journal

Emergency Medicine Journal: EMJ

journal
https://read.qxmd.com/read/32651177/mandatory-cpr-teaching-in-welsh-schools-missed-opportunity
#1
LETTER
Elliot J Phillips, Catherine G Chapman
No abstract text is available yet for this article.
July 10, 2020: Emergency Medicine Journal: EMJ
https://read.qxmd.com/read/32651176/evidence-based-medicine-and-covid-19-what-to-believe-and-when-to-change
#2
EDITORIAL
Simon Carley, Daniel Horner, Richard Body, Kevin Mackway-Jones
The COVID-19 pandemic has led to a surge of information being presented to clinicians regarding this novel and deadly disease. There is a clear urgency to collate, review, appraise and act on this information if we are to do the best for clinicians and patients. However, the speed of the pandemic is a threat to traditional models of knowledge translation and practice change. In this concepts paper, we argue that clinicians need to be agile in their thinking and practice in order to find the right time to change...
July 10, 2020: Emergency Medicine Journal: EMJ
https://read.qxmd.com/read/32647026/what-determines-diagnostic-resource-consumption-in-emergency-medicine-patients-physicians-or-context
#3
Wolf E Hautz, Thomas C Sauter, Stephanie C Hautz, Juliane E Kämmer, Stefan K Schauber, Tanja Birrenbach, Aristomenis K Exadaktylos, Stephanie Stock, Martin Müller
OBJECTIVES: A major cause for concern about increasing ED visits is that ED care is expensive. Recent research suggests that ED resource consumption is affected by patients' health status, varies between physicians and is context dependent. The aim of this study is to determine the relative proportion of characteristics of the patient, the physician and the context that contribute to ED resource consumption. METHODS: Data on patients, physicians and the context were obtained in a prospective observational cohort study of patients hospitalised to an internal medicine ward through the ED of the University Hospital Bern, Switzerland, between August and December 2015...
July 9, 2020: Emergency Medicine Journal: EMJ
https://read.qxmd.com/read/32647025/measuring-need-for-recovery-as-an-indicator-of-staff-well-being-in-the-emergency-department-a-survey-study
#4
Blair Graham, Laura Cottey, Jason E Smith, Mark Mills, Jos M Latour
BACKGROUND: The Need for Recovery (NFR) Scale is an 11-item questionnaire that assesses how work affects intershift recovery. Items are summated to form a score with a maximum value of 100. Previously reported scores range from 38 in nurses to 55 in miners. This study aimed to determine the NFR Score among ED staff and to identify whether the NFR Score was associated with characteristics potentially implicated with recovery from work. METHODS: Staff in a single ED in the South West of England (annual attendances of 93 000) were asked to complete an electronic questionnaire incorporating the NFR Scale plus additional items relating to demographic, work-related and well-being characteristics, in their own time during January 2018...
July 9, 2020: Emergency Medicine Journal: EMJ
https://read.qxmd.com/read/32620544/colles-type-distal-radial-fractures-undergoing-manipulation-in-the-ed-a-multicentre-observational-cohort-study
#5
Hamza Malik, Andrew Appelboam, Gordon Taylor
BACKGROUND: Colles' type fractures of the distal radius are one of the most commonly manipulated fractures in the ED. Local audit data suggest that a high proportion of these injuries undergo subsequent surgical fixation. If widespread, this could represent a potential burden on patients and the NHS worthy of further research. The aims of this study were to estimate the rate of surgical fixation of Colles' type distal radial fractures after ED fracture manipulation and explore variations in their management in UK EDs...
July 3, 2020: Emergency Medicine Journal: EMJ
https://read.qxmd.com/read/32620543/i-fibh-trial-intravenous-fluids-in-benign-headaches-a-randomised-single-blinded-clinical-trial
#6
Tony Zitek, Tiffany Sigal, Gina Sun, Chris Martin Manuel, Khanhha Tran
BACKGROUND: Many emergency physicians use an intravenous fluid bolus as part of a 'cocktail' of therapies for patients with headache, but it is unclear if this is beneficial. The objective of this study was to determine if an intravenous fluid bolus helps reduce pain or improve other outcomes in patients who present to the ED with a benign headache. METHODS: This was a randomised, single-blinded, clinical trial performed on patients aged 10-65 years old with benign headaches who presented to a single ED in Las Vegas, Nevada, from May 2017 to February 2019...
