not reflect the official policy or position of the Department of the Army, DoD, or the US Government.
ACEP Now
OCTOBER 29, 2024
On a busy day shift in the emergency department, our seasoned triage nurse comes to me after I finish caring for a hallway patient, “Hey, can you come see this guy in the triage room? This is the essence of emergency medicine. The post Putting Clinical Gestalt to Work in the Emergency Department appeared first on ACEP Now.
The Skeptics' Guide to EM
JANUARY 6, 2024
National Assessment of Pediatric Readiness of US Emergency Departments during the Covid-19 Pandemic. July 2023 Date: Dec 11, 2023 Guest Skeptic: Dr. Rachel Hatcliffe is a pediatric emergency medicine attending at Children’s National Hospital in Washington, DC. Are general emergency departments ready to care for children?
St. Emlyn
JUNE 4, 2024
St.Emlyn's - Emergency Medicine #FOAMed This study in the Journal of Trauma Acute Care Surgery shows that emergency department (ED) intubation for patients needing urgent haemorrhage control surgery is linked to higher mortality and complications.
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.
Taming the SRU
MAY 27, 2024
Shortness of breath is one of the most common complaints presenting to emergency departments. A less common but more emergent scenario is the presentation of a patient to the emergency department with a large pleural effusion causing hypoxia and respiratory distress.
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.
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 Medicine Journal
OCTOBER 23, 2024
Patients who present to the ED usually have their BP measured as part of their routine triage assessment. BP measurements suggesting hypertension (≥140 systolic or ≥90 diastolic 1 ) are a frequent incidental finding, unrelated to the patient’s presenting complaint, but require follow-up.
Emergency Medicine Journal
APRIL 22, 2024
This edition of the EMJ contains a randomised controlled multicentre trial of smoking cessation initiated in the emergency department (ED).
The Skeptics' Guide to EM
NOVEMBER 2, 2024
He is the Vice Chair of the Emergency Department and Program Director of the EM residency program at Nassau University Medical Center in East Meadow, NY, the safety net hospital for Nassau County. It has become a favourite medication in emergency departments for procedural sedation as well as a useful behavioural takedown medication.
PHARM
APRIL 20, 2024
Characteristics and outcomes of prehospital and emergency department surgical airways – PMC — Read on www.ncbi.nlm.nih.gov/pmc/articles/PMC10958099/
AENJ: Current Issue
JULY 31, 2024
Objective: This quality improvement initiative was conducted to determine if a provider in triage and split flow model could decrease the length of stay (LOS) of discharged patients seen in a community hospital emergency department (ED).
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 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.
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 Medicine Journal
NOVEMBER 21, 2024
Emergency department (ED) encounters among patients experiencing non-fatal opioid-involved overdoses continue to increase. 1 Across Georgia, ~13 000 non-fatal drug-involved overdoses present to EDs, annually. Patient interventions capable of ensuring timely access to recovery services following these encounters are warranted.
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.
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.
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.
ACEP Now
MAY 9, 2024
Complications of Gluteal AFT The pale, prone patient with multiple surgical drains and a constrictive faja has become a common site in the Jackson Memorial Hospital Emergency Department. Nearly half of all post-AFT patients presenting to our emergency departments required admission and six percent required ICU admission.
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
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.
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.
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.
Canadian EM
MAY 18, 2023
In this issue, we collaborated with CJEM team to present “Emergency department crowding negatively influences outcomes for adults presenting with chronic obstructive pulmonary disease”1 in a visual abstract format. In the ED, patients with respiratory pathology present on a shiftly basis. Over in the resuscitation bay, a CTAS.
RebelEM
MAY 11, 2023
Background: The emergency department is frequently visited by patients suffering from symptomatic alcohol withdrawal, and the traditional management has been dominated by repeated doses of benzodiazepines. Return Encounters in Emergency Department Patients Treated with Phenobarbital Versus Benzodiazepines for Alcohol Withdrawal.
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.
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.
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.
Taming the SRU
JANUARY 1, 2024
Ann Emerg Med. Intraosseous vascular access in adults using the EZ-IO in an emergency department. Int J Emerg Med. J Emerg Med. Ultralong Versus Standard Long Peripheral Intravenous Catheters: A Randomized Controlled Trial of Ultrasonographically Guided Catheter Survival. 2020 Aug;76(2):134–42.
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.
ACEP Now
DECEMBER 11, 2023
Patients with severe agitation are frequently encountered in the emergency department (ED) setting. Emergency departments can be crowded and chaotic, further exacerbating mental health issues. ACEP Policy statement: Use of droperidol in the emergency department. Ann Emerg Med. Ann Emerg Med.
Emergency Medicine Journal
JULY 24, 2023
Given increasing demand and constraints in ED staffing, pharmacists are a potential resource to expand the Children’s Emergency Department (CED) workforce. We determined whether a pharmacist in the CED could independently safely discharge eligible patients and whether the role would be acceptable to families.
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
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