journal
https://read.qxmd.com/read/36967276/qualitative-exploration-of-emergency-department-care-experiences-among-people-with-opioid-use-disorder
#1
JOURNAL ARTICLE
Lexis R Galarneau, Frank X Scheuermeyer, Jesse Hilburt, Zoe R O'Neill, Skye Barbic, Jessica Moe, Jane A Buxton, Aaron M Orkin, Janusz Kaczorowski, Kathryn Dong, Dianne Tobin, Isabelle Miles, Misty Bath, Sherry Grier, Emma Garrod, Andrew Kestler
STUDY OBJECTIVE: We described the experiences and preferences of people with opioid use disorder who access emergency department (ED) services regarding ED care and ED-based interventions. METHODS: Between June and September 2020, we conducted phone or in-person semistructured qualitative interviews with patients recently discharged from 2 urban EDs in Vancouver, BC, Canada, to explore experiences and preferences of ED care and ED-based opioid use disorder interventions...
March 24, 2023: Annals of Emergency Medicine
https://read.qxmd.com/read/36967275/digital-impact-factor-a-quality-index-for-educational-blogs-and-podcasts-in-emergency-medicine-and-critical-care
#2
JOURNAL ARTICLE
Michelle Lin, Mina Phipps, Teresa M Chan, Brent Thoma, Christopher J Nash, Yusuf Yilmaz, David Chen, Shuhan He, Michael A Gisondi
STUDY OBJECTIVE: Given the popularity of educational blogs and podcasts in medicine, learners and educators need tools to identify trusted and impactful sites. The Social Media Index was a multi-sourced formula to rank the effect of emergency medicine and critical care blogs. In 2022, a key data point for the Social Media Index became unavailable. This bibliometric study aimed to develop a new measure, the Digital Impact Factor, as a replacement. METHODS: The Digital Impact Factor incorporated modern measures of website authority and reach...
March 24, 2023: Annals of Emergency Medicine
https://read.qxmd.com/read/36966044/stercoral-colitis-in-the-emergency-department-a-retrospective-review-of-presentation-management-and-outcomes
#3
JOURNAL ARTICLE
Audrey A Keim, Ronna L Campbell, Aidan F Mullan, Megan L McElhinny, Jessica Monas, Alexander S Finch, Kellie L Mathis, Rachel A Lindor
STUDY OBJECTIVE: Stercoral colitis is inflammation of the bowel wall caused by fecal impaction. Despite reported high morbidity and risk of perforation, little research assessing outcomes is available. This study characterizes the presentation, management, and outcomes of emergency department patients with stercoral colitis. METHODS: We performed a retrospective chart review of ED patients with stercoral colitis identified on computed tomography (CT) scan. Of 814, 522 visits to multiple EDs across the US, 269 met the inclusion criteria...
March 23, 2023: Annals of Emergency Medicine
https://read.qxmd.com/read/36964009/the-unspoken-inequities-of-our-boarding-crisis
#4
EDITORIAL
Hemal K Kanzaria, Richelle J Cooper
No abstract text is available yet for this article.
March 22, 2023: Annals of Emergency Medicine
https://read.qxmd.com/read/36964008/frailty-and-neurologic-outcomes-of-patients-resuscitated-from-nontraumatic-out-of-hospital-cardiac-arrest-a-prospective-observational-study
#5
JOURNAL ARTICLE
Ryo Yamamoto, Tomoyoshi Tamura, Akina Haiden, Jo Yoshizawa, Koichiro Homma, Nobuya Kitamura, Kazuhiro Sugiyama, Takashi Tagami, Hideo Yasunaga, Shotaro Aso, Munekazu Takeda, Junichi Sasaki
STUDY OBJECTIVE: To elucidate the clinical utility of the Clinical Frailty Scale score for predicting poor neurologic functions in patients resuscitated from out-of-hospital cardiac arrest (OHCA). METHODS: This was a prospective, multicenter, observational study conducted between 2019 and 2021. The study included adults with nontraumatic OHCA admitted to the intensive care unit after return of spontaneous circulation (ROSC). Pre-arrest high Clinical Frailty Scale score was defined as 5 or more...
March 22, 2023: Annals of Emergency Medicine
https://read.qxmd.com/read/36964007/association-between-emergency-physician-s-age-and-mortality-of-medicare-patients-aged-65-to-89-years-after-emergency-department-visit
#6
JOURNAL ARTICLE
Atsushi Miyawaki, Anupam B Jena, Laura G Burke, Jose F Figueroa, Yusuke Tsugawa
STUDY OBJECTIVE: To determine the association between emergency physicians' ages and patient mortality after emergency department visits. METHODS: This observational study used a 20% random sample of Medicare fee-for-service beneficiaries aged 65 to 89 years treated by emergency physicians at EDs from 2016 to 2017. We investigated whether 7-day mortality after ED visits differed by the age of the emergency physician, adjusting for patient and physician characteristics and hospital fixed effects...
