Search Tag: ED
Resuscitative Transesophageal Echocardiography Programme in the ED: 5 Tips for Success
2021 30 Apr
Over the past few years, inspired by landmark publications, 1,2,3 demonstrating the feasibility, safety and clinical value of transesophageal echocardiography (TEE) performed by emergency physicians (EPs), a number of U.S. hospitals have established TEE programmes based in their emergency departments (EDs). In 2017, the American College of Emergency... Read more
Antibiotic Delay Intervals, Mortality Among Patients With Suspected Sepsis
2021 27 Apr
Timely delivery of antibiotics is a major cornerstone of sepsis therapy. Clinical evidence suggests that every one-hour delay in antibiotics after emergency department (ED) triage or the onset of organ dysfunction or shock could result in a 3-7% increase in the odds of a poor outcome. The Surviving Sepsis Campaign (SSC) guidelines recommend antibiotic... Read more
Violent Attacks Against Emergency Physicians
2020 12 Feb
Violent attacks against emergency physicians remain a problem. While mass shootings at hospitals are quite rare, violent attacks against emergency physicians are becoming too common these days. There have been cases where emergency physicians have been knocked unconscious, physically assaulted, hit, bitten, kicked, and punched by patients. According... Read more
ED-Based ICU - An Effective Solution?
2019 20 Sep
Intensive care units (ICUs) have a considerable impact on the lives of the patients that are admitted there to their families and the society as a whole. The delivery of intensive care to these patients is considerably expensive and resource-intensive. With an ageing population and the rise in the volume and acuity of patients requiring critical care,... Read more
Emergency Department to ICU Time and Mortality
2019 22 Aug
Delays in transferring patients from the Emergency Department (ED) to the ICU could delay treatment, leaving the patient at risk. A recent study explored the impact of this and found that increased ED to ICU wait times were associated with increased hospital mortality. Data was used from the Dutch quality registry National Intensive Care Evaluation,... Read more
Monocyte Distribution Width as Biomarker for Early Sepsis Detection
2019 25 Jul
Existing biomarkers provide limited use for rapid detection of sepsis since they cannot accurately distinguish sepsis from other common conditions encountered in the emergency department (ED). Now a U.S. clinical trial suggests that the monocyte distribution width (MDW) can be a useful indicator of Sepsis-2 and Sepsis-3 in high-risk ED patients. "Changes... Read more
A solid future for point-of-care ultrasound in intensive care
2019 19 Jul
Point-of-care ultrasound (POCUS) has become an established tool for the rapid assessment and diagnosis of patients across a variety of medical disciplines, not least in the high-octane environment of intensive care medicine. Dr. Timm Steuber, senior consultant and head of the ICU at Evangelisches Krankenhaus Unna, Germany, discusses his day-to-day... Read more
#ISICEM19: Custom-built antibiotic stewardship for the ED - Dr. Michael Pulia
2019 22 Mar
At the 39th International Symposium on Intensive Care and Emergency Medicine , Dr. Michael Pulia discussed the challenges of antibiotic stewardship. Dr. Pulia, Assistant Professor at the BerbeeWalsh Department of Emergency Medicine, serves as Medical Director for the ED antibiotic stewardship quality improvement programme at the University of Wisconsin. ... Read more
Swedish Society for Emergency Medicine 2017-SWEETS 2017
2017 22 Mar
SWESEM is the Swedish Society for Emergency Medicine, the national association for Swedish Emergency Physicians. We are happy to see Emergency Medicine become a primary specialty in Sweden 2015. Find SWESEM on Social Media Read more
Solution ER Overcrowding: Tele-triage
2016 01 Aug
With unpredictable rises in Emergency Department use, one Florida health system brainstormed to develop a strategy to deal with the unexpected volume. The solution was to control surges by combining triage with telemedicine. Aiming to offset overcrowding in the Emergency Department, Baptist Health South Florida in Coral Gables developed what it called... Read more