Emergency Medicine Journal

NOVEMBER 28, 2023

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. 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.

Emergency Department 40

Emergency Department Outcomes Hospitals 40

AENJ: Current Issue

MAY 8, 2024

The article titled “Using Artificial Intelligence to Predict Adverse Outcomes in Emergency Department Patients With Hyperglycemic Crises in Real Time,” authored by C.

Emergency Department 44

Emergency Department Outcomes Research Sepsis 44

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. The primary outcome was biochemically validated abstinence at 6 months. Background Supporting people to quit smoking is one of the most powerful interventions to improve health.

Emergency Department 97

Emergency Department Outcomes 97

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

Emergency Medicine Journal

APRIL 22, 2024

Emergency departments (EDs) are required to have safe systems in place to manage radiology reports. Reviewing and acting on diagnostic reports is a professional obligation. 1 This includes X-ray of the chest (CXR) reports which recommend follow-up imaging and only become available after the patient has been discharged.

Radiology 52

Radiology Radiology Emergency Department Outcomes 52

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.

Emergency Department 103

Emergency Department Hospitals Domestic Violence Pediatrics 103

ACEP Now

MAY 9, 2024

These questionable practices led to a rash of bad outcomes. When seven South Florida gluteal AFT patients died tragically in one year alone, the Florida Board of Medicine issued an emergency regulation restricting fat injection to the subcutaneous space rather than injecting into muscle. units per patient. Plast Reconstr Surg.

Emergency Department 52

Emergency Department Operations Ultrasounds Hospitals 52

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). The primary outcome was incidence of hospital admission following the index ED attendance.

Emergency Department 40

Emergency Department Outcomes Hospitals 40

ACEP Now

OCTOBER 9, 2023

This demographic is higher risk of adverse events during hospital encounters, often due to communication issues, leading to tragic outcomes and malpractice suits including cases of missed intracerebral hemorrhages, unnecessary or incorrect surgeries, misused medical devices, and fatal medication dosing. emergencies, patient’s request).

Emergency Department 64

Emergency Department Documentation/Coding EMS Wellness 64

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. However, rapid initiation of treatment is actually patient-centered care that can both lead to better outcomes and limit ED boarding.

Emergency Department 52

Emergency Department Psychiatric Administration Best Practices 52

Emergency Medicine Journal

JANUARY 22, 2024

Methods Prospectively collected data from a sedation registry at a paediatric emergency department (PED) were reviewed. Total procedures performed with N 2 O alone or with INF, success rate, sedation depth and adverse events were determined.

Emergency Department 40

Emergency Department Outcomes 40

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

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.

Emergency Department 52

Emergency Department Outcomes Research Academics 52

Emergency Medicine Journal

MAY 28, 2024

1 For older patients with serious, life-limiting illnesses, those who have good awareness of their illness severity have better outcomes. 5 Four outcomes were assessed: (1) Need for hospitalisation and length of stay; (2) Severity of illness; (3) Postdischarge quality of life; and 4) Life expectancy.

Emergency Department 52

Emergency Department Outcomes 52

ACEP Now

APRIL 4, 2024

A 39-year-old male presents to your emergency department (ED) with complaints of a headache after a roll-over motor vehicle accident. Unnecessary transfers can also worsen bed shortages, lead to emergency department crowding, and worsen hospital boarding at trauma centers. Am J Emerg Med. J Trauma Acute Care Surg.

Emergency Department 40

Emergency Department Hospitals Outcomes 40

Emergency Medicine Journal

JANUARY 22, 2024

1–3 However, the literature is sparse surrounding the characteristics, treatment, outcomes, costs, disposition and resource utilisation of people who co-use compared with those who use opioids alone. Many overdose deaths are associated with patient co-use of opioids and other substances, such as benzodiazepines.

Outcomes 40

Outcomes Emergency Department Poisoning Documentation/Coding 40

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 59

Emergency Department Resuscitation Outcomes 59

Emergency Medicine Journal

JUNE 20, 2024

Emergency departments (ED) represent a promising setting to address preventive health measures like CRC screening. The primary outcome was patient CRC screening or scheduling. Background Colorectal cancer (CRC) is the second leading cause of cancer-related deaths worldwide. Patients were blind to allocation at enrolment.

Emergency Department 40

Emergency Department Documentation/Coding Outcomes 40

The Skeptics' Guide to EM

JUNE 8, 2024

Systematic Review, Quality Assessment, and Synthesis of Guidelines for Emergency Department Care of Transgender and Gender-diverse People Recommendations for Immediate Action to Improve Care. Yes The outcomes were clinically relevant. Reference: Kruse et al. Reference: Kruse et al.

Best Practices 138

Best Practices Emergency Department Research Outcomes 138

Emergency Medicine Journal

MARCH 21, 2024

We assessed racial and ethnic differences in COVID-19 positivity and outcomes in patients presenting to EDs in the USA, and the effect of the phase of the pandemic on these outcomes. Data were obtained from the National Registry of Suspected COVID-19 in Emergency Care network which has data from 155 EDs across 27 US states.

