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Annals of Emergency Medicine

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https://www.readbyqxmd.com/read/28712609/is-early-goal-directed-therapy-or-standard-therapy-more-effective-in-decreasing-mortality-among-patients-with-sepsis
#1
EDITORIAL
Melinda J Morton Hamer, Sara K Faught
No abstract text is available yet for this article.
July 13, 2017: Annals of Emergency Medicine
https://www.readbyqxmd.com/read/28712608/a-custom-developed-emergency-department-provider-electronic-documentation-system-reduces-operational-efficiency
#2
Joshua Feblowitz, Sukhjit S Takhar, Michael J Ward, Ryan Ribeira, Adam B Landman
STUDY OBJECTIVE: Electronic health record implementation can improve care, but may also adversely affect emergency department (ED) efficiency. We examine how a custom, ED provider, electronic documentation system (eDoc), which replaced paper documentation, affects operational performance. METHODS: We analyzed retrospective operational data for 1-year periods before and after eDoc implementation in a single ED. We computed daily operational statistics, reflecting 60,870 pre- and 59,337 postimplementation patient encounters...
July 13, 2017: Annals of Emergency Medicine
https://www.readbyqxmd.com/read/28712607/patients-perspectives-on-outcomes-of-care-after-discharge-from-the-emergency-department-a%C3%A2-qualitative-study
#3
Samuel Vaillancourt, M Bianca Seaton, Michael J Schull, Amy H Y Cheng, Dorcas E Beaton, Andreas Laupacis, Katie N Dainty
STUDY OBJECTIVE: Much effort has been expended to understand what care experiences patients value in the emergency department (ED), yet little is known about which outcomes patients value after ED care. Our goal is to define outcomes of ED care that are valued by patients discharged from the ED, with the goal of informing the development of a patient-reported outcome measure for ED care. METHODS: We conducted qualitative semistructured interviews with patients recruited during their care at 1 of 2 EDs and interviewed in either English or French 1 to 9 days after their visit...
July 13, 2017: Annals of Emergency Medicine
https://www.readbyqxmd.com/read/28712606/effectiveness-of-apneic-oxygenation-during-intubation-a-systematic-review-and-meta-analysis
#4
REVIEW
Lucas Oliveira J E Silva, Daniel Cabrera, Patricia Barrionuevo, Rebecca L Johnson, Patricia J Erwin, M Hassan Murad, M Fernanda Bellolio
STUDY OBJECTIVE: We conduct a systematic review and meta-analysis to evaluate the effectiveness of apneic oxygenation during emergency intubation. METHODS: We searched Ovid MEDLINE, Ovid EMBASE, Ovid CENTRAL, and Scopus databases for randomized controlled trials and observational studies from 2006 until July 2016, without language restrictions. Gray literature, clinicaltrials.gov, and reference lists of articles were hand searched. We conducted a meta-analysis with random-effects models to evaluate first-pass success rates, incidence of hypoxemia, and lowest peri-intubation SpO2 between apneic oxygenation and standard oxygenation cases...
July 13, 2017: Annals of Emergency Medicine
https://www.readbyqxmd.com/read/28712605/do-intravenous-benzodiazepines-or-benzodiazepines-by-an-alternative-route-nonintravenous-abort-seizures-faster
#5
EDITORIAL
Brit Long, Michael D April
No abstract text is available yet for this article.
July 13, 2017: Annals of Emergency Medicine
https://www.readbyqxmd.com/read/28712604/-sometimes-you-feel-like-the-freak-show-a%C3%A2-qualitative-assessment-of-emergency-care-experiences-among-transgender-and-gender-nonconforming-patients
#6
Elizabeth A Samuels, Chantal Tape, Naomi Garber, Sarah Bowman, Esther K Choo
STUDY OBJECTIVE: Transgender, gender-variant, and intersex (trans) people have decreased access to care and poorer health outcomes compared with the general population. Little has been studied and documented about such patients' emergency department (ED) experiences and barriers to care. Using survey and qualitative research methods, this study aims to identify specific areas for improvement and generate testable hypotheses about the barriers and challenges for trans individuals needing acute care...
