Emergency Department Current Events

Emergency Department Current Events, Emergency Department News Articles.
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Better tools needed to detect delirium in ERs
Delirium is an acute confusional state that often results in increased mortality and long hospital stays for the elderly. While it can often be reversed by treatment of the underlying cause, it must first be identified. Dr. Michel Elie and colleaugues report this is difficult to do for patients presenting to emergency departments due to the inadequacy of current detection methods. (2000-10-15)

Doctors' orders lost in translation
When patients are discharged from the emergency department, their recovery depends on carefully following the doctors' instructions for their post care at home. Yet a vast majority of patients don't fully understand what they are supposed to do, and most are not even aware of the chasm in their understanding. A researcher at Northwestern's Feinberg School of Medicine found more than three-quarters of patients do not fully understand the care and discharge instructions they receive in the emergency department. (2008-07-17)

Freeing up the ER for real emergencies
In their study of emergency room use at St. Paul's Hospital in downtown Vancouver, Dorothy Pope, Christopoher Fernandes, France Bouthillette and Jeremy Etherington found that 24 patients visited the emergency department 616 times during the course of one year. To help alleviate this problem, the authors devised care plans for frequent emergency room patients to be treated in the community setting. (2000-04-03)

Infectious diseases bring millions of elderly to emergency departments each year
Investigators estimate that during 2012, there were more than 3.1 million emergency department visits for infectious diseases among elderly US adults. (2016-01-04)

Low-dose ketamine may be an effective alternative to opioids
Opioids are commonly prescribed in the emergency department (ED) for the treatment of acute pain, but due to the epidemic of opioid misuse, analgesic alternatives are being explored. A new Academic Emergency Medicine analysis of relevant studies found that low-dose ketamine is as effective as opioids for the control of acute pain in the ED. (2018-07-18)

ER patients with substance abuse treatment need incur higher health care costs
Emergency department patients with unmet substance abuse treatment need generate much higher hospital and emergency department charges than patients without such need, according to a new study to be published Dec.20 as an advance online publication of Annals of Emergency Medicine. (2004-12-20)

Patients with heart failure have lower risk of death, hospital admission if seen by physician in first 7 days after emergency department discharge
For patients who receive emergency department care for heart failure, early follow-up by a physician within seven days after emergency department discharge is associated with lower rates of death or admissions to hospital, according to research published in CMAJ (Canadian Medical Association Journal). (2018-12-17)

Dying cancer patient visits to emergency departments can be avoided
Many visits by dying cancer patients to the emergency department can be avoided with effective palliative care, states an article in the Canadian Medical Association Journal. In Ontario, about 40 percent of cancer patients visit the emergency department in the last two weeks of life. (2010-03-15)

In ED patients with chest and abdominal pain, care delivered by physicians and APPs is si
In patients matched on complexity and acuity presenting to the emergency department with chest pain and abdominal pain, the care delivered by advanced practice providers (APPs) and emergency physicians is largely similar with respect to diagnostic test ordering and admission decisions. (2021-01-25)

Trainee earns prestigious emergency medicine research award
University of Louisville Pediatric Emergency Department fellow Alyssa Turner, M.D., has been awarded the Willis Wingert Award for her platform presentation at the American Academy of Pediatrics annual meeting. Her paper, (2011-11-18)

Frequent users of emergency care more than twice as likely to die or be admitted
Frequent users of emergency care are more than twice as likely as infrequent users to die, be admitted to hospital, or require other outpatient treatment, concludes an analysis of the available evidence, published online in Emergency Medicine Journal. (2015-05-07)

Haloperidol as adjunctive therapy superior to placebo for acute gastroparesis symptoms
Haloperidol is an effective first-line agent in combination with standard analgesic and antiemetic agents for the treatment of gastroparesis in the emergency department. (2017-10-25)

Needle-exchange program found to reduce emergency room visits among intravenous drug users
Study found that a needle-exchange program in the New Haven, Connecticut area reduced emergency department use among high-risk injection drug users. (2002-06-27)