Outcomes 52

Outcomes Emergency Department Hospitals 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.

Emergency Department 40

Emergency Department Outcomes 40

ACEP Now

OCTOBER 10, 2023

A 76-year-old female presents to the emergency department obtunded with left hemiplegia. Both INTERACT-2 and ATACH-2 showed no statistical difference in their primary outcome between intensively lowering the BP and a less-intensive strategy. Symptoms began just prior to presentation. Her blood pressure (BP) is 195/104 mmHg.

Outcomes 52

Outcomes Stroke Hospitals Emergency Department 52

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. 3 The aim of this study was to report the.

Emergency Department 52

Emergency Department EMS Outcomes 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.

Emergency Department 40

Emergency Department Research Outcomes Hospitals 40

Downeast Emergency Medicine

DECEMBER 1, 2021

While the ongoing COVID-19 pandemic has contributed to overdose deaths and taxed constrained Emergency Department (ED) resources, it has also clarified the important role that emergency physicians have in expanding access to life-saving medications to treat opioid use disorder. Annals of Emergency Medicine. Hawk, et al.

Emergency Department 52

Emergency Department Documentation/Coding Leadership Hospitals 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.

Emergency Department 40

Emergency Department Hospitals Outcomes Research 40

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.

Emergency Department 40

Emergency Department Research Outcomes Hospitals 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. The mean age was 40, 62% were male and 72% were White British.

Emergency Department 40

Emergency Department Outcomes 40

Emergency Medicine Journal

MAY 23, 2023

We validated the score in a large patient data set and constructed a model that allows early prediction of the probability of clinical outcomes based on the individual’s NEWS+L Score. The outcomes were hospital death or a composite of hospital death and intensive care unit admission at 24 hours, 48 hours and 72 hours.

Outcomes 40

Outcomes Emergency Department Academics Hospitals 40

AENJ: Current Issue

SEPTEMBER 30, 2023

The overuse of computed tomographic (CT) scans for patients who present to the emergency department (ED) after mild traumatic brain injury (mTBI) has been well-documented. The Canadian Computed Tomography Head Rule (CCHR) is a validated tool to guide ED providers in determining the need for emergent CT of mTBI patients.

Emergency Department 54

Emergency Department Documentation/Coding Outcomes Wellness 54

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.

Emergency Department 40

Emergency Department EMS Research Operations 40

The Skeptics' Guide to EM

JUNE 29, 2019

Prospective Validation of a Checklist to Predict Short-term Death in Older Patients After Emergency Department Admission in Australia and Ireland. Prospective Validation of a Checklist to Predict Short-term Death in Older Patients After Emergency Department Admission in Australia and Ireland. AEM June 2019. AEM June 2019.

Emergency Department 52

Emergency Department COPD Hospitals Outcomes 52

Emergency Medicine Journal

DECEMBER 22, 2023

During the post-implementation phase, emergency physicians were advised to ‘discharge’ patients classified by the MEESSI-AHF scale as low risk and ‘admit’ patients classified as increased risk. Nonetheless, the final decision was left to treating emergency physicians. vs 24.4%, OR=1.05, 95% CI=0.89

Emergency Department 40

Emergency Department Outcomes Hospitals 40

Emergency Medicine Journal

MAY 28, 2024

The outcome of interest was serious secondary headache. This project aims to compare the proportion of patients with 10 commonly accepted red flag criteria (singly and in combination) between patients with and without a diagnosis of serious secondary headache in a large, multinational cohort of ED patients presenting with headache.

Emergency Department 52

Emergency Department Outcomes Wellness 52

AENJ: Current Issue

SEPTEMBER 30, 2023

Managing agitation in pregnancy is a challenging dilemma due to the fear of adverse maternal and neonatal outcomes as well as the legal risk involved. Should medication be necessary, first-generation antipsychotics, second-generation antipsychotics, antihistamines, or benzodiazepines may be considered.

Psychiatric 54

Psychiatric Emergency Department Outcomes Wellness 54

Emergency Medicine Journal

SEPTEMBER 27, 2023

Current results may help identify families in need of additional intervention and may improve patient outcomes. Child temperament, specifically lower activity temperament, and poorer parental mental health were identified as contributors to parent anxiety, whereas clinical condition or severity did not influence parent anxiety.

Emergency Department 40

Emergency Department Psychiatric Research Outcomes 40

ACEP Now

JULY 11, 2024

2 Although the opiate epidemic is certainly worthy of attention, it accounts for only about half of the number of deaths annually and only around a quarter of the number of emergency department visits annually relative to alcohol use. This medication has limited outcomes data and multiple contraindications. West J Emerg Med.

Emergency Department 96

Emergency Department Psychiatric Outcomes Wellness 96