journal
https://read.qxmd.com/read/37737784/pediatric-patients-discharged-after-transfer-to-a-pediatric-emergency-department-opportunities-for-telehealth
#1
JOURNAL ARTICLE
Emily M Hayden, Margaret Samuels-Kalow, Sayon Dutta, Ari Cohen, K Noelle Tune, Kori S Zachrison
STUDY OBJECTIVE: Interemergency department pediatric transfers can be costly, involve risk, and may be disruptive to patients and families. Telehealth could be a way to safely reduce the number of transfers. We made an estimate of the proportion of transfers of pediatric patients to our emergency department (ED) that may have been avoidable using telehealth. METHODS: This was a retrospective analysis of electronic health record data of all pediatric patients (younger than 19 years) who were transferred to a single urban, academic medical center pediatric emergency department (PED) (annual pediatric volume approximately 15,000) between June 1, 2016, and December 29, 2021...
September 22, 2023: Annals of Emergency Medicine
https://read.qxmd.com/read/37725025/an-electronic-medical-record-intervention-to-increase-pharmacologic-prophylaxis-for-venous-thromboembolism-in-emergency-department-observation-patients
#2
JOURNAL ARTICLE
Christopher W Baugh, Rebecca E Cash, David Meguerdichian, Lisette Dunham, Timothy Stump, Ronelle Stevens, Audrey Reust, Benjamin White, Sayon Dutta
STUDY OBJECTIVE: The role of venous thromboembolism (VTE) prophylaxis among patients receiving emergency department (ED) observation unit care is unclear. We investigated an electronic health record-based clinical decision support tool aimed at increasing pharmacologic VTE prophylaxis use among at-risk patients placed in ED observation units. METHODS: We conducted an interrupted time-series study of an Epic-based best practice advisory implemented in May 2019 at a health care system comprising 2 academic medical centers and 4 community hospitals with dedicated ED observation units...
September 19, 2023: Annals of Emergency Medicine
https://read.qxmd.com/read/37725024/is-the-use-of-computed-tomography-perfusion-versus-noncontrast-computed-tomography-associated-with-improved-outcomes-in-patients-presenting-6-24-hours-after-symptom-onset-with-large-vessel-occlusion-acute-ischemic-stroke-undergoing-endovascular-thrombectomy
#3
EDITORIAL
https://read.qxmd.com/read/37725023/effect-of-bougie-use-on-first-attempt-success-in-tracheal-intubations-a-systematic-review-and-meta-analysis
#4
JOURNAL ARTICLE
Rafael von Hellmann, Natalia Fuhr, Ian Ward A Maia, Danielle Gerberi, Daniel Pedrollo, Fernanda Bellolio, Lucas Oliveira J E Silva
The use of a bougie, a flexible endotracheal tube introducer, has been proposed to optimize first-attempt success in emergency department intubations. We aimed to evaluate the available evidence on the association of bougie use in the first attempt and success in tracheal intubations. This was a systematic review and meta-analysis of studies that evaluated first-attempt success between adults intubated with a bougie versus without a bougie (usually with a stylet) in all settings. Manikin and cadaver studies were excluded...
September 19, 2023: Annals of Emergency Medicine
https://read.qxmd.com/read/37725022/factors-associated-with-physical-restraint-in-an-urban-emergency-department
#5
JOURNAL ARTICLE
Aaron E Robinson, Brian E Driver, Jon B Cole, James R Miner, Andrea P Dreyfuss, Aida W Strom, Erik R Brodt, Thomas E Wyatt
STUDY OBJECTIVE: To determine what patient characteristics were associated with the application of physical restraints in our emergency department (ED). METHODS: This was a retrospective analysis of encounters in the ED of an urban, Level I academic trauma center. We included ED encounters of adult patients (aged ≥18 years) during a 5-year period starting in 2017. We evaluated the independent association of restraint application during an encounter using a generalized estimating equation model...
