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.

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Emergency Department Academics Pediatrics Hospitals 52

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!

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Emergency Department EMS Documentation/Coding Outcomes 64

Don't Forget the Bubbles

JULY 3, 2023

This time we have our first group of colleagues from Birmingham Children’s Hospital Emergency Department. Intranasal fentanyl and discharge from the emergency department among children with sickle cell disease and vaso-occlusive pain: A multicenter pediatric emergency medicine perspective. Am J Hematol.

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Emergency Department Hospitals Pediatrics Domestic Violence 78

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.

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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.

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Emergency Department Resuscitation Hospitals CPR 86

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.

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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.

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Emergency Department EMS Hospitals Pediatrics 52

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.

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Emergency Department Hospitals 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.

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Emergency Department Research 75

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 (..)

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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.

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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.

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Emergency Department Documentation/Coding 52

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.

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Emergency Department Research Hospitals Outcomes 40

Emergency Medicine Journal

NOVEMBER 28, 2023

Introduction Most Irish emergency departments (EDs) do not record diagnosis in a standardised way at the conclusion of each patient care episode. This lack of data hampers service planning and the transformation of ED funding from a block grant system to one based on activity.

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Emergency Department Documentation/Coding Hospitals Administration 40

ACEP Now

JUNE 7, 2023

Clinical Question What is the Emergency Severity Index (ESI), triage pain score, emergency department (ED) length of stay (LOS), and acute ED revisit rate in deaf and hard-of-hearing (DHH) American Sign Language speakers and DHH English speakers who utilize the ED? Acad Emerg Med. 1,6 Reference: James TG, et al.

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Emergency Department Outcomes Academics Hospitals 52

Emergency Medicine Journal

NOVEMBER 28, 2023

Therefore, our aim was to develop a simulation training model for Emergency Department (ED) JDs which would a) have minimal impact upon ED service provision and b) deliver tailored learning objectives according to the participants’ level of training.

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Emergency Department 40

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.

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Emergency Department Hospitals EMS Administration 81

Emergency Medicine Journal

NOVEMBER 28, 2023

Multimorbidity is likely to impact on care delivery in emergency department(ED) settings due to time-critical decision-making in the context of patient complexity. Aims and Objectives The prevalence of multimorbidity, the presence of two or more long-term conditions (LTCs) is increasing, and it is associated with poor health outcomes.

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Emergency Department Outcomes Hospitals 40

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.

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Emergency Department Urgent Care Hospitals 75

Emergency Medicine Journal

NOVEMBER 28, 2023

Aims and Objectives Crowding is the most pressing issue currently faced by UK emergency departments (ED). When departments are crowded then hospital admissions are delayed, and the risk of mortality is increased. Professionals working in crowded departments feel unable to provide high quality care and are predisposed to burnout.

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Emergency Department Hospitals Outcomes Research 40

Emergency Medicine Journal

NOVEMBER 28, 2023

Aims and Objectives Emergency Departments (EDs) offer a valuable opportunity to support people to change their behaviour to improve health. Smoking remains the leading cause of morbidity and mortality.

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Emergency Department Outcomes 40

RebelEM

MARCH 27, 2023

Over the past few years, there has been an increase in emergency department (ED) volumes and lengths of stay. The effect of emergency department crowding on lung-protective ventilation utilization for critically ill patients. Paper: Owyang CG, et al. J Crit Care. N Engl J Med. 2000 May 4; PMID: 10793162 Harvey CE, et al.

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Emergency Department Resuscitation EMS Hospitals 52

Emergency Medicine Journal

NOVEMBER 28, 2023

However, identifying barriers and enablers when establishing successful SBT programmes in busy Emergency Departments (ED’s), and ensuring longevity of such programs, can be difficult.[MJ1] The growing body of evidence describes the benefits that SBT can bring.

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Emergency Department EMS Leadership Documentation/Coding 40

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?

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Emergency Department 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

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Sepsis Emergency Department 71

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.

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Emergency Department 52

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.

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Emergency Department Outcomes 40

Emergency Medicine Journal

NOVEMBER 28, 2023

Aims and Objectives This qualitative study aims to establish the existence and impact of patient-to-staff incivility on staff wellbeing and patient care in the Emergency Department (ED).

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Emergency Department Patient Safety Research 40

PHARM

JUNE 3, 2023

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

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Emergency Department 40

Emergency Medicine Journal

SEPTEMBER 27, 2023

Clinical negligence claims allocated to emergency medicine (EM) now account for the equal-highest volume notified to NHS Resolution (NHS-R), the body responsible for handling negligence claims on behalf of NHS organisations, sponsored by the Department of Health and Social Care.

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Emergency Department EMS Outcomes 52

Emergency Medicine Journal

NOVEMBER 28, 2023

Aims and Objectives In recent years there has been a large increase in demand for emergency care across the country, particularly during winter. This study utilised 12 months’ of routinely collected data from Emergency Departments (EDs) and acute Admitted Patient Care Episodes (APCs) to understand trends in demand for emergency care.

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Emergency Department Hospitals Outcomes Research 40

Emergency Medicine Journal

NOVEMBER 28, 2023

Aims and Objectives Chest drains are commonly inserted in the Emergency Department (ED) with a complication rate of 30-40%. Training in chest drain insertion is essential in Emergency Medicine (EM) as approximately 25,000 patients undergo in England and Wales undergo this procedure annually.

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Emergency Department EMS Outcomes Research 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.

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Emergency Department 62

Emergency Medicine Journal

NOVEMBER 28, 2023

Background Comprehensive geriatric assessment (CGA) has been shown to improve outcomes in hospitalised older adults; however, there is currently no compelling evidence to support CGA interventions within the emergency department (ED).

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Emergency Department Outcomes Hospitals 40

Emergency Medicine Journal

NOVEMBER 28, 2023

Aims and Objectives Patients with End-of-Life (EOL) care needs present to the emergency department (ED) frequently, and at times it can be difficult to provide a high standard of care.

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Emergency Department EMS Research 40

Emergency Medicine Journal

NOVEMBER 28, 2023

Aims and Objectives Identifying means to optimise trainee retention and recruitment is an Emergency Medicine (EM) research priority. This study aimed to understand how increasingly crowded Emergency Departments (EDs) are impacting EM training in the United Kingdom. Worthwhile training opportunities are central to this.

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Emergency Department EMS Research 40

University of Maryland Department of Emergency Med

SEPTEMBER 22, 2023

Since the switch from fee for service to value based care in the US, there has been a marked push to improve our documentation to expand ou. Click to view the rest

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