journal
MENU ▼
Read by QxMD icon Read
search

Emergency Medicine Journal: EMJ

journal
https://www.readbyqxmd.com/read/27920036/clinical-relevance-of-pharmacist-intervention-in-an-emergency-department
#1
Maria Antonia Pérez-Moreno, Juan Manuel Rodríguez-Camacho, Beatriz Calderón-Hernanz, Bernardino Comas-Díaz, Jordi Tarradas-Torras
OBJECTIVES: To evaluate the clinical relevance of pharmacist intervention on patient care in emergencies, to determine the severity of detected errors. Second, to analyse the most frequent types of interventions and type of drugs involved and to evaluate the clinical pharmacist's activity. METHODS: A 6-month observational prospective study of pharmacist intervention in the Emergency Department (ED) at a 400-bed hospital in Spain was performed to record interventions carried out by the clinical pharmacists...
December 5, 2016: Emergency Medicine Journal: EMJ
https://www.readbyqxmd.com/read/27884924/low-acuity-presentations-to-the-emergency-department-in-canada-exploring-the-alternative-attempts-to-avoid-presentation
#2
Lynette D Krebs, Scott W Kirkland, Rajiv Chetram, Taylor Nikel, Britt Voaklander, Alan Davidson, Bryn Holroyd, Cristina Villa-Roel, Katelynn Crick, Stephanie Couperthwaite, Chris Alexiu, Garnet Cummings, Brian H Rowe
OBJECTIVE: ED visits have been rising year on year worldwide. It has been suggested that some of these visits could be avoided if low-acuity patients had better primary care access. This study explored patients' efforts to avoid ED presentation and alternative care sought prior to presentation. METHODS: Consecutive adult patients presenting to three urban EDs in Edmonton, Canada, completed a questionnaire collecting demographics, actions attempted to avoid presentation and reasons for presentation...
November 24, 2016: Emergency Medicine Journal: EMJ
https://www.readbyqxmd.com/read/27884923/clinical-metrics-in-emergency-medicine-the-shock-index-and-the-probability-of-hospital-admission-and-inpatient-mortality
#3
Kamna S Balhara, Yu-Hsiang Hsieh, Bachar Hamade, Ryan Circh, Gabor D Kelen, Jamil D Bayram
STUDY OBJECTIVES: The shock index (SI), defined as the ratio of HR to systolic BP, has been studied as an alternative prognostic tool to traditional vital signs in specific disease states and subgroups of patients. However, literature regarding its utility in the general ED population is lacking. Our main objective was to determine the probability of admission and inpatient mortality based on the first measured SI at initial presentation in the general adult ED population in our tertiary care centre...
November 24, 2016: Emergency Medicine Journal: EMJ
https://www.readbyqxmd.com/read/27884922/letter-to-editor-best-estimations-of-the-effects-of-alcohol-on-emergency-department-attendance
#4
LETTER
Matthew Welch, Hunniya Waseem, Andy Catton, Jon Barratt
No abstract text is available yet for this article.
November 24, 2016: Emergency Medicine Journal: EMJ
https://www.readbyqxmd.com/read/27872143/authors-response-predictors-of-patient-satisfaction-in-an-emergency-care-centre-in-central-saudi-arabia-a-prospective-study
#5
LETTER
Mostafa A Abolfotouh, Mohammed H Al-Assiri, Rabab T Alshahrani, Zainab M Almutairi, Raid A Hijazi, Ahmed S Alaskar
No abstract text is available yet for this article.
November 21, 2016: Emergency Medicine Journal: EMJ
https://www.readbyqxmd.com/read/27852652/chest-compression-fraction-in-ambulance-while-transporting-patients-with-out-of-hospital-cardiac-arrest-to-the-hospital-in-rural-taiwan
#6
Shih-Chang Hung, Ching-Yi Mou, Hung-Chang Hung, I-Hsiang Lin, Shih-Wei Lai, Jack YinChun Huang
INTRODUCTION: Maintaining the standard two-handed chest compression is difficult in high-speed ambulances in rural areas. METHODS: A retrospective, video-based, observational study was conducted from June to September 2013 in Nantou, a rural county of central Taiwan, to evaluate the chest compression fraction in an ambulance carriage during the travel from the scene to the hospital. The chest compression fraction was calculated as the chest compression time period divided by the ambulance travelling time period; the one-handed and two-handed chest compression fractions were also calculated...
November 15, 2016: Emergency Medicine Journal: EMJ
https://www.readbyqxmd.com/read/27852651/emergency-procedures-for-patients-with-a-continuous-flow-left-ventricular-assist-device
#7
Juliane Vierecke, Martin Schweiger, David Feldman, Evgenij Potapov, Friedrich Kaufmann, Lorenzo Germinario, Roland Hetzer, Volkmar Falk, Thomas Krabatsch
The number of ventricular assist devices (VADs) being implanted for terminal heart failure is rising at an exponential rate. These implanted patients have a decreased mortality, but still have significant morbidities, as the prevalence of these patients increases in the community. When VAD patients are discharged to home, they will very likely require emergency medical services (EMSs) and emergency medical doctors (EDs) with their future care. The interface of these patients with the community would suggest an increasing prevalence of encounters requiring the need for acute medical care...
