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Emergency Medicine Journal: EMJ

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https://read.qxmd.com/read/31097464/physician-identified-barriers-to-and-facilitators-of-shared-decision-making-in-the-emergency-department-an-exploratory-analysis
#1
Elizabeth M Schoenfeld, Sarah L Goff, Tala R Elia, Errel R Khordipour, Kye E Poronsky, Kelly A Nault, Peter K Lindenauer, Kathleen M Mazor
OBJECTIVES: Shared decision-making (SDM) is receiving increasing attention in emergency medicine because of its potential to increase patient engagement and decrease unnecessary healthcare utilisation. This study sought to explore physician-identified barriers to and facilitators of SDM in the ED. METHODS: We conducted semistructured interviews with practising emergency physicians (EP) with the aim of understanding when and why EPs engage in SDM, and when and why they feel unable to engage in SDM...
May 16, 2019: Emergency Medicine Journal: EMJ
https://read.qxmd.com/read/31048339/emergency-evaluation-for-possible-papilloedema
#2
Andrew Micieli, Jonathan A Micieli
No abstract text is available yet for this article.
May 2, 2019: Emergency Medicine Journal: EMJ
https://read.qxmd.com/read/31003992/-they-do-not-care-how-much-you-know-until-they-know-how-much-you-care-a-qualitative-meta-synthesis-of-patient-experience-in-the-emergency-department
#3
REVIEW
Blair Graham, Ruth Endacott, Jason E Smith, Jos M Latour
BACKGROUND: Patient experience is positively associated with both clinical effectiveness and patient safety and should be a priority for emergency care providers. While both quantitative and qualitative approaches can be used to evaluate patient experience in the emergency department (ED), the latter is well aligned to develop a detailed understanding of features influencing the lived experience of ED patients. This study aimed to systematically review the literature of qualitative studies to identify determinants of adult patient experience in the ED...
April 19, 2019: Emergency Medicine Journal: EMJ
https://read.qxmd.com/read/31003991/prehospital-determinants-of-successful-resuscitation-after-traumatic-and-non-traumatic-out-of-hospital-cardiac-arrest
#4
Barnard Barnard, Daniel D Sandbach, Tracy L Nicholls, Alastair W Wilson, Ari Ercole
BACKGROUND: Out-of-hospital cardiac arrest (OHCA) is prevalent in the UK. Reported survival is lower than in countries with comparable healthcare systems; a better understanding of outcome determinants may identify areas for improvement. METHODS: An analysis of 9109 OHCA attended in East of England between 1 January 2015 and 31 July 2017. Univariate descriptives and multivariable analysis were used to understand the determinants of survival for non-traumatic cardiac arrest (NTCA) and traumatic cardiac arrest (TCA)...
April 19, 2019: Emergency Medicine Journal: EMJ
https://read.qxmd.com/read/30996030/homeless-healthcare-in-the-emergency-department
#5
LETTER
Gemma Elizabeth Dovey, Sammer Tang, James Mapstone
No abstract text is available yet for this article.
April 17, 2019: Emergency Medicine Journal: EMJ
https://read.qxmd.com/read/30996029/plight-of-the-pelvic-exam
#6
EDITORIAL
Mary Elizabeth McLean, Livia Santiago-Rosado
No abstract text is available yet for this article.
April 17, 2019: Emergency Medicine Journal: EMJ
https://read.qxmd.com/read/30944115/measurement-and-improvement-of-emergency-department-performance-through-inspection-and-rating-an-observational-study-of-emergency-departments-in-acute-hospitals-in-england
#7
Thomas Allen, Kieran Walshe, Nathan Proudlove, Matt Sutton
INTRODUCTION: Hospital inspection and the publication of inspection ratings are widely used regulatory interventions that may improve hospital performance by providing feedback, creating incentives to change and promoting choice. However, evidence that these interventions assess performance accurately and lead to improved performance is scarce. METHODS: We calculated six standard indicators of emergency department (ED) performance for 118 hospitals in England whose EDs were inspected by the Care Quality Commission, the national regulator in England, between 2013 and 2016...
