MedWorm.com provides a medical RSS filtering service. Over 6000 RSS medical sources are combined and output via different filters. This feed contains the latest items from the 'Accident and Emergency Nursing' source. Wed, 08 Feb 2012 14:35:35 +0100 http://www.medworm.com/index.php?rid=5643891&cid=s_28224_14_f&fid=28224&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22273399%26dopt%3DAbstract Authors: Veysman BD PMID: 22273399 [PubMed - as supplied by publisher] (Source: Accident and Emergency Nursing) Accident and Emergency Nursing journals http://www.medworm.com/rss/comments.php?id=5643891 Tue, 24 Jan 2012 05:00:00 +0100 5643891 http://www.medworm.com/index.php?rid=5643890&cid=s_28224_14_f&fid=28224&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22273441%26dopt%3DAbstract Authors: Zw. M PMID: 22273441 [PubMed - as supplied by publisher] (Source: Accident and Emergency Nursing) Accident and Emergency Nursing journals http://www.medworm.com/rss/comments.php?id=5643890 Tue, 24 Jan 2012 05:00:00 +0100 5643890 http://www.medworm.com/index.php?rid=5643889&cid=s_28224_14_f&fid=28224&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22273462%26dopt%3DAbstract Authors: Clyne B PMID: 22273462 [PubMed - as supplied by publisher] (Source: Accident and Emergency Nursing) Accident and Emergency Nursing journals http://www.medworm.com/rss/comments.php?id=5643889 Tue, 24 Jan 2012 05:00:00 +0100 5643889 http://www.medworm.com/index.php?rid=5643888&cid=s_28224_14_f&fid=28224&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22273475%26dopt%3DAbstract Conclusions:  Both first-attempt and ultimate success rates were higher with GlideScope intubations in the ED when the rigid stylet was used compared to the malleable stylet. The number of complications and, in particular, the incidence of oxygen desaturation were lower in the GRS group than in the SMS group. The two stylet groups were similar regarding difficulty of the airway and experience level of the operator. PMID: 22273475 [PubMed - as supplied by publisher] (Source: Accident and Emergency Nursing) Accident and Emergency Nursing journals http://www.medworm.com/rss/comments.php?id=5643888 Tue, 24 Jan 2012 05:00:00 +0100 5643888 http://www.medworm.com/index.php?rid=5580135&cid=s_28224_14_f&fid=28224&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22221292%26dopt%3DAbstract Conclusions:  Frequent users accounted for a moderate proportion of visits at the Lausanne ED. Social and medical vulnerability factors were associated with frequent ED use. In addition, frequent users were more likely to have both social and medical vulnerabilities than were other patients. Case management strategies might address the vulnerability factors of frequent users to prevent inequities in health care and related costs. PMID: 22221292 [PubMed - as supplied by publisher] (Source: Accident and Emergency Nursing) Accident and Emergency Nursing journals http://www.medworm.com/rss/comments.php?id=5580135 Thu, 05 Jan 2012 05:00:00 +0100 5580135 http://www.medworm.com/index.php?rid=5580134&cid=s_28224_14_f&fid=28224&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22221321%26dopt%3DAbstract Conclusions:  Plasma calprotectin and serum/urine LRG are elevated in pediatric appendicitis. No individual marker performed as well as the WBC count. PMID: 22221321 [PubMed - as supplied by publisher] (Source: Accident and Emergency Nursing) Accident and Emergency Nursing journals http://www.medworm.com/rss/comments.php?id=5580134 Thu, 05 Jan 2012 05:00:00 +0100 5580134 http://www.medworm.com/index.php?rid=5580133&cid=s_28224_14_f&fid=28224&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22221346%26dopt%3DAbstract Conclusions:  These data indicate that short-term memory appears to decline after day and overnight shifts and confirms the high incidence of disturbed sleep in this population. PMID: 22221346 [PubMed - as supplied by publisher] (Source: Accident and Emergency Nursing) Accident and Emergency Nursing journals http://www.medworm.com/rss/comments.php?id=5580133 Thu, 05 Jan 2012 05:00:00 +0100 5580133 http://www.medworm.com/index.php?rid=5580132&cid=s_28224_14_f&fid=28224&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22221391%26dopt%3DAbstract Authors: Coates WC Abstract ACADEMIC EMERGENCY MEDICINE 2012; 19:1-6 © 2012 by the Society for Academic Emergency Medicine ABSTRACT: The benefits of mentorship for the protégé are well established and include increased career satisfaction, advancement, and income. Mentors can derive satisfaction from personal and professional networks within their institutions and specialties. However, the advantages of being a mentor are underreported in the medical literature. The purpose of this review is to investigate the effect of the mentoring relationship on