November 15, 2016: Emergency Medicine Journal: EMJ
https://www.readbyqxmd.com/read/27803126/put-pressure-on-the-cricoid-pressure
#8
EDITORIAL
Patrick Schober, Lothar A Schwarte
No abstract text is available yet for this article.
November 1, 2016: Emergency Medicine Journal: EMJ
https://www.readbyqxmd.com/read/27793963/can-emergency-medicine-research-benefit-from-adaptive-design-clinical-trials
#9
Laura Flight, Steven A Julious, Steve Goodacre
BACKGROUND: Adaptive design clinical trials use preplanned interim analyses to determine whether studies should be stopped or modified before recruitment is complete. Emergency medicine trials are well suited to these designs as many have a short time to primary outcome relative to the length of recruitment. We hypothesised that the majority of published emergency medicine trials have the potential to use a simple adaptive trial design. METHODS: We reviewed clinical trials published in three emergency medicine journals between January 2003 and December 2013...
October 28, 2016: Emergency Medicine Journal: EMJ
https://www.readbyqxmd.com/read/27789568/exit-block-in-emergency-departments-a-rapid-evidence-review
#10
REVIEW
Suzanne Mason, Emma Knowles, Adrian Boyle
BACKGROUND: Exit block (or access block) occurs when 'patients in the ED requiring inpatient care are unable to gain access to appropriate hospital beds within a reasonable time frame'. Exit block is an increasing challenge for Emergency Departments (EDs) worldwide and has been recognised as a major factor in leading to departmental crowding. This paper aims to identify empirical evidence, highlighting causes, effects and strategies to limit exit block. METHODS: A computerised literature search was conducted of English language empirical evidence published between 2008 and 2014 using a combination of terms relating to exit block in ED...
October 27, 2016: Emergency Medicine Journal: EMJ
https://www.readbyqxmd.com/read/27789567/variables-associated-with-administration-of-analgesia-nurse-initiated-analgesia-and-early-analgesia-in-the-emergency-department
#11
David McD Taylor, Jessie Chen, Munad Khan, Marina Lee, Mani Rajee, Michael Yeoh, Joanna R Richardson, Antony M Ugoni
OBJECTIVE: To determine the patient and clinical variables associated with administration of any analgesia, nurse-initiated analgesia (NIA, prescribed and administered by a nurse) and early analgesia (within 30 min of presentation). METHODS: We undertook a retrospective cohort study of patients who presented to a metropolitan ED in Melbourne, Australia, during July and August, 2013. The ED has an established NIA programme. Patients were included if they were aged 18 years or more and presented with a painful complaint...
October 27, 2016: Emergency Medicine Journal: EMJ
https://www.readbyqxmd.com/read/27789565/is-there-a-weekend-effect-in-major-trauma
#12
David Metcalfe, Daniel C Perry, Omar Bouamra, Ali Salim, Fiona E Lecky, Maralyn Woodford, Antoinette Edwards, Matthew L Costa
BACKGROUND: Many previous studies have shown that patients admitted to hospital at weekends have worse outcomes than those on other days. It has been proposed that parity of clinical services throughout the week could mitigate the 'weekend effect'. This study aimed to determine whether or not a weekend effect is observed within an all-hours consultant-led major trauma service. METHODS: We undertook an observational cohort study using data submitted by all 22 major trauma centres (MTCs) in England to the Trauma Audit & Research Network...
October 27, 2016: Emergency Medicine Journal: EMJ
https://www.readbyqxmd.com/read/27797869/long-term-prognosis-after-out-of-hospital-resuscitation-of-cardiac-arrest-in-trauma-patients-prehospital-trauma-associated-cardiac-arrest
#13
François-Xavier Duchateau, Sophie Hamada, Mathieu Raux, Matthieu Gay, Jean Mantz, Catherine Paugam Burtz, Tobias Gauss
BACKGROUND: Although prehospital cardiac arrest (CA) remains associated with poor long-term outcome, recent studies show an improvement in the survival rate after prehospital trauma associated CA (TCA). However, data on the long-term neurological outcome of TCA, particularly from physician-staffed Emergency Medical Service (EMS), are scarce, and results reported have been inconsistent. The objective of this pilot study was to evaluate the long-term outcome of patients admitted to several trauma centres after a TCA...
October 26, 2016: Emergency Medicine Journal: EMJ
https://www.readbyqxmd.com/read/27797874/patient-satisfaction-may-need-to-be-weighed-by-patient-acuity-in-the-emergency-department
#14
LETTER
Amir Mirhaghi
No abstract text is available yet for this article.
October 25, 2016: Emergency Medicine Journal: EMJ
https://www.readbyqxmd.com/read/27797873/skin-and-soft-tissue-infection-management-failure-in-the-emergency-department-observation-unit-a-systematic-review
#15
Jeremy W Abetz, Nicholas G Adams, Biswadev Mitra