April 3, 2019: Emergency Medicine Journal: EMJ
https://read.qxmd.com/read/30940715/anatomy-of-resuscitative-care-unit-expanding-the-borders-of-traditional-intensive-care-units
#8
EDITORIAL
Evan Leibner, Rory Spiegel, Cindy Hsi, Brian Wright, Benjamin S Bassin, Kyle Gunnerson, James O'Connor, Deborah Stein, Scott Weingart, John C Greenwood, Lewis Rubinson, Jay Menaker, Thomas M Scalea
Resuscitation lacks a place in the hospital to call its own. Specialised intensive care units, though excellent at providing longitudinal critical care, often lack the flexibility to adapt to fluctuating critical care needs. We offer the resuscitative care unit as a potential solution to ensure that patients receive appropriate care during the most critical hours of their illnesses. These units offer an infrastructure for resuscitation and can meet the changing needs of their institutions.
April 2, 2019: Emergency Medicine Journal: EMJ
https://read.qxmd.com/read/30940714/ageing-population-has-changed-the-nature-of-major-thoracic-injury
#9
Noha Ferrah, Peter Cameron, Belinda Gabbe, Mark Fitzgerald, Rodney Judson, Silvana Marasco, Tanya Kowalski, Ben Beck
INTRODUCTION: An increasing proportion of the major trauma population are older persons. The pattern of injury is different in this age group and serious chest injuries represent a significant subgroup, with implications for trauma system design. The aim of this study was to examine trends in thoracic injuries among major trauma patients in an inclusive trauma system. METHODS: This was a retrospective review of all adult cases of major trauma with thoracic injuries of Abbreviated Injury Scale score of 3 or more, using data from the Victorian State Trauma Registry from 2007 to 2016...
April 2, 2019: Emergency Medicine Journal: EMJ
https://read.qxmd.com/read/30940713/the-burden-of-injury-in-low-income-and-middle-income-countries-knowing-what-we-know-recognising-what-we-don-t-know
#10
Adam D Laytin, Finot Debebe
No abstract text is available yet for this article.
April 2, 2019: Emergency Medicine Journal: EMJ
https://read.qxmd.com/read/30910911/immune-checkpoint-blockade-toxicity-among-patients-with-cancer-presenting-to-the-emergency-department
#11
Olivier Peyrony, Yoann Tieghem, Jessica Franchitti, Sami Ellouze, Ivonne Morra, Isabelle Madelaine-Chambrin, Remi Flicoteaux, Barouyr Baroudjian, Elie Azoulay, Sylvie Chevret, Jean-Paul Fontaine
OBJECTIVES: We sought to estimate the prevalence of patients with cancer presenting to the emergency department (ED) who are undergoing treatment with immune checkpoint blockade (ICB) therapy; report their chief complaints; describe and estimate the prevalence of immune-related adverse events (IRAEs). METHODS: Four abstractors reviewed the medical records of patients with cancer treated with ICB who presented to an ED in Paris, France between January 2012 and June 2017...
March 25, 2019: Emergency Medicine Journal: EMJ
https://read.qxmd.com/read/30877264/epidemiology-of-traumatic-injuries-presenting-to-an-ed-in-central-haiti-a-retrospective-cohort-study
#12
Shada A Rouhani, Henry Claude Eliacin, Marie Cassandre Edmond, Keegan A Checkett, Linda Rimpel, Regan H Marsh
BACKGROUND: In Haiti, like many low-income countries, traumatic injuries are leading causes of morbidity and mortality. Yet, little is known about the epidemiology of traumatic injuries in Haitian EDs. Improved understanding of injury patterns is necessary to strengthen emergency services and improve emergency provider education. METHODS: This was a retrospective cohort study of trauma patients at an academic hospital in central Haiti over 6 months. Visits were identified from the electronic medical record, and paper charts were manually reviewed...