Vanderbilt study finds hypertension-related visits to emergency rooms on rise in US
The number and percentage of patients treated at emergency departments for hypertension are on the rise across the United States, according to a Vanderbilt University Medical Center study published recently in the American Journal of Cardiology. (2015-12-21)

The uninsured turn to the emergency department for dental complaints
Emergency departments often provide care for dental emergencies, and usually those patients with dental complaints are uninsured or publicly insured (Medicaid), according to a new study to be published in the July 2003 Annals of Emergency Medicine. (2003-06-26)

US emergency departments face serious drug shortages
A new study reveals that drug shortages affecting emergency care have skyrocketed in the United States in recent years. While the prevalence of such shortages fell from 2002 to 2007; the number of shortages sharply increased by 373 percent (from 26 to 123) from 2008 to 2014. (2016-01-04)

Seniors with more continuity of care use the ER less
Seniors with traditional Medicare coverage who have more continuity of care -- defined as consistently seeing the same physician in an outpatient setting -- have lower chances of visiting an emergency department, according to the results of a study published online earlier this month in Annals of Emergency Medicine ('Relationship Between Continuity of Ambulatory Care and Risk of Emergency Department Episodes Among Older Adults'). (2016-08-24)

Ketamine for the difficult-to-sedate ER patient
For the small segment of the emergency population whose acute behavioral disturbance does not respond to traditional sedation, ketamine appears to be effective and safe, according to an Australian study published online last Thursday in Annals of Emergency Medicine. (2016-02-24)

Study seeks to improve screening for falls in emergency departments
When individuals visit the emergency department after falling, they may receive a diagnosis reflecting the injury sustained -- such as fractures, contusions, etc. -- without mention of how the injury came about. (2017-06-21)

Annals of Emergency Medicine study shows declining trend in emergency department payments
New study shows an overall declining trend in emergency care payments, with the most significant payment decline noted among the privately insured. (2003-02-26)

Jefferson physician named 2010 Emergency Department Director of the Year
Rex G. Mathew, M.D., F.A.C.E.P., vice president of emergency medicine clinical operations at Thomas Jefferson University Hospital has been named the Emergency Department Director of the Year by the Emergency Medicine Foundation and Blue Jay Consulting. Dr. Mathew will receive his award at the American College of Emergency Physicians Emergency Department Director's Academy on April 26. (2010-04-02)

Critical care bypass in emergency rooms
In this issue of the Canadian Medical Association Journal, Anne Walker examines the policies of critical care bypass in a legal framework, reviewing the concept of duty to care as it relates to emergency physicians. (2002-02-18)

Low health literacy is associated with preventable emergency department visits
Low health literacy is a risk factor for potentially preventable emergency department (ED) visits, particularly those that result in hospital admission. (2017-08-31)

Many alcohol-related injuries occur at home
Of all alcohol-related injuries in various public hospital emergency departments in Queensland, Australia, more occurred at home than at licensed premises. (2016-10-13)

Pediatrics: Kids need specialized care in hospital emergency departments
According to a recent IOM report, only 6 percent of US hospital emergency departments are fully equipped to properly care for children. With high rates of novel H1N1 (swine) flu expected this winter, the time to address these deficiencies is immediate. In a joint policy statement published in Pediatrics, (2009-09-21)

One in 3 older patients die following emergency department intubation
A new study by researchers at Brigham and Women's Hospital investigated the outcomes for patients aged 65 and older after emergency department intubation across a variety of conditions and disease. Their results are published in Journal of the American Geriatrics Society. (2018-04-04)

UK licensing law changes have trebled overnight alcohol related visits to emergency care
Changes to the UK licensing laws have trebled the number of overnight visits to emergency care for alcohol related problems, reveals research in Emergency Medicine Journal. The new licensing law, which allows alcohol to be available around the clock, took effect in November 2005. (2007-07-18)