INTRODUCTION: Skin and soft tissue infections (SSTIs) are commonly treated in ED observation units (EDOUs). The management failure rate in this setting is high, as evidenced by a large proportion of patients requiring inpatient admission. This systematic review sought to quantify the management failure rate and identify risk factors associated with management failure. METHODS: Searches of six databases and grey literature were conducted with no limits on publication year or language...
October 25, 2016: Emergency Medicine Journal: EMJ
https://www.readbyqxmd.com/read/27797872/a-comparison-of-pain-assessment-by-physicians-parents-and-children-in-an-outpatient-setting
#16
Christina Brudvik, Svein-Denis Moutte, Valborg Baste, Tone Morken
INTRODUCTION: Our objective was to compare pain assessments by patients, parents and physicians in children with different medical conditions, and analyse how this affected the physicians' administration of pain relief. PATIENTS AND METHODS: This cross-sectional study involved 243 children aged 3-15 years treated at Bergen Accident and Emergency Department (ED) in 2011. The child patient's pain intensity was measured using age-adapted scales while parents and physicians did independent numeric rating scale (NRS) assessments...
October 25, 2016: Emergency Medicine Journal: EMJ
https://www.readbyqxmd.com/read/27797870/reasons-and-evolution-of-non-thrombolysis-in-acute-ischaemic-stroke
#17
T Reiff, P Michel
INTRODUCTION: Despite increasing evidence of its efficacy in advanced age or in mild or severe strokes, intravenous thrombolysis remains underused for acute ischaemic stroke (AIS). Our aim was to obtain an updated view of reasons for non-thrombolysis and to identify its changing patterns over time. METHODS: This is a retrospective study of prospectively collected data from the Acute Stroke Registry and Analysis of Lausanne (ASTRAL) from the years 2003-2011. Patients admitted with acute stroke in the past 24 hours who had not had thrombolysis were identified; reasons for non-thrombolysis documented in the prospectively entered data were tabulated and analysed for the group as a whole...
October 25, 2016: Emergency Medicine Journal: EMJ
https://www.readbyqxmd.com/read/27797871/procedural-sedation-in-the-emergency-department-by-dutch-emergency-physicians-a-prospective-multicentre-observational-study-of-1711-adults
#18
Gaël Jp Smits, Maybritt I Kuypers, Lisette Aa Mignot, Eef Pj Reijners, Erick Oskam, Karen Van Doorn, Wendy Amh Thijssen, Erik Hm Korsten
OBJECTIVE: To describe our experience performing ED procedural sedation in a country where emergency medicine (EM) is a relatively new specialty. METHODS: This is a prospective observational study of adult patients undergoing procedural sedation by emergency physicians (EPs) or EM residents in eight hospitals in the Netherlands. Data were collected on a standardised form, including patient characteristics, sedative and analgesic used, procedural success, adverse events (classified according to World SIVA) and rescue interventions...
October 21, 2016: Emergency Medicine Journal: EMJ
https://www.readbyqxmd.com/read/27737929/the-psychological-health-and-well-being-of-emergency-medicine-consultants-in-the-uk
#19
Katherine Fitzgerald, Philip Yates, Jonathan Benger, Adrian Harris
OBJECTIVE: To explore the experience of psychological distress and well-being in emergency medicine (EM) consultants. METHODS: A qualitative, interpretative phenomenological analysis (IPA) study based on 1:1 semistructured interviews with EM consultants working full time in EDs across South West England. Eighteen EM consultants were interviewed across five EDs, the mean (SD) age of participants being 43.17 (5.8) years. The personal meanings that participants attached to their experiences were inductively analysed...
October 13, 2016: Emergency Medicine Journal: EMJ
https://www.readbyqxmd.com/read/27729392/occupational-stress-in-the-ed-a-systematic-literature-review
#20
Subhashis Basu, Hasan Qayyum, Suzanne Mason
INTRODUCTION: Occupational stress is a major modern health and safety challenges. While the ED is known to be a high-pressure environment, the specific organisational stressors which affect ED staff have not been established. METHODS: We conducted a systematic review of literature examining the sources of organisational stress in the ED, their link to adverse health outcomes and interventions designed to address them. A narrative review of contextual factors that may contribute to occupational stress was also performed...
October 11, 2016: Emergency Medicine Journal: EMJ
journal
journal
20098
1
2
Fetch more papers »
Fetching more papers... Fetching...
Read by QxMD. Sign in or create an account to discover new knowledge that matter to you.
Remove bar
Read by QxMD icon Read
×

Search Tips

Use Boolean operators: AND/OR

diabetic AND foot
diabetes OR diabetic

Exclude a word using the 'minus' sign

Virchow -triad

Use Parentheses

water AND (cup OR glass)

Add an asterisk (*) at end of a word to include word stems

Neuro* will search for Neurology, Neuroscientist, Neurological, and so on

Use quotes to search for an exact phrase

"primary prevention of cancer"
(heart or cardiac or cardio*) AND arrest -"American Heart Association"