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Government blocked guidance that urged minimum staff ratios in emergency departments

Hospitals in England were told to implement minimum nurse to patient ratios in emergency departments, in guidance that was blocked from publication by the government.  
feeds.bmj.com
about 4 years ago
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Government blocked guidance that urged minimum staff ratios in emergency departments

Hospitals in England were told to implement minimum nurse to patient ratios in emergency departments, in guidance that was blocked from publication by the government.  
feeds.bmj.com
almost 4 years ago
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Skin Glue Reduces IV Failure Rate in the Emergency Department

Securing peripheral intravenous catheters with skin glue in the emergency department leads to lower failure rates, according to a new randomized trial.  
medscape.com
almost 4 years ago
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SGEM#144: That Smell of Isopropyl Alcohol for Nausea in the Emergency Department

Guest Skeptic: Meghan Groth (@EMPharmGirl). Meghan is the emergency medicine pharmacy specialist at the University of Vermont Medical Center, and an adjunct professor of pharmacy at the Albany College of Pharmacy and Health Sciences.  
thesgem.com
almost 4 years ago
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RCT of cognitive aids in EM airway

first the open access article! A randomised controlled trial of cognitive aids for emergency airway equipment preparation in a Paediatric Emergency Department Editor's note: A worthy study to advance checklist science for emergency medicine and airway management. My issues with it are lack of pragmatic patient oriented outcomes since it was a simulation test only.…  
prehospitalmed.com
almost 4 years ago
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ALiEM Bookclub: Bouncebacks! Emergency Department Cases: ED Returns

The ALiEM Bookclub discusses Bouncebacks! Emergency Department Cases: ED Returns, discussion with the ALiEM chief residents incubator and Dr. Weinstock  
aliem.com
almost 4 years ago
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Zika Virus: What emergency department providers need to know

Zika Virus: What emergency department providers need to know. Drs. Lauren Pike & Julian Villar summarize key findings and resources for the ED perspective.  
aliem.com
almost 4 years ago
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Emergency Departments: Quality Metrics Present Challenges

Return visits to the emergency department may not be a meaningful measure of quality care, according to a new retrospective analysis of visits to emergency departments in Florida and New York in 2013.  
medscape.com
almost 4 years ago
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A podcast on strep pharyngitis? Sure!

This may be a bit hard to swallow, but not every disease process in the Emergency Department is exciting. Streptococcal pharyngitis is an incredibly common condition, especially in the Pediatric Emergency Department and I wanted to take this opportunity to answer some common questions. Who knows, perhaps after listening to this edition of PEM Currents you too will start treating strep throat with once a day dosing of Amoxicillin.  
pemcincinnati.com
almost 4 years ago
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Palliative Care in the Emergency Department: A Practical Overview of Why and How - emdocs

The role of palliative medicine in emergency care has received increasing attention since ACEP’s decision in February of 2013 to join the American Board of Internal Medicine (ABIM) Foundation’s Choosing Wisely ® initiative.1-3 In an effort to maintain (and potentially improve) quality of care while reducing costs, ACEP identified discussions regarding hospice and palliative medicine (HPM) as one of ten opportunities for ED providers and their patients to eliminate low-yield and possibly harmful testing and treatments.4 The explicit directive is “Don’t delay engaging available palliative and hospice care services in the emergency department for patients likely to benefit.” 4 A number of resources have been developed to aid ED providers with such efforts. These include the Improving Palliative Medicine in Emergency Medicine (IPAL-EM) project through the Center to Advance Palliative Care (CAPC) 5 and the Education in Palliative and End-of-life Care for Emergency Medicine (EPEC®-EM) curriculum. 6 Of note, EM residency trained physicians are eligible to complete many HPM fellowships and may subsequently obtain HPM board certification. However, gaining such a high-level of expertise is not necessary. The following discussion addresses how simple, fundamental skills in HPM can significantly enhance your practice in emergency medicine.  
emdocs.net
almost 4 years ago
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Updates on Recommendations for STI Treatments & Empiric Therapy: When to Treat and What to Treat Depending on your Patient - emdocs

It is essential for Emergency Physicians to know the standard of care for sexually transmitted infection (STI) treatments, as patients often present to Emergency Departments for evaluation and treatment shortly after exposure to these diseases. The Emergency Department provides patients with rapid screening, diagnosis, treatment regimens, and access to outpatient follow up.  
emdocs.net
almost 4 years ago
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Lessons Learned | EMBlog Mayo Clinic

Lessons Learned is a quality educational tool developed at Mayo Clinic's Emergency Department. The goal is to learn from issues identi…  
emblog.mayo.edu
almost 4 years ago
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Double Trouble - INTENSIVE

You are the ICU registrar on call and asked to attend the Emergency Department to assist with a hypotensive patient who was GCS 15.  
intensiveblog.com
almost 4 years ago
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Identifying Complete Heart Block and the use of Temporary Cardiac Pacing in the Emergency Department - emdocs

Third degree, or complete, heart block indicates complete dissociation between the atria and the ventricles. It is a cardiac emergency that has numerous causes including primary cardiac, electrolyte and medication toxicity. It needs to be managed with emergent pacing, either trancutaneous or transvenous. This article describes complete heart block and its management.   
emdocs.net
almost 4 years ago
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Intranasal ketamine for the treatment of patients with acute pain in the emergency department

Intranasal ketamine for the treatment of patients with acute pain in the emergency department  
prehospitalmed.com
almost 4 years ago
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Program Curbs ED Visits, Admissions for Behavioral Problems

A fledgling program in the state of New Jersey has reduced emergency department visits and hospitalizations for long-term-care residents with behavioral problems.  
medscape.com
almost 4 years ago
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Restless leg syndrome in the emergency department: Things I [...] | EMBlog Mayo Clinic

Restless leg syndrome (RLS) is a surprisingly common and distressing condition that affects about 2-3% of the general population. Yet, …  
emblog.mayo.edu
almost 4 years ago
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Communication From Urgent Care to the Emergency Department

When patients are referred from urgent care centers to the ED, communication between the two is often lacking. What can be done to improve the hand-off?  
medscape.com
almost 4 years ago