Falls lead to declines in seniors
More than half of elderly patients (age 65 and older) who visited an emergency department because of injuries sustained in a fall suffered adverse events -- including additional falls, hospitalization and death -- within 6 months. The results of a study examining how risk factors predict recurrent falls and adverse events were published online yesterday in Annals of Emergency Medicine ('Revisit, Subsequent Hospitalization, Recurrent Fall and Death within 6 Months after a Fall among Elderly Emergency Department Patients'). (2017-07-06)

New data on overcrowding crisis finds critically ill flooding emergency departments
A new study to be published in the April 2002 Annals of Emergency Medicine on emergency department use and capacity in California, sheds light on the overcrowding problem nationwide and provides the first objective data on this crisis in the United States. (Trends in the Use and Capacity of California's Emergency Departments, 1990-1999). (2002-03-28)

First come, first served?
Emergency department overcrowding can result in long waiting times for seriously ill patients. They then compete with patients with less severe illnesses for the next available treatment. In this edition of Deutsches Arzteblatt International, Michael Christ and his coauthors provide an overview of current practice for initial assessment of emergency patients. (2010-12-30)

Psychiatric emergency patients in Massachusetts wait longest for hospital beds
Patients having mental health emergencies who require hospital admission wait nearly four times longer for an inpatient bed than their medical counterparts and more than five times as long for transfer to another facility, according to a study published online today in Annals of Emergency Medicine ('Analysis of Emergency Department Length of Stay for Mental Health Patients at Ten Massachusetts Emergency Departments'). (2017-01-04)

New study: nearly half of US medical care comes from emergency rooms
Nearly half of all US medical care is delivered by emergency departments, according to a new study by researchers at the University of Maryland School of Medicine. In recent years, the percentage of care delivered by emergency departments has grown. The paper highlights the major role played by emergency rooms in US health care. (2017-10-17)

Emergency care may be failing to spot future suicidal patients
Emergency care may be failing to spot patients at risk of suicide, many of whom use these services in the year leading up to their death, suggests a small study published online in Emergency Medicine Journal. (2010-07-26)

Patients with asthma give doctors their thoughts on treatment goals
There is increasing emphasis on the importance of measuring patient-centered outcomes of emergency care; however, the existing and most commonly used discharge metrics, which were developed outside of the emergency department setting, have limited applicability to emergency care and fail to capture the concepts that are most important to patients and families. (2017-04-21)

3-fold risk of infection for elderly after emergency department visits
A visit to the emergency department during non-summer months was associated with a three-fold risk of acute respiratory or gastrointestinal infection in elderly residents of long-term care facilities, according to a study in CMAJ. (2012-01-23)

Decreasing mental health services increases mental health emergencies
Countywide reductions in psychiatric services -- both inpatient and outpatient -- led to more than triple the number of emergency psychiatric consults and 55 percent increases in lengths of stay for psychiatric patients in the emergency department. The before and after study of the impact of decreasing county mental health services was published online Friday in Annals of Emergency Medicine ('Impact of Decreasing County Mental Health Services on the Emergency Medicine'). (2015-11-19)

Most unscheduled hospital admissions now come through the ER
More than three-quarters of unscheduled admissions to the hospital now come through the emergency department, which is a sharp increase from the previous decade when only 64.5 percent of unscheduled admissions came through the ER. (2013-06-20)

Illegal drug use could account for 1 million visits a year to emergency care in England
Illegal drug use could account for up to 1 million visits a year to emergency care departments and 400,000 admissions to hospital in England, suggests research in Emergency Medicine Journal. (2005-11-16)

Patients who get opioids in the ER are less likely to use them long-term
Compared to other medical settings, emergency patients who are prescribed opioids for the first time in the emergency department are less likely to become long-term users and more likely to be prescribed these powerful painkillers in accordance with The Centers for Disease Control and Prevention (CDC) guidelines. A paper analyzing 5.2 million prescriptions for opioids is being published online today in Annals of Emergency Medicine. (2017-09-26)

Gender, racial, and ethnic disparities persist in academic emergency medicine
Gender, racial, and ethnic disparities, with regard to academic rank and compensation, continue to exist among academic emergency medicine physicians in spite of a move by leading organizations of emergency medicine to prioritize increasing diversity. (2017-09-26)

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