March 22, 2023: Annals of Emergency Medicine
https://read.qxmd.com/read/36925395/-contracepted-a-multidisciplinary-framework-for-emergency-department-initiated-contraception
#7
JOURNAL ARTICLE
Amy C Liang, Noah S Sanders, Erik S Anderson, Megan E Heeney, Claire M Hirschman, Amy R Kane, Charlotte P Wills
Emergency departments (EDs) are common access points for patients who are at high risk for unintended pregnancy. Low-barrier access to effective contraception represents a crucial and low-cost intervention to address this public health need. Same-day initiation of contraception during an ED visit is a unique opportunity to provide reproductive health care for high-risk patients with otherwise limited health care access. We collaborated with our obstetrics and gynecology (OB/GYN) department, pharmacists, and a team of community health advocates to support emergency clinicians (namely, emergency physicians and advanced practice providers) in assessing pregnancy and contraceptive readiness, increasing proficiency in contraception counseling, prescribing hormonal contraception, counseling on barrier and emergency contraception, and inserting (and removing) the Nexplanon implant, a form of long-acting reversible contraception...
March 14, 2023: Annals of Emergency Medicine
https://read.qxmd.com/read/36925394/implementation-of-prediction-models-in-the-emergency-department-from-an-implementation-science-perspective-determinants-outcomes-and-real-world-impact-a-scoping-review
#8
JOURNAL ARTICLE
Sze Ling Chan, Jin Wee Lee, Marcus Eng Hock Ong, Fahad Javaid Siddiqui, Nicholas Graves, Andrew Fu Wah Ho, Nan Liu
STUDY OBJECTIVE: Prediction models offer a promising form of clinical decision support in the complex and fast-paced environment of the emergency department (ED). Despite significant advancements in model development and validation, implementation of such models in routine clinical practice remains elusive. This scoping review aims to survey the current state of prediction model implementation in the ED and to provide insights on contributing factors and outcomes from an implementation science perspective...
March 14, 2023: Annals of Emergency Medicine
https://read.qxmd.com/read/36872197/hyperacute-t-waves-can-be-a-useful-sign-of-occlusion-myocardial-infarction-if-appropriately-defined
#9
EDITORIAL
Stephen W Smith, Harvey Pendell Meyers
No abstract text is available yet for this article.
March 3, 2023: Annals of Emergency Medicine
https://read.qxmd.com/read/36870890/optimal-dose-of-intranasal-dexmedetomidine-for-laceration-repair-in-children-a-phase-ii-dose-ranging-study
#10
JOURNAL ARTICLE
Naveen Poonai, Vikram Sabhaney, Samina Ali, Holly Stevens, Maala Bhatt, Evelyne D Trottier, Shaily Brahmbhatt, Kamary Coriolano, Amanda Chapman, Natalie Evans, Charlotte Mace, Christopher Creene, Sarah Meulendyks, Anna Heath
STUDY OBJECTIVE: To determine the optimal sedative dose of intranasal dexmedetomidine for children undergoing laceration repair. METHODS: This dose-ranging study employing the Bayesian Continual Reassessment Method enrolled children aged 0 to 10 years with a single laceration (<5 cm), requiring single-layer closure, who received topical anesthetic. Children were administered 1, 2, 3, or 4 mcg/kg intranasal dexmedetomidine. The primary outcome was the proportion with adequate sedation (Pediatric Sedation State Scale score of 2 or 3 for ≥90% of the time from sterile preparation to tying of the last suture)...
March 3, 2023: Annals of Emergency Medicine
https://read.qxmd.com/read/36870889/protecting-survivors-of-intimate-partner-violence-under-the-cures-act
#11
JOURNAL ARTICLE
May Shum, Caitlin Ryus, Phoebe Chen, Emily Powers, Karen Jubanyik, Gunjan Tiyyagura
No abstract text is available yet for this article.
March 3, 2023: Annals of Emergency Medicine
https://read.qxmd.com/read/36870891/all-quality-review-is-biased-so-appreciate-the-bias
#12
EDITORIAL
Stephen Schenkel
No abstract text is available yet for this article.
