Emergency
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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
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Remote Monitoring Technology Helps Chronically Ill Patients Avoid ED Use
Illinois Health System uses innovative program to pair 24/7 remote patient monitoring with a care team that can respond to data alerts or patient inquiries and act as navigators when patients need to access primary or specialty care.
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Pediatric Burn Care: Strategies for Identification and Treatment
Pediatric burn injuries, especially minor, are an essential part of caring for children. Classification of the depth of injury, recognition of nonaccidental trauma, and appropriate care are all critical aspects of management. The authors comprehensively review pediatric burn care.