September 19, 2023: Annals of Emergency Medicine
https://read.qxmd.com/read/37725021/home-therapies-to-neutralize-button-battery-injury-in-a-porcine-esophageal-model
#6
JOURNAL ARTICLE
Angela L Chiew, Calvin S Lin, Dan T Nguyen, Felicity A W Sinclair, Betty S Chan, Annalisa Solinas
STUDY OBJECTIVE: Button battery ingestion can cause alkaline esophageal injury. There is interest in first-aid household products to neutralize the injury. The objective was to investigate which household products are effective at reducing button battery injury. METHODS: Two cadaveric porcine experiments were performed. Experiment 1 utilized esophageal mucosal segments. A button battery (3VCR2032) was placed onto the mucosa, and substances (saline control, honey, jam, orange juice, yogurt, milk, and cola) were applied every 10 minutes for 6 applications...
September 19, 2023: Annals of Emergency Medicine
https://read.qxmd.com/read/37725020/sudden-cardiac-death-at-home-potential-lives-saved-with-fully-automated-external-defibrillators
#7
JOURNAL ARTICLE
Lawrence J Gessman, Paul N Schacknow, Ralph G Brindis
Sudden cardiac death from ventricular arrhythmia kills about 350,000 people annually in the United States. This number has not improved since the widespread public availability of semi-automated external defibrillators (AEDs) and the teaching of nonbreathing cardiopulmonary resuscitation (CPR) procedures. When an out-of-hospital cardiac arrest occurs in a public space, lay witnesses do CPR in 40% of the cases and use AEDs on only 7.4% of the victims before emergency medical services (EMS) arrive. About 70% of sudden cardiac death occurs at home, where an AED is usually unavailable until EMS appears...
September 19, 2023: Annals of Emergency Medicine
https://read.qxmd.com/read/37725018/comparing-geriatric-and-nongeriatric-emergency-departments-a-first-step-on-a-critical-avenue-of-research
#8
EDITORIAL
Maura Kennedy, Kevin Biese
No abstract text is available yet for this article.
September 19, 2023: Annals of Emergency Medicine
https://read.qxmd.com/read/37725017/chatgpt-versus-human-performance-on-emergency-medicine-board-preparation-questions
#9
JOURNAL ARTICLE
Zachary J Jarou, Ali Dakka, Duncan McGuire, Leonard Bunting
No abstract text is available yet for this article.
September 19, 2023: Annals of Emergency Medicine
https://read.qxmd.com/read/37725019/external-validation-of-a-tool-to-identify-low-risk-patients-with-isolated-subdural-hematoma-and-preserved-consciousness
#10
JOURNAL ARTICLE
Peter Pruitt, Richmond Castillo, Andrew Rogers, Shyam Prabhakaran, Kayla Muschong, Michael Scudder, Danielle M McCarthy, Jane L Holl, D Mark Courtney, Pierre Borczuk, Andrew Naidech
STUDY OBJECTIVE: The SafeSDH Tool was derived to identify patients with isolated (no other type of intracranial hemorrhage) subdural hematoma who are at very low risk of neurologic deterioration, neurosurgical intervention, or death. Patients are low risk by the tool if they have none of the following: use of anticoagulant or nonaspirin antiplatelet agent, Glasgow Coma Score (GCS) <14, more than 1 discrete hematoma, hematoma thickness >5 mm, or midline shift. We attempted to externally validate the SafeSDH Tool...
September 18, 2023: Annals of Emergency Medicine
https://read.qxmd.com/read/37690022/chatgpt-and-generating-a-differential-diagnosis-early-in-an-emergency-department-presentation
#11
JOURNAL ARTICLE
Hidde Ten Berg, Bram van Bakel, Lieke van de Wouw, Kim E Jie, Anoeska Schipper, Henry Jansen, Rory D O'Connor, Bram van Ginneken, Steef Kurstjens
No abstract text is available yet for this article.
September 9, 2023: Annals of Emergency Medicine
https://read.qxmd.com/read/37676180/not-your-typical-sore-throat-a-case-report-on-delayed-complications-from-cervical-spinal-surgery
#12
Emma Ivanauskas, Kerin A Jones
Esophageal perforation is an uncommon illness with a mortality rate as high as 50%. It is most frequently caused by iatrogenic instrumentation for both diagnostic and therapeutic purposes. Noniatrogenic spontaneous ruptures account for 15% of cases, followed by traumatic injury and rupture secondary to a foreign body.1 Sore throat is a common emergency medicine complaint with an array of causes and severity of pathology. We report a case of a sore throat resulting from esophageal perforation and prevertebral abscess as delayed complications from an anterior cervical surgery...
