Showing papers in "Annals of Emergency Medicine in 2010"

TL;DR: Frequent ED users are a heterogeneous group along many dimensions and defy popular assumptions, and many frequent users present with true medical needs, which may explain why existing attempts to address the phenomena have had mixed success at best.

TL;DR: The most common conditions encountered in older patients, including delirium, dementia, falls, and polypharmacy, are reviewed, and a strategy based on the targeting of high-risk patients is proposed and examples of simple and efficient tools that are appropriate for ED use are provided.

TL;DR: A review of the current body of academic literature is presented, with the goal of identifying select high-impact front-end operational improvement solutions.

TL;DR: In this North American sample, there was no association between EMS intervals and mortality among injured patients with physiologic abnormality in the field.

TL;DR: Bedside ultrasonographic measurement of caval index greater than or equal to 50% is strongly associated with a low central venous pressure and could be a useful noninvasive tool to determine central venus pressure during the initial evaluation of the ED patient.

TL;DR: This study suggests that future research aimed at targeting methods to normalize high ScvO(2) values by therapies that improve microcirculatory flow or mitochondrial dysfunction may be warranted.

TL;DR: A minority of hospitals consistently achieved recommended wait times for all ED patients, and fewer than half of hospitals consistent admitted their ED patients within 6 hours.

TL;DR: The purpose of this article is to provide the most up-to-date evidence and collective thinking about the process and safety of handoffs between physicians in the ED, and provides a conceptual framework for handoffs and categorizes models of existing practices.

TL;DR: The use of data from a statewide narcotic registry frequently altered prescribing behavior for management of emergency department patients with complaints of nontraumatic pain.

TL;DR: Delirium in older ED patients is an independent predictor of increased 6-month mortality, and this relationship appears to be present regardless of nursing home status.

TL;DR: Antibiotics are not required for pediatric skin abscess resolution and may help prevent new lesions in the short term, but further studies are required.

TL;DR: The Utstein elements predict survival but account for only a modest portion of outcome variability overall and between Resuscitation Outcomes Consortium sites, which underscores the need for ongoing investigation to better understand characteristics that influence cardiac arrest survival.

TL;DR: This clinical policy from the American College of Emergency Physicians is an update of a 2000 clinical policy on the evaluation and management of patients presenting with nontraumatic acute abdominal pain.

TL;DR: Each of the data sources described in this article has unique advantages and disadvantages when used to examine patterns of ED care, making the different data sources appropriate for different applications.

TL;DR: In adults receiving ED propofol sedation, the addition of capnography to standard monitoring reduced hypoxia and provided advance warning for all hypoxic events.

TL;DR: Although sample size limits the external validity of the results, the substantial decrease of time to complete symptom relief suggests that this new treatment is likely effective as a pharmacotherapeutic approach to treat ACEi-induced angioedema.

TL;DR: After the incision and drainage of uncomplicated abscesses in adults, treatment with trimethoprim-sulfamethoxazole does not reduce treatment failure but may decrease the formation of subsequent lesions.

TL;DR: In the context of a community-wide focus on resuscitation, the sequential implementation of 2005 American Heart Association guidelines for compressions, ventilations, and induced hypothermia significantly improved survival after cardiac arrest.

TL;DR: Increased plasma NGAL concentrations measured on presentation to the ED in patients with suspected sepsis were associated with the development of acute kidney injury, and support NGAL as a promising new biomarker for acute kidneys injury is supported.

TL;DR: Intramuscular droperidol and midazolam resulted in a similar duration of violent and acute behavioral disturbance, but more additional sedation was required with midazlam.

TL;DR: Recent CT utilization in the emergency department of an inner-city, academic ED increased in all anatomic categories assessed, with chest CTs and neck CTs increasing the most, followed by abdomen-pelvisCTs, facial bone CTs, and head CTs.

TL;DR: Differences in study design and ECG interpretation may account for the variable prognostic performance of the San Francisco Syncope Rule when validated in different practice settings.

TL;DR: Emergency physician-performed 2-point compression ultrasonography of the lower extremity with a portable vascular ultrasonographic machine, conducted in the emergency department by this physician group and in this patient sample, accurately identified the presence and absence of proximalLower extremity deep venous thrombosis.

TL;DR: In this article, the authors describe the clinical problem of inadvertent epinephrine overdose and propose a potential solution to avoid inappropriate usage and unnecessary, potentially lethal complications in patients with anaphylaxis.

TL;DR: The test characteristics of emergency physician-performed bedside ultrasonography for the detection of acute cholecystitis are similar to the test characteristicsof radiology ultr Masonography.

TL;DR: It is found that emergency physician-to-hospitalist handoffs primarily consist of information giving and are not geared toward question-and-answer events, which may benefit from ongoing analysis and reformulation.

TL;DR: Current alcohol screening and brief intervention practices in emergency departments (EDs) at Level I and Level II trauma centers are lagging behind national guidelines, and although the majority of ED directors support the idea of alcohol screenings and intervention, these beliefs have not yet been translated to routine clinical care.

TL;DR: Medication errors in the ED are common, and most errors occur in the prescribing and administering phases, and boarded patient status, increasing number of medications orders, increasingNumber of medications administered, and part-time nursing status are associated with an increased risk of medication error.

TL;DR: Rescuer procedural experience is associated with improved patient survival after out-of-hospital tracheal intubation of cardiac arrest and medical nonarrest patients and is not associated with patient survival before and after this procedure.

TL;DR: It is suggested that in a wide variety of clinical settings, the use of bedside ultrasonography performed by emergency physicians as a diagnostic test for ectopic pregnancy provides excellent sensitivity and negative predictive value.