Emergency
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Easing ED Crowding While Offering Convenience
Several health systems believe that giving patients the ability to link with a provider from any location at any time has the potential not only to positively address the kinds of access problems that drive people to the ED, but also to deliver the type of convenience that healthcare consumers crave.
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Using Telemedicine to Address Crowding in the ED
Early telemedicine pioneers see ED applications evolving as consumers demand greater access and convenience.
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An Alternative View on Regionalized STEMI Care
Expert: “You have to wonder if we have to do something differently than this.”
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Time to Move the Goal Posts on STEMI Care?
Given that most hospitals already meet the door-to-balloon time standard, one expert maintains that it is time to aim for the more aggressive indicator.
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Pushing the Envelope on STEMI Response
Investigators maintain that every minute of treatment delay leads to irreversible heart damage in patients suffering STEMI.
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Alternatives to Opioids for Acute Pain Management in the Emergency Department: Part II
As emergency physicians, we want to ensure our patients are not suffering severe pain. But, at the same time, we clearly need to reduce the use of opioids. Balancing these two priorities is difficult but important to our patients and society as a whole.
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Alternatives to Opioids for Acute Pain Management in the Emergency Department: Part I
Using therapy designed specifically for several different painful conditions that commonly present to the ED, patients frequently achieve significant pain relief without the use of opioids.
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Noninvasive Ventilation in Asthma Exacerbation: Predictors of Use and Outcomes
In this large, retrospective cohort study, the use of noninvasive ventilation (NIV) as an initial mode of ventilation for patients with asthma exacerbation was common; those successfully treated with NIV experienced lower inpatient mortality and shorter lengths of stay, but were likely a carefully selected population.
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Noninvasive Ventilation Delivered Via Helmet May Decrease Intubation Rates in Acute Respiratory Distress Syndrome
In this single-center, randomized, clinical trial, among patients suffering from acute respiratory distress syndrome, the use of helmet noninvasive ventilation was associated with a reduction in intubation rates, ICU length of stay, and hospital and 90-day mortality.
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Noninvasive Positive Pressure Ventilation in Acute Respiratory Failure
A summary of data supporting the use of noninvasive positive pressure ventilation and continuous positive airway pressure in the setting of acute hypoxic and hypercapnic respiratory failure.