July 13, 2017: Annals of Emergency Medicine
https://www.readbyqxmd.com/read/28712603/what-elements-suggest-infectious-mononucleosis
#7
EDITORIAL
Julie L Welch, Dustin Holland
No abstract text is available yet for this article.
July 13, 2017: Annals of Emergency Medicine
https://www.readbyqxmd.com/read/28688772/is-antiplatelet-therapy-an-independent-risk-factor-for-traumatic-intracranial-hemorrhage-in-patients-with-mild-traumatic-brain-injury
#8
EDITORIAL
Laura Diane Melville, Kaushal Shah
No abstract text is available yet for this article.
July 6, 2017: Annals of Emergency Medicine
https://www.readbyqxmd.com/read/28688771/optimal-measurement-interval-for-emergency-department-crowding-estimation-tools
#9
Hao Wang, Rohit P Ojha, Richard D Robinson, Bradford E Jackson, Sajid A Shaikh, Chad D Cowden, Rath Shyamanand, JoAnna Leuck, Chet D Schrader, Nestor R Zenarosa
STUDY OBJECTIVE: Emergency department (ED) crowding is a barrier to timely care. Several crowding estimation tools have been developed to facilitate early identification of and intervention for crowding. Nevertheless, the ideal frequency is unclear for measuring ED crowding by using these tools. Short intervals may be resource intensive, whereas long ones may not be suitable for early identification. Therefore, we aim to assess whether outcomes vary by measurement interval for 4 crowding estimation tools...
July 6, 2017: Annals of Emergency Medicine
https://www.readbyqxmd.com/read/28688770/do-corticosteroids-improve-mortality-or-shock-reversal-in-patients-with-septic-shock
#10
EDITORIAL
Brit Long, Michael D April
No abstract text is available yet for this article.
July 6, 2017: Annals of Emergency Medicine
https://www.readbyqxmd.com/read/28688769/revisit-subsequent-hospitalization-recurrent-fall-and-death-within-6-months-after-a-fall-among-elderly-emergency-department-patients
#11
Jiraporn Sri-On, Gregory P Tirrell, Jonathan F Bean, Lewis A Lipsitz, Shan W Liu
STUDY OBJECTIVE: We seek to describe the risk during 6 months and specific risk factors for recurrent falls, emergency department (ED) revisits, subsequent hospitalizations, and death within 6 months after a fall-related ED presentation. METHODS: This was a secondary analysis of a retrospective cohort of elderly fall patients who presented to the ED from one urban teaching hospital. We included patients aged 65 years and older who had an ED fall visit in 2012. We examined the frequency and risk factors of adverse events (composite of recurrent falls, ED revisits, subsequent hospitalization, and death, selected a priori) at 6 months...
June 29, 2017: Annals of Emergency Medicine
https://www.readbyqxmd.com/read/28669555/variance-in-the-efficacy-of-brief-interventions-to-reduce-hazardous-and-harmful-alcohol-consumption-between-injury-and-noninjury-patients-in-emergency-departments-a-systematic-review-and-meta-analysis-of-randomized-controlled-trials
#12
REVIEW
Catherine Elzerbi, Kim Donoghue, Sadie Boniface, Colin Drummond
STUDY OBJECTIVE: We adopt a comparative framework to measure the extent to which variance in the efficacy of alcohol brief interventions to reduce hazardous and harmful drinking at less than or equal to 5-, 6-, and 12-month follow-up in emergency department settings can be determined by differences between study populations (targeted injury and noninjury specific). METHODS: A systematic review and meta-analysis of randomized controlled trials published before September 2016 was undertaken...
June 29, 2017: Annals of Emergency Medicine
https://www.readbyqxmd.com/read/28669554/a-randomized-controlled-trial-on-the-effect-of-a%C3%A2-double-check-on-the-detection-of-medication%C3%A2-errors
#13
Amy M Douglass, Joshua Elder, Robin Watson, Tom Kallay, David Kirsh, William G Robb, Amy H Kaji, Clinton J Coil
STUDY OBJECTIVE: The use of a double check by 2 nurses has been advocated as a key error-prevention strategy. This study aims to determine how often a double check is used for high-alert medications and whether it increases error detection. METHODS: Emergency department and ICU nurses worked in pairs to care for a simulated patient. Nurses were randomized into single- and double-check groups. Errors intentionally introduced into the simulation included weight-based dosage errors and wrong medication vial errors...