March 2, 2023: Annals of Emergency Medicine
https://read.qxmd.com/read/36841662/family-witnessed-cardiopulmonary-resuscitation-during-emergency-department-cardiac-arrest-care-a-resident-perspective
#13
JOURNAL ARTICLE
Jake Toy
No abstract text is available yet for this article.
February 23, 2023: Annals of Emergency Medicine
https://read.qxmd.com/read/36841661/effectiveness-of-lay-bystander-hands-only-cardiopulmonary-resuscitation-on-a-mattress-versus-the-floor-a-randomized-cross-over-trial
#14
JOURNAL ARTICLE
Amanda L Missel, John P Donnelly, Julia Tsutsui, Nicholas Wilson, Charles Friedman, Deborah M Rooney, Robert W Neumar, James M Cooke
STUDY OBJECTIVE: Bystander cardiopulmonary resuscitation increases the likelihood of out-of-hospital cardiac arrest survival by more than two-fold. A common barrier to the prompt initiation of compressions is moving victims to the floor, but compression quality on a "floor" versus a "mattress" has not been tested among lay bystanders. METHODS: We conducted a prospective, randomized, cross-over trial comparing lay bystander compression quality using a manikin on a bed versus the floor...
February 23, 2023: Annals of Emergency Medicine
https://read.qxmd.com/read/36841660/the-responsibility-of-addressing-health-disparities-in-emergency-medicine
#15
EDITORIAL
Lois K Lee, Angela Ellison
No abstract text is available yet for this article.
February 23, 2023: Annals of Emergency Medicine
https://read.qxmd.com/read/36841659/the-knowledge-gap-mentorship-in-emergency-medicine-residency
#16
JOURNAL ARTICLE
Julia Sobel, Stephen R Hayden, Gabriel Wardi
STUDY OBJECTIVE: Studies of mentorship in emergency medicine show that mentored residents are twice as likely to describe their career preparation as excellent as compared to nonmentored peers. There has been significant interest in the mentor-mentee relationship in medicine; however, there is minimal guidance and published literature specific to emergency medicine residents. METHODS: In this narrative review, we described the emergency medicine mentor-mentee relationship, discussed alternatives to the traditional dyadic model, and highlighted current barriers to effective mentorship...
February 23, 2023: Annals of Emergency Medicine
https://read.qxmd.com/read/36841658/the-pediatric-bougie-for-the-first-tracheal-intubation-attempt-in-critically-ill-children
#17
JOURNAL ARTICLE
Matthew E Prekker, Ashley R Bjorklund, Carrie Myers, Lauren Harvey, Gabriella B Horton, Jack Goldstein, Sarah C Usher, Robert F Reardon, Aaron Robinson, Ashley M Strobel, Brian E Driver
STUDY OBJECTIVE: Bougie use during emergency tracheal intubation has not been well studied in children. METHODS: This was a 10-year observational study of pediatric intubations (<18 years of age) in the emergency department (ED) of an academic institution. Bougie training and use are standard in our ED, including for emergency medicine residents. Study data were collected by a combination of charts and video reviews. We compare first-attempt intubation success and procedural complications between pediatric patients with and without bougie use during tracheal intubation in the ED...
February 23, 2023: Annals of Emergency Medicine
https://read.qxmd.com/read/36805291/managing-pulmonary-embolism
#18
REVIEW
Lauren M Westafer, Brit Long, Michael Gottlieb
No abstract text is available yet for this article.
February 17, 2023: Annals of Emergency Medicine
https://read.qxmd.com/read/36805290/beyond-the-numbers-assessing-competency-in-point-of-care-ultrasound
#19
EDITORIAL
Michael Gottlieb, Youyou Duanmu
No abstract text is available yet for this article.
February 17, 2023: Annals of Emergency Medicine
https://read.qxmd.com/read/36797134/mapping-processes-in-the-emergency-department-using-the-functional-resonance-analysis-method
#20
JOURNAL ARTICLE
Nathan Anderson, Rajesh G Krishnan, Maneesh Kumar, Tim Ayres, David Slater, Amith Vir Neelakantapuram, Paul Bowie, Andrew Carson-Stevens
Emergency departments (EDs) are dynamic, complex, and demanding environments. Introducing changes that lead to improvements in EDs can be challenging owing to the high staff turnover and mix, high patient volume with different needs, and being the front door to the hospital for the sickest patients. Quality improvement is a methodology applied routinely in EDs to instigate change to improve several outcomes such as waiting times, time to definitive treatment, and patient safety. Introducing the changes needed to transform the system in this way is seldom straightforward with the risk of "not seeing the forest for the trees" when attempting to change the system...
February 14, 2023: Annals of Emergency Medicine
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