the mentors and institutions in disciplines that have studied it widely and to draw parallels to academic medicine. Literature in the fields of business, organizational psychology, and kindergarten through high school (K-12) educatio... Accident and Emergency Nursing journals http://www.medworm.com/rss/comments.php?id=5580132 Thu, 05 Jan 2012 05:00:00 +0100 5580132 http://www.medworm.com/index.php?rid=5580131&cid=s_28224_14_f&fid=28224&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22221415%26dopt%3DAbstract Conclusions:  In patients presenting with acute right lower quadrant abdominal pain, we found the investigational enzyme-linked immunosorbent assay (ELISA) test for S100A8/A9 to perform with high sensitivity but very limited specificity. We found that shipping effect and delay in analysis resulted in a subsequent rise in test values, thereby increasing the sensitivity and decreasing the specificity of the test. Further investigation with hospital-based laboratory analyzers is the next critical step for determining the ultimate clinical utility of the ELISA test for S100A8/A9 in ED patients presenting with acute right lower quadrant abdominal pain. PMID: 22221415 [PubMed - as supplied by publisher] (Source: Accident and Emergency Nursing) Accident and Emergency Nursing journals http://www.medworm.com/rss/comments.php?id=5580131 Thu, 05 Jan 2012 05:00:00 +0100 5580131 http://www.medworm.com/index.php?rid=5580130&cid=s_28224_14_f&fid=28224&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22221975%26dopt%3DAbstract Conclusions:  These results suggest that a standardized questionnaire may contribute to ruling out tubal rupture in patients with EP. PMID: 22221975 [PubMed - as supplied by publisher] (Source: Accident and Emergency Nursing) Accident and Emergency Nursing journals http://www.medworm.com/rss/comments.php?id=5580130 Thu, 05 Jan 2012 05:00:00 +0100 5580130 http://www.medworm.com/index.php?rid=5580129&cid=s_28224_14_f&fid=28224&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22222043%26dopt%3DAbstract Conclusions:  Urinary metabolites found at the time of presentation may be markers of early renal injury. It is therefore possible that the process of renal injury is initiated prior to ED arrival in patients with suspected heart failure, and these may be used to identify a high-risk patient population. PMID: 22222043 [PubMed - as supplied by publisher] (Source: Accident and Emergency Nursing) Accident and Emergency Nursing journals http://www.medworm.com/rss/comments.php?id=5580129 Thu, 05 Jan 2012 05:00:00 +0100 5580129 http://www.medworm.com/index.php?rid=5567313&cid=s_28224_14_f&fid=28224&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22211429%26dopt%3DAbstract Conclusions:  Among our sample of more than 3,000 hospitals, the ESI was the most commonly used triage system, and more patients were triaged using the ESI than any other triage acuity system. Still, there is an opportunity to further promote the adoption of validated, reliable triage systems. PMID: 22211429 [PubMed - as supplied by publisher] (Source: Accident and Emergency Nursing) Accident and Emergency Nursing journals http://www.medworm.com/rss/comments.php?id=5567313 Fri, 23 Dec 2011 05:00:00 +0100 5567313 http://www.medworm.com/index.php?rid=5567312&cid=s_28224_14_f&fid=28224&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22211463%26dopt%3DAbstract Conclusions:  The incidence of specific technical errors of EPs learning to perform FAST at our institution improved with hands-on experience. Interpretive skills improved more rapidly than image acquisition skills. PMID: 22211463 [PubMed - as supplied by publisher] (Source: Accident and Emergency Nursing) Accident and Emergency Nursing journals http://www.medworm.com/rss/comments.php?id=5567312 Fri, 23 Dec 2011 05:00:00 +0100 5567312 http://www.medworm.com/index.php?rid=5567311&cid=s_28224_14_f&fid=28224&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22211511%26dopt%3DAbstract Authors: Kessler CS PMID: 22211511 [PubMed - as supplied by publisher] (Source: Accident and Emergency Nursing) Accident and Emergency Nursing journals http://www.medworm.com/rss/comments.php?id=5567311 Fri, 23 Dec 2011 05:00:00 +0100 5567311 http://www.medworm.com/index.php?rid=5567310&cid=s_28224_14_f&fid=28224&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22211534%26dopt%3DAbstract Authors: Nestor E PMID: 22211534 [PubMed - as supplied by publisher] (Source: Accident and Emergency Nursing) Accident and Emergency Nursing journals http://www.medworm.com/rss/comments.php?id=5567310 Fri, 23 Dec 2011 05:00:00 +0100 5567310 http://www.medworm.com/index.php?rid=5567309&cid=s_28224_14_f&fid=28224&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22211588%26dopt%3DAbstract Authors: Gaur S PMID: 