July 3, 2020: Emergency Medicine Journal: EMJ
https://read.qxmd.com/read/32620542/-greet-with-namaste-bye-bye-handshake-a-behavioural-change-campaign-for-infection-prevention-in-the-emergency-department-from-jodhpur-india
#7
LETTER
Satyendra Khichar, Maya Gopalakrishnan, Gopal Krishana Bohra, Mahendra Kumar Garg, Sanjeev Misra
No abstract text is available yet for this article.
July 3, 2020: Emergency Medicine Journal: EMJ
https://read.qxmd.com/read/32611595/need-for-a-uk-injury-control-strategy
#8
LETTER
Fiona Lecky, Antoinette Edwards, Dhushyanthan Surendra Kumar, Laura White, Timothy J Coats
No abstract text is available yet for this article.
July 1, 2020: Emergency Medicine Journal: EMJ
https://read.qxmd.com/read/32611594/not-just-little-adults-preparing-a-children-s-emergency-department-for-covid-19
#9
Jonathan Adamson, Chris Bird, Kate Edgworth, Stuart Hartshorn, Kasyap Jamalapuram, Anand Kanani, Kate Mackay, Tina Newton, Ben Stanhope, Bridget Wilson
COVID-19 presented unique challenges in preparing our stand-alone children's emergency department for the pandemic and has demonstrated well the paediatric adage, 'children aren't little adults'.
July 1, 2020: Emergency Medicine Journal: EMJ
https://read.qxmd.com/read/32611593/telehealth-and-humanism-unexpected-partnership-forged-during-covid-19
#10
EDITORIAL
Mindy Stimell-Rauch, Leanna R Szalay, Joan Bregstein
No abstract text is available yet for this article.
July 1, 2020: Emergency Medicine Journal: EMJ
https://read.qxmd.com/read/32581052/less-social-emergency-departments-implementation-of-workplace-contact-reduction-during-covid-19
#11
Rohit B Sangal, Jean E Scofi, Vivek Parwani, Andrew T Pickens, Andrew Ulrich, Arjun K Venkatesh
The COVID-19 pandemic has led to rapid changes in community and healthcare delivery policies creating new and unique challenges to managing ED pandemic response efforts. One example is the practice of social distancing in the workplace as an internationally recommended non-pharmaceutical intervention to reduce transmission. While attention has been focused on public health measures, healthcare workers cannot overlook the transmission risk they present to their colleagues and patients. Our network of three EDs are all high traffic areas for both patients and staff, which makes the limitation of close person-to-person contact particularly difficult to achieve...
June 24, 2020: Emergency Medicine Journal: EMJ
https://read.qxmd.com/read/32581051/regular-versus-extended-shift-outbreak-roster-in-the-emergency-department-and-its-impact-on-staff-well-being
#12
LETTER
Sohil Pothiawala, Hong Khai Lau, Annitha Annathurai
No abstract text is available yet for this article.
June 24, 2020: Emergency Medicine Journal: EMJ
https://read.qxmd.com/read/32571784/unnecessary-wait-hours-a-novel-ed-system-level-metric
#13
Heather A Heaton, David M Nestler, Kalyan S Pasupathy, Phichet Wutthisirisart, Mustafa Y Sir, Thomas R Hellmich
BACKGROUND: Emergency department (ED) operations leaders are under increasing pressure to make care delivery more efficient. Publicly reported ED efficiency metrics are traditionally patient centred and do not show situational or facility-based improvement opportunities. We propose the consideration of a novel metric, the 'Number of Unnecessary Waits (NUW)' and the corresponding 'Unnecessary Wait Hours (UWH)', to measure space efficiency, and we describe how we used NUW to evaluate operational changes in our ED...
June 22, 2020: Emergency Medicine Journal: EMJ
https://read.qxmd.com/read/32561525/ability-of-triage-nurses-to-predict-at-the-time-of-triage-the-eventual-disposition-of-patients-attending-the-emergency-department-ed-a-systematic-literature-review-and-meta-analysis
#14
REVIEW
Michael Anis Mihdi Afnan, Tejas Netke, Parminder Singh, Helena Worthington, Fatima Ali, Changavy Kajamuhan, Arjan Nagra
INTRODUCTION: Exit block is the most significant cause of poor patient flow and crowding in the emergency department (ED). One proposed strategy to reduce exit block is early admission predictions by triage nurses to allow proactive bed management. We report a systematic review and meta-analysis of the accuracy of nurse prediction of admission at triage. METHODOLOGY: We searched MEDLINE, Cochrane, Embase, CINAHL and grey literature, up to and including February 2019...
