Search Tag: emergency department
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
Emergency Department-Based Intensive Care Improves Patient Survival
2019 02 Aug
A study of the Massey Family Foundation Emergency Critical Care Center – EC3 found that the implementation of emergency department ICUs led to improved survival rates and better patient care. Opened in February 2015, EC3 is a highly advanced critical care centre, next to the emergency department at Michigan Medical. The unit is equipped with five... 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
Harvard study: machine learning improves ED triage
2019 27 Feb
The increasing number of emergency department (ED) visits often correlates with ED crowding and delays in care. This problem highlights the need for ED triage systems that accurately differentiate and prioritise critically ill from stable patients, enabling efficient allocation of finite ED resources. Currently, the Emergent Severity... Read more
Metabolic-based biomarkers have potential to triage children with sepsis
2018 14 Nov
A new study has validated potential biomarkers for a sepsis-triage model to distinguish sepsis patients requiring care in the paediatric intensive care unit (PICU) from sepsis identified in the paediatric emergency department (PED) that does not require ICU admission. The study, led by Beata Mickiewicz and colleagues from the University of Calgary... Read more
Emirates Society of Emergency Medicine Conference 2018
2018 12 Dec
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#EUSEM18: Is it a zebra, horse or chameleon? Diagnostic reasoning in the ED
2018 25 Sep
How can we predict errors in the emergency department? Clinician judgement is key, said Eric Dryver, speaking at the European Society for Emergency Medicine annual congress, held in Glasgow earlier this month. Dryver, emergency medician physician at Skåne University Hospital in Lund, Sweden, and chair of the EUSEM education committee, said that in... Read more