22211588 [PubMed - as supplied by publisher] (Source: Accident and Emergency Nursing) Accident and Emergency Nursing journals http://www.medworm.com/rss/comments.php?id=5567309 Fri, 23 Dec 2011 05:00:00 +0100 5567309 http://www.medworm.com/index.php?rid=5567308&cid=s_28224_14_f&fid=28224&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22211669%26dopt%3DAbstract Conclusions:  Electronically delivered prescriptions significantly minimized pharmacy wait time and improved patient satisfaction at the pharmacy, but did not improve primary compliance with prescriptions. PMID: 22211669 [PubMed - as supplied by publisher] (Source: Accident and Emergency Nursing) Accident and Emergency Nursing journals http://www.medworm.com/rss/comments.php?id=5567308 Fri, 23 Dec 2011 05:00:00 +0100 5567308 http://www.medworm.com/index.php?rid=5515902&cid=s_28224_14_f&fid=28224&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22168183%26dopt%3DAbstract This article describes the background and rationale for the conference and highlights some of the discussions that occurred on the day of the conference. A series of manuscripts on the details of the conference is presented in this issue of Academic Emergency Medicine. PMID: 22168183 [PubMed - in process] (Source: Accident and Emergency Nursing) Accident and Emergency Nursing journals http://www.medworm.com/rss/comments.php?id=5515902 Thu, 01 Dec 2011 05:00:00 +0100 5515902 http://www.medworm.com/index.php?rid=5515901&cid=s_28224_14_f&fid=28224&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22168184%26dopt%3DAbstract This article will review the effect of these strategies on demand for care and discuss the successes and failures with reference to future plans for tackling this increasingly difficult problem in health care. PMID: 22168184 [PubMed - in process] (Source: Accident and Emergency Nursing) Accident and Emergency Nursing journals http://www.medworm.com/rss/comments.php?id=5515901 Thu, 01 Dec 2011 05:00:00 +0100 5515901 http://www.medworm.com/index.php?rid=5515900&cid=s_28224_14_f&fid=28224&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22168185%26dopt%3DAbstract This article describes the benefits and disadvantages associated with a single time-related measure of ED performance. The article also describes the subsequent development of a raft of quality indicators designed to provide a greater breadth of ED measurement, reflecting timeliness, quality, and safety. The intention is for these indicators to act as levers for change and to generate a program of continuing improvement in emergency care. The indicators were introduced in England in April 2011, and currently there is a period of bedding-in and collective learning. The quality indicators will be reviewed and refined as required, with any amendments introduced in April 2012. PMID: 22168185 [PubMed - in process] (Source: Accident and Emergency Nursing) Accident and Emergency Nursing journals http://www.medworm.com/rss/comments.php?id=5515900 Thu, 01 Dec 2011 05:00:00 +0100 5515900 http://www.medworm.com/index.php?rid=5515899&cid=s_28224_14_f&fid=28224&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22168186%26dopt%3DAbstract Authors: Ovens H Abstract ACADEMIC EMERGENCY MEDICINE 2011; 18:1242-1245 © 2011 by the Society for Academic Emergency Medicine ABSTRACT: Ontario is Canada's most populous province, with approximately 12 million people and 130 emergency departments (EDs). Canada has a national single-payer universal health care system, but provinces are responsible for administration. After years of problems and failed attempts to address chronic ED overcrowding, in April 2008 Ontario embarked on an ambitious program to improve system performance through targeted investments (initially CAN$500 million over 3 years) and realigned incentives. Supporting the program were requirements for hospitals to submit timely data and targets for length of stay (LOS) and annual improvements; results are publicl... Accident and Emergency Nursing journals http://www.medworm.com/rss/comments.php?id=5515899 Thu, 01 Dec 2011 05:00:00 +0100 5515899 http://www.medworm.com/index.php?rid=5515898&cid=s_28224_14_f&fid=28224&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22168187%26dopt%3DAbstract This article presents a model of how a build-up of interruptions can shift the dynamics of the emergency department (ED) from an adaptive, self-regulating system into a fragile, crisis-prone one. Drawing on case studies of organizational disasters and insights from the theory of high-reliability organizations, the authors use computer simulations to show how the accumulation of small interruptions could have disproportionately large effects in the ED. In the face of a mounting workload created by interruptions, EDs, like other organizational