June 19, 2020: Emergency Medicine Journal: EMJ
https://read.qxmd.com/read/32554747/are-ed-based-violence-intervention-programmes-effective-in-reducing-revictimisation-and-perpetration-in-victims-of-violence-a-systematic-review
#15
REVIEW
James Matthew Brice, Adrian A Boyle
OBJECTIVES: Community violence bears significant human and economic costs. Furthermore, victims requiring ED treatment are at a greater risk of violent reinjury, arrest due to perpetration and violent death. We aimed to evaluate the effectiveness of ED-based violence intervention programmes (EVIPs), which aim to reduce future violence involvement in these individuals. METHODS: We performed a systematic literature review searching MEDLINE, Embase, Cumulative Index of Nursing and Allied Health Literature, PsycINFO, The Cochrane Library and Web of Science, in addition to hand-searching...
June 17, 2020: Emergency Medicine Journal: EMJ
https://read.qxmd.com/read/32554746/impact-of-a-targeted-bundle-of-audit-with-tailored-education-and-an-intubation-checklist-to-improve-airway-management-in-the-emergency-department-an-integrated-time-series-analysis
#16
Christopher Groombridge, Amit Maini, Alexander Olaussen, Yen Kim, Mark Fitzgerald, Biswadev Mitra, De Villiers Smit
BACKGROUND: Endotracheal intubation (ETI) is a commonly performed but potentially high-risk procedure in the emergency department (ED). Requiring more than one attempt at intubation has been shown to increase adverse events and interventions improving first-attempt success rate should be identified to make ETI in the ED safer. We introduced and examined the effect of a targeted bundle of airway initiatives on first-attempt success and adverse events associated with ETI. METHODS: This prospective, interventional cohort study was conducted over a 2-year period at an Australian Major Trauma Centre...
June 17, 2020: Emergency Medicine Journal: EMJ
https://read.qxmd.com/read/32554745/ideas-and-the-origin-of-evidence-during-the-covid-19-pandemic
#17
Mike Wells
No abstract text is available yet for this article.
June 17, 2020: Emergency Medicine Journal: EMJ
https://read.qxmd.com/read/32546477/paramedic-experiences-of-using-an-enhanced-stroke-assessment-during-a-cluster-randomised-trial-a-qualitative-thematic-analysis
#18
Joanne Lally, Anu Vaittinen, Graham McClelland, Christopher I Price, Lisa Shaw, Gary A Ford, Darren Flynn, Catherine Exley
BACKGROUND: Intravenous thrombolysis is a key element of emergency treatment for acute ischaemic stroke, but hospital service delivery is variable. The Paramedic Acute Stroke Treatment Assessment (PASTA) multicentre cluster randomised controlled trial evaluated whether an enhanced paramedic-initiated stroke assessment pathway could improve thrombolysis volume. This paper reports the findings of a parallel process evaluation which explored intervention paramedics' experience of delivering the enhanced assessment...
June 16, 2020: Emergency Medicine Journal: EMJ
https://read.qxmd.com/read/32546476/use-of-negative-pressure-individual-isolation-system-for-ct-scan-of-patients-with-suspected-covid-19
#19
LETTER
Phee Kheng Cheah, Thiagu Krisnan, Mohamed Hakimi Abdul Kadir, Evelyn Marie Steven
No abstract text is available yet for this article.
June 16, 2020: Emergency Medicine Journal: EMJ
https://read.qxmd.com/read/32546475/integrating-and-maintaining-automated-external-defibrillators-and-emergency-planning-in-community-sport-settings-a-qualitative-case-study
#20
Lauren V Fortington, Sheree Bekker, Caroline F Finch
INTRODUCTION: A voluntary State Government-led programme in Victoria, Australia 'Defibrillators for Sporting Clubs and Facilities Program' ran from 2015 to 2019, broadly aimed at increasing access to automated external defibrillators (AEDs), together with a greater number of community members trained for management of medical emergencies. This study aimed to understand whether participating sport clubs/facilities had successfully integrated an AED and medical planning with other club/facility safety practices, 12 months after delivery of the programme...
June 16, 2020: Emergency Medicine Journal: EMJ
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