Search Tag: emergency department

2016 27 Sep

Use of point-of-care test devices in the emergency department has ‏shown significant benefits in patient management. A proper governance ‏policy will ensure credible, effective and safe practice.   Emergency Department (ED) practices have ‏evolved, modified and developed pathways ‏over the years to recognise and initiate ‏appropriate early treatment...Read more

2016 27 Sep

Many patients presenting to the hospital ‏emergency department do not need ‏to stay overnight. Ambulatory emergency ‏care (AEC) may optimise identification ‏and management of such patients by delivering ‏streamlined, efficient patient care within ‏one working day. This may improve clinical ‏outcomes, patient experience and lower costs.   At James...Read more

2016 01 Jun

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2015 22 Dec

A hospital in the UK has adopted a novel technique for technical skill training — used initially for difficult airway training — to train anaesthetic and intensive care unit (ICU) staff for intraosseous (IO) access, according to an article published in the journal Resuscitation . The authors say the training approach can be applied to many resuscitation...Read more

2015 21 Dec

As part of their training, medical students have become involved in bedside care and this has raised concerns over the possible effect on quality of care. Now, new research from University of Pennsylvania School of Medicine shows that the presence of trainees does not slow care in the emergency department (ED). The results indicate a balance between...Read more

2015 23 Nov

In emergency department settings, overuse of computed tomography (CT) for minor head injury continues despite rigorously validated clinical decision rules like the Canadian CT Head Rule (CCHR). Medical experts say one in every three CT scans performed on patients with minor head injury is unnecessary. New research from Yale University has found that,...Read more

2015 23 Oct

Close collaboration between the emergency department (ED) and intensive care unit (ICU) and standardised ICU admission criteria for patients with sepsis can significantly reduce mortality rate and care costs, according to new research published in CHEST Journal. "Although ICU level of care is costly, earlier inclusion of borderline patients may improve...Read more

2015 10 Sep

Results of an Israeli study indicate that ethnic differences, including during periods of armed conflicts, have no effect on pain treatment in children who visit the emergency departments with broken bones or joint dislocations. These paediatric patients with fracture or dislocation received equal pain treatment in the ED regardless of their ethnicity...Read more

2015 23 Jun

Two randomised controlled trials of patient-administered patient relief in the emergency department have found that they are effective in reducing pain. Currently, patients arriving in emergency departments may be administered morphine intravenously by a nurse. Whilst this is safe and works, it takes up nursing time. Two randomised controlled trials...Read more

2015 16 Jun

A simple yes/no question could be an effective tool to help patients decide for themselves whether their pain is adequately controlled, according to researchers conducting a study to evaluate the efficacy of a new evidence-based protocol to treat acute, severe pain in emergency department patients.   Simply asking the question, "Do you want more pain...Read more

2015 12 May

Frequent users of emergency department (ED) care are more than twice as likely as infrequent users to die, be admitted to hospital, or require other outpatient treatment. The new findings are based on a systematic review of available evidence and published online in Emergency Medicine Journal . Relevant data analysed by researchers from the University...Read more

2015 16 Apr

A multicentre study by Swiss and Spanish researchers has found that a new strategy to rule out and rule in heart attacks in emergency departments will help physicians treat patients faster. The new technique, called high-sensitivity cardiac troponin T 1-hour algorithm, was previously tested in a small pilot study. The research team decided to conduct...Read more

2015 14 Apr

Emergency department (ED) patients have misperceptions about opioid dependence and want more information about their pain management options, according to researchers from Perelman School of Medicine at the University of Pennsylvania. Patients seen in the ED for acute pain, the researchers note, expressed a desire for better communication from physicians...Read more

2015 04 Jan

A new study, published in BMC Medical Informatics and Decision Making, aimed to determine the diagnostic accuracy of an electronic alert system in detecting severe sepsis or septic shock in ED patients. The study was carried out at a tertiary academic medical centre in Saudi Arabia. The results showed  high specificity and sensitivity and negative...Read more

2014 30 Oct

Researchers have analysed data on US hospital emergency department visits for opioid overdoses and found that the largest portion of the overdoses (67.8 percent) involved prescription opioids, followed by heroin, other unspecified opioids and multiple opioids. The findings have been published by JAMA Internal Medicine . According to available data,...Read more

2014 12 Oct

According to a recent study by researchers at the University of Maryland School of Medicine, approximately 90 percent of potential paediatric fractures are splinted improperly in emergency rooms and urgent care centres.   The findings of the research were presented at the American Academy of Pediatrics (APP) National Conference & Exhibition...Read more

2014 29 Sep

The Ohio State University has opened its first fully integrated cancer emergency department. The Comprehensive Care Center is the result of a partnership between Arthur G. James Cancer Hospital, Richard J. Solove Research Institute and Wexner Medical Center Emergency Department. The centre is based on a clinical care model that combines the expertise...Read more

2014 14 Sep

Overcrowding is an ongoing concern across hospitals. When the number of patients requiring hospital admission exceeds the number of available department-allotted beds, patients are often placed in a different specialty's inpatient ward, a practice known as “bedspacing”. For example, patients admitted to the general internal medicine (GIM) service might be...Read more

2014 29 Aug

Recent research shows that providing futile treatment to ICU patients delayed the availability of care services – often for four hours or more – for other patients requiring transfer into the ICU. In some instances, requests for ICU transfers were cancelled after patients had waited a day or longer when the ICU was full. These data came from a three-month...Read more