Emergency
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Some ED Patients Are Suicidal but Present with Unrelated Complaints
Many youths who die by suicide interacted with the healthcare system in the year before death. This raises the question: Should ED providers be screening all youth for suicide risk, regardless of their chief complaint?
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Race, Ethnicity Data Are Important for QI but Sometimes May Be Incorrect
Many EDs have been collecting race and ethnicity data for quality improvement purposes for decades. Rama A. Salhi, MD, MHS, MSc, an assistant professor in the Department of Emergency Medicine at Massachusetts General Hospital, and colleagues set out to learn more about the accuracy of the data being documented by EDs.
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ED Nurses Would Not Recommend Their Workplace Because of Safety, Staffing Concerns
Emergency nurses are much more likely to report high burnout, job dissatisfaction, and intent to leave compared to inpatient nurses, according to a recent analysis of nurses practicing in 60 U.S. hospitals.
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Gender Affects EPs’ Decision-Making on Restraint Use
Gender affects the way emergency physicians (EPs) approach decision-making for management of agitated patients, according to a recent qualitative study.
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EDs Are Seeking to Minimize Restraint Use
At Hennepin County Medical Center’s ED, quality improvement and quality assurance have been a long-term focus. “There was an interest, particularly in the wake of the local and national events of the summer of 2020, to reexamine our restraint practices and look for opportunities to minimize coercive care in our ED,” reports Aaron E. Robinson, MD, MPH, a faculty physician in the Department of Emergency Medicine at Hennepin County Medical Center and assistant medical director at Hennepin Emergency Medical Services.
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An Alternative Model for ECPR: Keeping the Pool of Physicians Skilled in the Procedure Small
Extracorporeal cardiopulmonary resuscitation, or ECPR, is relatively new to UF Health’s Shands Hospital in Gainesville, FL. Interestingly, unlike the model for ECPR being deployed by hospitals in San Diego, where dozens of emergency physicians are being trained in the technique, developers of the ECPR program at UF Health have decided that it is important to restrict the number of emergency physicians who perform ECPR.
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Root Causes of Significantly Delayed CT Scans in ED Settings
EDs often experience delays obtaining computed tomography scans, with some patients waiting multiple hours for the test. This situation causes bottlenecks in patient flow, increasing length of stay and overall ED crowding.
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Teen Pregnancies in the ED Part 2: Handling Complications
Teenage pregnancies have a higher incidence of adverse medical outcomes and obstetrical complications that are critical for providers to recognize and manage in a timely manner. The author provides a succinct, comprehensive review of the critical aspects of trauma in pregnancy; preeclampsia; hemolysis, elevated liver enzymes, and low platelet count (HELLP) syndrome; venous thromboembolism; as well as precipitous delivery and postpartum hemorrhage.
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Evaluation and Management of Neck Trauma
The neck is a complex region that may have injuries that range from minor to life-threatening. An understanding of the anatomy and potential injuries is essential to optimize patient care and outcomes.
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Nearly Half of ED Patients Reported Health-Related Social Needs