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Procedural sedation EM department

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...
April 2017: Emergency Medicine Journal: EMJ
Siobhán McCoy, Mark D Lyttle, Stuart Hartshorn, Philip Larkin, Maria Brenner, Ronan O'Sullivan
INTRODUCTION: There is extensive literature on paediatric procedural sedation (PPS) and its clinical applications in emergency departments (EDs). While numerous guidance and policy documents exist from international bodies, there remains a lack of uniformity and consistency of PPS practices within EDs. PPS is now gaining traction in the UK and Ireland and this study aimed to describe existing PPS practices and identify any challenges to training and provision of ED-based PPS. METHODS: A qualitative approach was employed to capture data through a focus group interview...
August 2016: Emergency Medicine Journal: EMJ
Magdalena E Cudny, N Ewen Wang, Sandra L Bardas, Carolyn N Nguyen
PURPOSE: To determine the agents used by emergency medicine (EM) physicians in pediatric procedural sedation and the associated adverse events (AEs) and to provide recommendations for optimizing drug therapy in pediatric patients. METHODS: We conducted a prospective study at Stanford Hospital's pediatric emergency department (ED) from April 2007 to April 2008 to determine the medications most frequently used in pediatric procedural sedation as well as their effectiveness and AEs...
February 2013: Hospital Pharmacy
Rovina Fiona Pinto, Munsif Bhimani, William Ken Milne, Kathryn Nicholson
INTRODUCTION: Several agents can be administered during procedural sedation and analgesia (PSA) in the emergency department (ED). The purpose of this study was to determine the PSA agents commonly used by physicians working in nontertiary EDs, and to assess the physicians' comfort level administering the agents as well as their knowledge of adverse effects of the agents. METHODS: We distributed a confidential electronic survey to physicians working in nontertiary EDs in southwestern Ontario...
2013: Canadian Journal of Rural Medicine
Kevin J Biese, Cory R Forbach, Richard P Medlin, Timothy F Platts-Mills, Matthew J Scholer, Brenda McCall, Frances S Shofer, Michael LaMantia, Cherri Hobgood, J S Kizer, Jan Busby-Whitehead, Charles B Cairns
OBJECTIVES: An estimated 14% to 25% of all scientific studies in peer-reviewed emergency medicine (EM) journals are medical records reviews. The majority of the chart reviews in these studies are performed manually, a process that is both time-consuming and error-prone. Computer-based text search engines have the potential to enhance chart reviews of electronic emergency department (ED) medical records. The authors compared the efficiency and accuracy of a computer-facilitated medical record review of ED clinical records of geriatric patients with a traditional manual review of the same data and describe the process by which this computer-facilitated review was completed...
June 2013: Academic Emergency Medicine: Official Journal of the Society for Academic Emergency Medicine
Emma Lawrey, Peter Jones, Robin Mitchell
OBJECTIVE: Prosthetic hip dislocation is common. This study compares prosthetic hip relocations attempted within the ED by emergency doctors and those under orthopaedic care in the ED or operating theatre (OT). METHODS: Retrospective cohort study of patients presenting to Auckland City Hospital Adult Emergency Department with prosthetic hip dislocations between 1 January 2003 and 14 April 2008. Primary outcomes were proportion of successful relocation attempts and length of hospital stay...
April 2012: Emergency Medicine Australasia: EMA
Michael C Wadman, Benjamin Fago, Lance H Hoffman, T Paul Tran, Robert L Muelleman
INTRODUCTION: Strategies for increasing the numbers of American Board of Emergency Medicine certified/emergency medicine (EM) residency trained physicians practicing in rural emergency departments (EDs) include providing rural EM experiences during residency training. However, no studies to date describe the clinical work of EM residents rotating in a rural ED. The objective of the study was to compare the clinical experience of EM residents participating in a rural ED rotation with that on an urban university-based ED rotation...
April 2010: Rural and Remote Health
G Innes, M Murphy, C Nijssen-Jordan, J Ducharme, A Drummond
Procedural sedation and analgesia are core skills in emergency medicine. Various specialty societies have developed guidelines for procedural sedation, each reflecting the perspective of the specialty group. Emergency practitioners are most likely to embrace guidelines developed by people who understand emergency department (ED) skills, procedures, conditions, and case mix. Recognizing this, the Canadian Association of Emergency Physicians (CAEP) determined the need to establish guidelines for procedural sedation in the ED...
January 1999: Journal of Emergency Medicine
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