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.

Emergency Department 59

Emergency Department Mass Casualty Incidents Documentation/Coding Sepsis 59

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.

Emergency Department 52

Emergency Department 52

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.

Emergency Department 87

Emergency Department Ultrasounds EMS Radiology 87

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?

Emergency Department 104

Emergency Department Pediatrics Anaphylaxis Leadership 104

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 106

Emergency Department Hospitals 106

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.

Emergency Department 57

Emergency Department Resuscitation Research Outcomes 57

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.

Emergency Department 86

Emergency Department Ultrasounds Radiology Radiology 86

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 122

Emergency Department Research 122

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.

Emergency Department 97

Emergency Department Administration EMS Outcomes 97

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 Department 98

Emergency Department 98

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

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 117

Emergency Department Resuscitation 117

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).

Emergency Department 52

Emergency Department Wellness 52

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).

Emergency Department 60

Emergency Department Hospitals EKG/ECG 60

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/

Emergency Department 67

Emergency Department Outcomes 67

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

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

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 87

Emergency Department Outcomes Research 87

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

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 78

Emergency Department Patient Safety Documentation/Coding Research 78

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

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.

Emergency Department 52

Emergency Department Operations Ultrasounds Hospitals 52

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

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

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.

COPD 75

COPD Emergency Department Outcomes Resuscitation 75

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.

Emergency Department 98

Emergency Department Administration Hospitals Academics 98

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

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

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

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.

Emergency Department 91

Emergency Department Ultrasounds Administration Burns 91

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

AENJ: Current Issue

JULY 31, 2024

This case study provides an example of the patient presentation, exam findings, diagnostic results, and intervention modalities required for the health care provider to manage atrial flutter correctly in the emergency department setting.

Emergency Department 46

Emergency Department EKG/ECG 46

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 Department 52

Emergency Department Pediatrics Research Hospitals 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.

Emergency Department 75

Emergency Department Hospitals 75

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