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10 papers 0 to 25 followers A small collection of articles to promote Read and SHIRP at the Saskatchewan Emergency Medicine Annual Conference 2016
Baruch S Krauss, Lorenzo Calligaris, Steven M Green, Egidio Barbi
Pain is common in children presenting to emergency departments with episodic illnesses, acute injuries, and exacerbation of chronic disorders. We review recognition and assessment of pain in infants and children and discuss the manifestations of pain in children with chronic illness, recurrent pain syndromes, and cognitive impairment, including the difficulties of pain management in these patients. Non-pharmacological interventions, as adjuncts to pharmacological management for acute anxiety and pain, are described by age and development...
January 2, 2016: Lancet
Samina Ali, Laura E Weingarten, Janeva Kircher, Kathryn Dong, Amy L Drendel, Rhonda J Rosychuk, Sarah Curtis, Amanda S Newton
OBJECTIVES: We explored caregiver perspectives on their children's pain management in both a pediatric (PED) and general emergency department (GED). Study objectives were to: (1) measure caregiver estimates of children's pain scores and treatment; (2) determine caregiver level of satisfaction; and (3) determine factors associated with caregiver satisfaction. METHODS: This prospective survey examined a convenience sample of 97 caregivers (n=51 PED, n=46 GED) with children aged <17 years...
March 2016: CJEM
Adam Bretholz, Quynh Doan, Adam Cheng, Gillian Lauder
OBJECTIVES: Fracture pain in the pediatric emergency department generally is treated with systemic analgesia using opioids. Fracture pain can alternatively be controlled with ultrasound (U/S)-guided nerve blocks for which only minimal training is available to pediatric emergency medicine physicians. This study evaluated the effects of a Web- and half-day simulation-based U/S course. Outcome measures were physician comfort level with and intention to use U/S-guided nerve blocks in clinical practice...
June 2012: Pediatric Emergency Care
Vincent Cheng, Kenji Inaba, Megan Johnson, Saskya Byerly, Yue Jiang, Kazuhide Matsushima, Tobias Haltmeier, Elizabeth Benjamin, Lydia Lam, Demetrios Demetriades
BACKGROUND: A disproportionately high percentage of trauma patients use controlled substances, and they often co-ingest multiple drugs. Previous studies have evaluated the effect of individual drugs on clinical outcomes after trauma. However, the impact of all drugs included in a comprehensive screening panel has not yet been compared in a single cohort of patients. METHODS: All trauma patients who underwent urine drug screens after admission to the LAC + USC Medical Center (January 2008-June 2015) were identified retrospectively...
November 2016: Journal of Trauma and Acute Care Surgery
Mark Rosenberg, Lynne Rosenberg
This article presents an overview of the complex needs of older patients presenting to the emergency department for care. Discussion points for hospital communities considering emergency services to accommodate the aging population are highlighted. The essential components of a geriatric emergency department, including transition of care strategies, are reviewed.
August 2016: Emergency Medicine Clinics of North America
Katherine Louise Welker, Mark B Mycyk
The aging population of the United States creates pharmaceutical challenges for the practicing emergency physician. Polypharmacy, drug-drug and drug-disease interactions, and other pharmaceutical complications from the pathophysiologic changes associated with aging need to be recognized in order to optimize outcomes in the elderly. Effective strategies that improve patients outcomes include a better understanding of the physiologic and pharmacologic changes that occur with aging, integrated use of clinical emergency department pharmacists, and choosing nonpharmacologic treatment options when possible...
August 2016: Emergency Medicine Clinics of North America
Taft Micks, Kyle Sue, Peter Rogers
Over the past few decades, point-of-care ultrasound (PoCUS) has come to play a major role in the practice of emergency medicine. Despite its numerous benefits, there has been a slow uptake of PoCUS use in rural emergency departments. Surveys conducted across Canada and the United States have identified a lack of equipment, training, funding, quality assurance, and an inability to maintain skills as major barriers to PoCUS use. Potential solutions include expanding residency training in ultrasound skills, extending funding for PoCUS training to rural physicians in practice, moving PoCUS training courses to rural sites, and creating telesonography training for rural physicians...
November 2016: CJEM
Charlotte J Haug, Marie Paule Kieny, Bernadette Murgue
"There are many viruses that have similar characteristics to dengue, yellow fever, and Zika that have the potential to emerge. We don’t know why Zika emerged now. But we know how to develop surveillance systems that will allow us to pick these viruses up if they start to move as Zika has." This..
May 12, 2016: New England Journal of Medicine
Chad S Kessler, Kashyap Komarraju Tadisina, Mark Saks, Doug Franzen, Rob Woods, Kenny V Banh, Richard Bounds, Michael Smith, Nicole Deiorio, Alan Schwartz
BACKGROUND: Effective communication is critical for health care professionals, particularly in the Emergency Department (ED). However, currently, there is no standardized consultation model that is consistently practiced by physicians or used for training medical graduates. Recently, the 5Cs of Consultation model (Contact, Communicate, Core Question, Collaborate, and Close the Loop) has been studied in Emergency Medicine residents using simulated consultation scenarios. OBJECTIVE: Using an experimental design, we aimed to evaluate the efficacy of the 5Cs consultation model in a novel learner population (medical students) and in a "real time and real world" clinical setting...
November 2015: Journal of Emergency Medicine
Katja Goldflam
Elbow and forearm injuries result most commonly from direct blows to the area, or from fall on outstretched hand. The elbow may be injured if it is locked at the time of impact. Elbow or forearm bone dislocations may occur alone or in conjunction with fractures and generally require reduction to minimize future morbidity. The primary goal of management is to achieve anatomic reduction of any fracture or dislocation, while allowing for early range of motion to minimize future morbidity, including in particular elbow stiffness and consequently limited mobility of the joint...
May 2015: Emergency Medicine Clinics of North America
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