September 6, 2023: Annals of Emergency Medicine
https://read.qxmd.com/read/37676179/emergency-department-crowding-after-coronavirus-disease-2019-time-to-change-the-hospital-paradigm
#13
EDITORIAL
Gillian R Schmitz, Peter Viccellio, Eugene Litvak
No abstract text is available yet for this article.
September 6, 2023: Annals of Emergency Medicine
https://read.qxmd.com/read/37656109/new-coding-guidelines-reduce-emergency-department-note-bloat-but-more-work-is-needed
#14
JOURNAL ARTICLE
Kyle Marshall, Ron Strony, Ben Hohmuth, David K Vawdrey
STUDY OBJECTIVE: The length and redundancy of notes authored by clinicians has significantly increased, giving rise to the term "note bloat." We analyzed the impact of new coding guidelines and documentation best practices on the length of emergency department (ED) notes and the amount of time clinicians spent documenting. METHODS: In a large, multisite health care delivery organization, we retrospectively evaluated the length of all ED provider notes and the amount of time clinicians spent documenting between February 2018 and June 2023...
August 30, 2023: Annals of Emergency Medicine
https://read.qxmd.com/read/37656108/emergency-department-volume-severity-and-crowding-since-the-onset-of-the-coronavirus-disease-2019-pandemic
#15
JOURNAL ARTICLE
Jonathan J Oskvarek, Mark S Zocchi, Bernard S Black, Pablo Celedon, Andrew Leubitz, Ali Moghtaderi, Dhimitri A Nikolla, Nishad Rahman, Jesse M Pines
STUDY OBJECTIVE: We describe emergency department (ED) visit volume, illness severity, and crowding metrics from the onset of the coronavirus disease 2019 (COVID-19) pandemic through mid-2022. METHODS: We tabulated monthly data from 14 million ED visits on ED volumes and measures of illness severity and crowding from March 2020 through August 2022 compared with the same months in 2019 in 111 EDs staffed by a national ED practice group in 18 states. RESULTS: Average monthly ED volumes fell in the early pandemic, partially recovered in 2022, but remained below 2019 levels (915 per ED in 2019 to 826...
August 29, 2023: Annals of Emergency Medicine
https://read.qxmd.com/read/37632497/managing-adults-with-hypoglycemia
#16
REVIEW
Christopher James Watson, Jonathan A Edlow
No abstract text is available yet for this article.
August 24, 2023: Annals of Emergency Medicine
https://read.qxmd.com/read/37632496/implementation-of-electronic-health-record-integration-and-clinical-decision-support-to-improve-emergency-department-prescription-drug-monitoring-program-use
#17
JOURNAL ARTICLE
Jason A Hoppe, Caroline Ledbetter, Heather Tolle, Kennon Heard
STUDY OBJECTIVE(S): To evaluate the implementation of 3 electronic health record (EHR)-based interventions to increase prescription drug monitoring program (PDMP) use in the emergency department (ED): EHR-PDMP integration, addition of a PDMP risk score, and addition of EHR-based clinical decision support alert to review the PDMP when prescribing an opioid. METHODS: Three intervention stages were implemented using a prospective stepped-wedge design at 5 university-affiliated EDs split into 3 practice groups...
August 24, 2023: Annals of Emergency Medicine
https://read.qxmd.com/read/37598333/out-of-hospital-intubation-trends-through-the-coronavirus-disease-2019-pandemic
#18
JOURNAL ARTICLE
Ryan Huebinger, Hei Kit Chan, N Clay Mann, Benjamin Fisher, Benjamin Karfunkle, Bentley Bobrow
No abstract text is available yet for this article.
August 17, 2023: Annals of Emergency Medicine
https://read.qxmd.com/read/37598332/tenecteplase-more-evidence-it-should-replace-alteplase-for-ischemic-stroke-treatment
#19
EDITORIAL
Natalie Kreitzer
No abstract text is available yet for this article.
August 17, 2023: Annals of Emergency Medicine
https://read.qxmd.com/read/37598331/what-is-the-accuracy-of-vaginal-swab-versus-urine-for-detection-of-chlamydia-trachomatis-neisseria-gonorrhoeae-and-trichomonas-vaginalis
#20
EDITORIAL
Michael Gottlieb, Cody J Williams, Valerie A Pierre
No abstract text is available yet for this article.
August 17, 2023: Annals of Emergency Medicine
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