March 15, 2019: Emergency Medicine Journal: EMJ
https://read.qxmd.com/read/30877262/quality-more-than-just-timeliness
#13
Adrian A Boyle
No abstract text is available yet for this article.
March 15, 2019: Emergency Medicine Journal: EMJ
https://read.qxmd.com/read/30842204/distributions-of-the-national-early-warning-score-news-across-a-healthcare-system-following-a-large-scale-roll-out
#14
Lauren J Scott, Niamh M Redmond, Joanna Garrett, Penny Whiting, Kate Northstone, Anne Pullyblank
BACKGROUND: Early warning scores (EWS) were developed in acute hospital settings to improve recognition and response to patient deterioration. In 2012, the UK Royal College of Physicians developed the National Early Warning Score (NEWS) to standardise EWS across the NHS. Its use was also recommended outside acute hospital settings; however, there is limited information about NEWS in these settings. From March 2015, NEWS was implemented across the healthcare system in the West of England, with the aim that NEWS would be calculated for all patients prior to referral into acute care...
March 6, 2019: Emergency Medicine Journal: EMJ
https://read.qxmd.com/read/31015217/bet-1-functional-treatment-is-non-inferior-to-below-the-knee-cast-in-adults-with-acute-closed-proximal-fifth-metatarsal-fractures
#15
Emmy Janssen, Douwe Rijpsma
A short cut review was carried out to establish whether functional treatment is better than conservative treatment with a below knee cast at decreasing time to functional recovery and fracture union in adults with an acute closed proximal fifth metatarsal fracture. Four papers presented the best evidence to answer the clinical question. The author, date and country of publication, patient group studied, study type, relevant outcomes, results and study weaknesses of these papers are tabulated. It is concluded that in proximal (zone 1 and 2) fractures of the fifth metatarsal functional treatment with immediate mobilisation is at least non-inferior to immobilisation in a cast...
May 2019: Emergency Medicine Journal: EMJ
https://read.qxmd.com/read/31015216/a-wrist-injury-not-to-miss
#16
Anne-Marie Kennedy, Catherine Bossut
No abstract text is available yet for this article.
May 2019: Emergency Medicine Journal: EMJ
https://read.qxmd.com/read/31015215/electrical-swimming
#17
Daniele Scarpa, Giulia Famoso, Alessandro Zorzi
No abstract text is available yet for this article.
May 2019: Emergency Medicine Journal: EMJ
https://read.qxmd.com/read/31015214/randomised-controlled-trial-of-simulation-based-education-for-mechanical-cardiopulmonary-resuscitation-training
#18
Andrew R Coggins, Cameron Nottingham, Karen Byth, Kevin R Ho, Felicia A Aulia, Margaret Murphy, Amith L Shetty, Anna Todd, Nathan Moore
INTRODUCTION: Mechanical cardiopulmonary resuscitation (M-CPR) is increasingly used in the management of cardiac arrest. There are no previously reported randomised studies investigating M-CPR training. This study of newly trained M-CPR providers hypothesised that a brief simulation-based intervention after 4 months would improve M-CPR performance at 6 months. METHODS: This study used a simulated 'in situ' cardiac arrest model. The M-CPR device used was a proprietary Lund University Cardiac Assist System 3 machine (Physio Control, Redmond, Washington, USA)...
May 2019: Emergency Medicine Journal: EMJ
https://read.qxmd.com/read/31015213/what-skills-when-and-how-often
#19
EDITORIAL
Ruth Brown
No abstract text is available yet for this article.
May 2019: Emergency Medicine Journal: EMJ
https://read.qxmd.com/read/31015212/introducing-quality-improvement-to-the-emergency-medicine-journal
#20
EDITORIAL
Simon Smith, Edward Carlton
No abstract text is available yet for this article.
May 2019: Emergency Medicine Journal: EMJ
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