June 29, 2017: Annals of Emergency Medicine
https://www.readbyqxmd.com/read/28669553/expert-consensus-guidelines-for-stocking-of-antidotes-in-hospitals-that-provide-emergency-care
#14
Richard C Dart, Lewis R Goldfrank, Brian L Erstad, David T Huang, Knox H Todd, Jeffrey Weitz, Vikhyat S Bebarta, E Martin Caravati, Fred M Henretig, Theodore R Delbridge, William Banner, Sandra M Schneider, Victoria E Anderson
We provide recommendations for stocking of antidotes used in emergency departments (EDs). An expert panel representing diverse perspectives (clinical pharmacology, medical toxicology, critical care medicine, hematology/oncology, hospital pharmacy, emergency medicine, emergency medical services, pediatric emergency medicine, pediatric critical care medicine, poison centers, hospital administration, and public health) was formed to create recommendations for antidote stocking. Using a standardized summary of the medical literature, the primary reviewer for each antidote proposed guidelines for antidote stocking to the full panel...
June 29, 2017: Annals of Emergency Medicine
https://www.readbyqxmd.com/read/28669552/is-bedside-ultrasonography-rapid-and-accurate-for-confirmation-of-central-venous-catheter-position-and-exclusion-of-pneumothorax-compared-with-chest-radiograph
#15
EDITORIAL
Brit Long, Michael D April
No abstract text is available yet for this article.
June 29, 2017: Annals of Emergency Medicine
https://www.readbyqxmd.com/read/28669551/low-accuracy-of-positive-qsofa-criteria-for-predicting-28-day-mortality-in-critically-ill-septic-patients-during-the-early-period-after-emergency-department-presentation
#16
Sung Yeon Hwang, Ik Joon Jo, Se Uk Lee, Tae Rim Lee, Hee Yoon, Won Chul Cha, Min Seob Sim, Tae Gun Shin
STUDY OBJECTIVE: We determine the diagnostic performance of positive Quick Sequential Organ Failure Assessment (qSOFA) scores for predicting 28-day mortality among critically ill septic patients during the early period after emergency department (ED) presentation. METHODS: This was a retrospective cohort study at a tertiary care academic center. We reviewed a registry of adult (≥18 years) patients who received a diagnosis of severe sepsis or septic shock during an ED stay from August 2008 through September 2014...
June 29, 2017: Annals of Emergency Medicine
https://www.readbyqxmd.com/read/28662913/what-elements-of-the-history-examination-laboratory-testing-or-point-of-care-ultrasonography-are-most-useful-in-the-diagnosis%C3%A2-of%C3%A2-acute-appendicitis-in-children
#17
EDITORIAL
Mark J Favot, Robert R Ehrman
No abstract text is available yet for this article.
June 26, 2017: Annals of Emergency Medicine
https://www.readbyqxmd.com/read/28662912/does-antipyresis-improve-mortality-in-critically-ill-septic-patients
#18
EDITORIAL
Brit Long, Michael D April
No abstract text is available yet for this article.
June 26, 2017: Annals of Emergency Medicine
https://www.readbyqxmd.com/read/28662911/what-is-the-efficacy-of-droperidol-for-the-management-of-acute-psychosis-induced-agitation
#19
EDITORIAL
Michael Gottlieb, Jessen Schiebout
No abstract text is available yet for this article.
June 26, 2017: Annals of Emergency Medicine
https://www.readbyqxmd.com/read/28662910/capacity-informed-consent-informed-discharge-%C3%A2-uncertainty
#20
EDITORIAL
Lewis R Goldfrank, Ian Wittman
No abstract text is available yet for this article.
June 26, 2017: Annals of Emergency Medicine
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