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Acute, Emergent & Crit Care

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24 papers 25 to 100 followers
By Jessica Schwartz Orthopedic residency trained doctor of physical therapy
Jennifer R Marin, Angela M Mills
The 2015 Academic Emergency Medicine (AEM) consensus conference, "Diagnostic Imaging in the Emergency Department: A Research Agenda to Optimize Utilization," was held on May 12, 2015, with the goal of developing a high-priority research agenda on which to base future research. The specific aims of the conference were to: 1) understand the current state of evidence regarding emergency department (ED) diagnostic imaging utilization and identify key opportunities, limitations, and gaps in knowledge; 2) develop a consensus-driven research agenda emphasizing priorities and opportunities for research in ED diagnostic imaging; and 3) explore specific funding mechanisms available to facilitate research in ED diagnostic imaging...
December 2015: Academic Emergency Medicine: Official Journal of the Society for Academic Emergency Medicine
Michael C Monuteaux, Florence T Bourgeois, Rebekah Mannix, Mihail Samnaliev, Anne M Stack
OBJECTIVES: Emergency department (ED) utilization by children is common and growing more expensive. Tracking trends and variability in ED charges is essential for policymakers who strive to improve the efficiency of the health care system and for payers who prepare health care budget forecasts. Our objective was to examine trends and variability in ED charges for pediatric patients across Massachusetts. METHODS: This was a comprehensive analysis of the statewide database containing all the visits of children aged 0 to 18 years evaluated in any of the state's EDs from 2000 to 2011, excluding patients with chronic medical conditions and those whose visits resulted in hospital admission...
October 2015: Academic Emergency Medicine: Official Journal of the Society for Academic Emergency Medicine
Paul Harris, Jennifer A Whitty, Elizabeth Kendall, Julie Ratcliffe, Andrew Wilson, Peter Littlejohns, Paul A Scuffham
OBJECTIVES: The current study seeks to quantify the Australian public's preferences for emergency care alternatives and determine if preferences differ depending on presenting circumstances. SETTING: Increasing presentations to emergency departments have led to overcrowding, long waiting times and suboptimal health system performance. Accordingly, new service models involving the provision of care in alternative settings and delivered by other practitioners continue to be developed...
2015: BMJ Open
Valentina Bestetti, Emma E Fisher, David S Srivastava, Meret E Ricklin, Aristomenis K Exadaktylos
Aim. to characterize the mechanisms, patterns, and outcomes of nonfatal hunting-related injuries in patients presenting to Bern University Hospital, Switzerland, and compare these to reports of hunting injuries worldwide. Methods. patients presenting with hunting-related injuries to the Emergency Department at Bern University hospital from 2000 to 2014 were identified by retrospectively searching the department database using the keyword "hunt." Each case was analyzed in terms of the patient age and gender, the mechanism and pattern of injury, and management and patient follow-up...
2015: Emergency Medicine International
Priti G Dalal
No abstract text is available yet for this article.
April 2015: Pain Medicine: the Official Journal of the American Academy of Pain Medicine
Sukhminder Jit Singh Bajwa
Despite so many advancements and innovations in anesthetic techniques, expectations and challenges have also grown in plenty. Cardiac, pediatric, obstetric and neuro-anesthesia have perfectly developed to fulfill the desired needs of respective patient population. However, geriatric anesthesia has been shown a lesser interest in teaching and clinical practices over the years as compared with other anesthetic sub-specialties. The large growing geriatric population globally is also associated with an increase number of elderly patients presenting for orthopedic emergency surgeries...
January 2015: International Journal of Critical Illness and Injury Science
Kirsten Strudwick, Mark Nelson, Melinda Martin-Khan, Michael Bourke, Anthony Bell, Trevor Russell
OBJECTIVES: There is increasing importance placed on quality of health care for musculoskeletal injuries in emergency departments (EDs). This systematic review aimed to identify existing musculoskeletal quality indicators (QIs) developed for ED use and to critically evaluate their methodological quality. METHODS: MEDLINE, EMBASE, CINAHL, and the gray literature, including relevant organizational websites, were searched in 2013. English-language articles were included that described the development of at least one QI related to the ED care of musculoskeletal injuries...
February 2015: Academic Emergency Medicine: Official Journal of the Society for Academic Emergency Medicine
Nisaharan Srikandarajah, Matthew Alexander Boissaud-Cooke, Simon Clark, Martin John Wilby
STUDY DESIGN: We analyzed retrospectively whether early surgery for cauda equina syndrome (CES) within 24, 48, or 72 hours of onset of autonomic symptoms made any difference to bladder function at initial outpatient follow-up. OBJECTIVE: CES potentially causes loss of autonomic control including bladder dysfunction, resulting in significant disability. There is significant debate regarding appropriate timing of surgery. SUMMARY OF BACKGROUND DATA AND METHODS: We conducted a retrospective cohort study of 200 patients between 2000 and 2011 who underwent decompressive surgery for CES at a regional neurosurgical center...
