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12 How do we address these disparities in the emergencydepartment? Train your staff on bestpractices for using phone interpreters. An implementation science approach improves language access in the emergencydepartment. Annals of Emergency Medicine. Annals of Emergency Medicine. 45:446-458.
Physicians, nurses, and staff in emergencydepartments (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.
BestPractices for Evaluation and Treatment of Agitated Children and Adolescents (BETA) in the EmergencyDepartment: Consensus Statement of the American Association for Emergency Psychiatry. West J Emerg Med. Erratum in: West J Emerg Med. 2017 Sep;40(3):397-410. 2019 Mar;20(2):409-418.
BestPractices for Evaluation and Treatment of Agitated Children and Adolescents (BETA) in the EmergencyDepartment: Consensus Statement of the American Association for Emergency Psychiatry. Erratum in: West J Emerg Med. 2017 Sep;40(3):397-410. 2019 Jul;20(4):688-689. Acad Pediatr. 2023.03.005.
7-year-old Tilly is brought to your emergencydepartment at 11 p.m. Abdominal pain in children is common, accounting for over 1 in 20 attendances to paediatric emergencydepartments [1]. Clinical scoring tools have improved diagnostic performance in assessing suspected appendicitis in the emergencydepartment.
Choosing Wisely aims to help clinicians align with bestpractices by avoiding interventions that are not supported by evidence. Choosing Wisely in Paediatric Car e A trainee-led project in a UK tertiary paediatric emergencydepartment looked at the usefulness of blood tests in 101 children. 70% had liver function tests.
Hosts Jeff Nusbaum, MD, and Nachi Gupta, MD, cover all aspects of the acute management of this condition, from initial diagnosis and treatment in the emergencydepartment to novel biomarkers and new and controversial therapies.
This month, we are sticking in the abdomen for another round of evidence-based medicine, focusing on EmergencyDepartment Management of Patients With Complications of Bariatric Surgery. In 2017, these were performed 60%, 18%, and 3% of the time. ASMBS pediatric committee bestpractice guidelines. 2012;8(1):1-7.
THE CASE A female in her early 20s, G4P2012, presents to the emergencydepartment (ED) with a 5 day history of left lower quadrant abdominal pain which has been worsening since onset. Am J Emerg Med. BestPractice & Research Clinical Obstetrics & Gynaecology, Volume 23, Issue 4, 2009. 2021 Nov;49:226-232.
a Sengstaken-Blakemore tube) may be used as a temporizing measure for unstable UGIB but should not delay emergent esophagogastroduodenoscopy (EGD). However, a 2017 study of 34 patients suggests that balloon tamponade, when used as a bridge to EGD, improves patient mortality, with 59 percent of patients surviving to hospital discharge.
In the era of modern medicine, blood transfusions are commonplace, especially in the emergencydepartment. While they are a lifesaving staple of medicine, they also come with risks that emergency providers must be aware of. Adverse reactions to transfusion of blood products and BestPractices for Prevention.”
Systematic review found increasing age, diffuse rather than localized abdominal pain, guarding or pain with rebound, initial episode of diverticulitis, steroid use, fever, constipation and vomiting, elevated CRP, and elevated WBC count were associated with greater risk of complication such as abscess or perforation (Bolkenstein 2017).
This month, we’re moving into uncharted territories for the podcast… we’re talking psychiatry Nachi: Specifically, we’ll be discussing Depressed and Suicidal Patients in the emergencydepartment. Jeff: a 2017 ACEP clinical policy also recommends against routine lab testing in those with acute psychiatric complaints.
This blog post aims to help familiarise you with some of the most common reasons for prescribing antibiotics in the paediatric emergencydepartment. Antibiotic Use for Common Infections in Pediatric EmergencyDepartments: A Narrative Review. 2017 Sep 7 [cited 2022 Dec 28];2022(8). 2017 May 8;30(4):319–26.
Intranasal ketamine for analgesia in the emergencydepartment: a prospective observational series. Acad Emerg Med. Is there a role for intravenous acetaminophen in pediatric emergencydepartments? Pediatr Emerg Care. Am J Emerg Med. Emerg Med Australas. Clin Pediatr Emerg Med.
Our patient is a 33-year-old male with spastic quadriparesis due to cerebral palsy with chronic indwelling suprapubic catheter (SPC) who presented to the emergencydepartment (ED) due to concern for Foley catheter obstruction. Emergency physicians commonly replace SPCs in the ED. Click to enlarge.) Hong Kong Med J.
The latest Society of Critical Care Medicine (SCCM) sepsis guidelines from 2021 recommend giving patients with signs of hypoperfusion an initial 30 ml/kg bolus as a bestpractice statement 13 based on the PROCESS, 14 ARISE, 15 and PROMISE 16 trials. Int J Emerg Med 4, 58 (2011). Andrews et al. Similar to Andrews et al.,
1,2 Despite trauma care advancements, disparities in practice, resources, and training persist, impacting survival and recovery. Emergency physicianswho may rarely encounter severe pediatric traumaare often the first to stabilize. 2017: Report to Congressional Requesters. Pediatr Emerg Care. Ann Emerg Med.
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