April 15, 2015: Spine
Erin Schlemmer, James C Mitchiner, Michael Brown, Elizabeth Wasilevich
OBJECTIVE: Low back pain (LBP) is a common reason for emergency department (ED) visits. This study aimed to determine the frequency and type of nonindicated imaging during LBP ED visits and to describe demographic and prior health care use characteristics among the nonindicated population. METHODS: This study included index ED events for LBP occurring during 2011 through 2012 for Blue Cross Blue Shield of Michigan commercial members ages 18 to 64 years. We identified LBP imaging indications within 12 months before the index event...
March 2015: American Journal of Emergency Medicine
M Fernanda Bellolio, Erik P Hess, Waqas I Gilani, Tyler J VanDyck, Stuart A Ostby, Jessica A Schwarz, Christine M Lohse, Alejandro A Rabinstein
We aim to externally validate the Ottawa subarachnoid hemorrhage (OSAH) clinical decision rule. This rule identifies patients with acute nontraumatic headache who require further investigation. We conducted a medical record review of all patients presenting to the emergency department (ED) with headache from January 2011 to November 2013. Per the OSAH rule, patients with any of the following predictors require further investigation: age 40 years or older, neck pain, stiffness or limited flexion, loss of consciousness, onset during exertion, or thunderclap...
February 2015: American Journal of Emergency Medicine
Terence L Ahern, Andrew A Herring, Erik S Anderson, Virat A Madia, Jahan Fahimi, Bradley W Frazee
OBJECTIVES: The objective of this study is to describe the clinical use and safety profile of low-dose ketamine (LDK) (0.1-0.3 mg/kg) for pain management in the emergency department (ED). METHODS: This was a retrospective case series of consecutive patients given LDK for pain at a single urban ED between 2012 and 2013. Using a standardized data abstraction form, 2 physicians reviewed patient records to determine demographics, indication, dose, route, disposition, and occurrence of adverse events...
February 2015: American Journal of Emergency Medicine
Prachi Sanghavi, Anupam B Jena, Joseph P Newhouse, Alan M Zaslavsky
IMPORTANCE: Most out-of-hospital cardiac arrests receiving emergency medical services in the United States are treated by ambulance service providers trained in advanced life support (ALS), but supporting evidence for the use of ALS over basic life support (BLS) is limited. OBJECTIVE: To compare the effects of BLS and ALS on outcomes after out-of-hospital cardiac arrest. DESIGN, SETTING, AND PARTICIPANTS: Observational cohort study of a nationally representative sample of traditional Medicare beneficiaries from nonrural counties who experienced out-of-hospital cardiac arrest between January 1, 2009, and October 2, 2011, and for whom ALS or BLS ambulance services were billed to Medicare (31,292 ALS cases and 1643 BLS cases)...
February 2015: JAMA Internal Medicine
(no author information available yet)
No abstract text is available yet for this article.
October 2014: Annals of Emergency Medicine
Henry M Wu, Jessica K Fairley, James Steinberg, Phyllis Kozarsky
No abstract text is available yet for this article.
January 6, 2015: Annals of Internal Medicine
Nova L Panebianco, Frances Shofer, Alfred Cheng, Jonathan Fischer, Kenneth Cody, Anthony J Dean
BACKGROUND: Ultrasound of the inferior vena cava (IVC) is a noninvasive and rapidly obtainable method of intravascular volume assessment; however not all patients can lie supine for this procedure. In this study we assess whether patient positioning affects IVC diameter metrics. METHODS: This was a prospective convenience sample of patients in an in-patient dialysis unit at an urban tertiary care center. IVC metrics taken in the supine patient, and then at 45o semi-upright position, pre and post dialysis...
November 2014: American Journal of Emergency Medicine
Keith Wesley, Karen Wesley
No abstract text is available yet for this article.
November 2013: JEMS: a Journal of Emergency Medical Services
Bryan E Bledsoe
No abstract text is available yet for this article.
August 2013: EMS World
(no author information available yet)
This is the official position of the National Association of EMS Physicians and the American College of Surgeons Committee on Trauma regarding emergency medical services spinal precautions and the use of the long backboard.
July 2013: Prehospital Emergency Care
Lisa Bechard, Andrew D Harding
No abstract text is available yet for this article.
January 2013: Journal of Emergency Nursing: JEN: Official Publication of the Emergency Department Nurses Association
Akira Nishisaki, Matthew R Maltese, Dana E Niles, Robert M Sutton, Javier Urbano, Robert A Berg, Vinay M Nadkarni
AIM: Determine the impact of backboard placement, torso weight and bed compression on chest compression (CC) depth feedback in simulated cardiac arrest patients. METHODS: Epochs of 50 high quality CCs with real-time feedback of sternum-to-spine compression depth were provided by a blinded BLS/ACLS/PALS certified provider on manikins of two torso weights (25 vs. 50 kg), using three bed surfaces (stretcher, Stryker hospital bed with Impression mattress, soft Total Care ICU bed), with/without a backboard (BB)...
August 2012: Resuscitation
2015-04-06 12:48:10
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