systems, have tipping points, thresholds beyond which a vicious cycle can lead rather quickly to the collapse of normal operating routines and in the extreme to a crisis of organizational paralysis. The authors discuss some possible implications for em... Accident and Emergency Nursing journals http://www.medworm.com/rss/comments.php?id=5515898 Thu, 01 Dec 2011 05:00:00 +0100 5515898 http://www.medworm.com/index.php?rid=5515897&cid=s_28224_14_f&fid=28224&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22168188%26dopt%3DAbstract Authors: Schiff GD Abstract ACADEMIC EMERGENCY MEDICINE 2011; 18:1255-1261 © 2011 by the Society for Academic Emergency Medicine ABSTRACT: Overcrowding of U.S. emergency departments (EDs) is a widely recognized and growing problem. This presentation offers the perspectives of a primary care physician (PCP) examining the problem at three levels: global health policy, quality process improvement, and more intimate clinical caring. It posits that ED overcrowding is actually a symptom of 10 more fundamental problems in U.S. health care and EDs: variations/supply-demand mismatch; primary care provider shortfalls; limited after-hours access; admission throughput challenges; clinical challenges related to discontinuity patients; clinical challenges related to those with special needs; in... Accident and Emergency Nursing journals http://www.medworm.com/rss/comments.php?id=5515897 Thu, 01 Dec 2011 05:00:00 +0100 5515897 http://www.medworm.com/index.php?rid=5515896&cid=s_28224_14_f&fid=28224&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22168189%26dopt%3DAbstract Authors: Soremekun OA, Terwiesch C, Pines JM Abstract ACADEMIC EMERGENCY MEDICINE 2011; 18:1262-1268 © 2011 by the Society for Academic Emergency Medicine ABSTRACT: Operations management (OM) is the science of understanding and improving business processes. For the emergency department (ED), OM principles can be used to reduce and alleviate the effects of crowding. A fundamental principle of OM is the waiting time formula, which has clear implications in the ED given that waiting time is fundamental to patient-centered emergency care. The waiting time formula consists of the activity time (how long it takes to complete a process), the utilization rate (the proportion of time a particular resource such a staff is working), and two measures of variation: the variation in patient int... Accident and Emergency Nursing journals http://www.medworm.com/rss/comments.php?id=5515896 Thu, 01 Dec 2011 05:00:00 +0100 5515896 http://www.medworm.com/index.php?rid=5515895&cid=s_28224_14_f&fid=28224&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22168190%26dopt%3DAbstract Conclusions:  Crowding measured at the daily level will mask much of the variation in crowding that occurs within a 24-hour period. ED census at arrival demonstrated similar variation in crowding exposure as time-varying ED census. Discrete time survival analysis is a more appropriate approach for estimating the effect of crowding on an outcome. PMID: 22168190 [PubMed - in process] (Source: Accident and Emergency Nursing) Accident and Emergency Nursing journals http://www.medworm.com/rss/comments.php?id=5515895 Thu, 01 Dec 2011 05:00:00 +0100 5515895 http://www.medworm.com/index.php?rid=5515894&cid=s_28224_14_f&fid=28224&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22168191%26dopt%3DAbstract This article describes each panelist's comments in detail. PMID: 22168191 [PubMed - in process] (Source: Accident and Emergency Nursing) Accident and Emergency Nursing journals http://www.medworm.com/rss/comments.php?id=5515894 Thu, 01 Dec 2011 05:00:00 +0100 5515894 http://www.medworm.com/index.php?rid=5515893&cid=s_28224_14_f&fid=28224&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22168192%26dopt%3DAbstract This article describes the results of the Interventions to Safeguard Safety breakout session of the 2011 Academic Emergency Medicine (AEM) consensus conference entitled "Interventions to Assure Quality in the Crowded Emergency Department." Using a multistep nominal group technique, experts in emergency department (ED) crowding, patient safety, and systems engineering defined knowledge gaps and priority research questions related to the maintenance of safety in the crowded ED. Consensus was reached for seven research priorities related to interventions to maintain safety in the setting of a crowded ED. Included among these are: 1) How do routine corrective processes and compensating mechanism change during crowding? 2) What metrics should be used to determine ED safety? 3) How can checklist... Accident and Emergency Nursing journals http://www.medworm.com/rss/comments.php?id=5515893 Thu, 01 Dec 2011 05:00:00 +0100 5515893 http://www.medworm.com/index.php?rid=5515892&cid=s_28224_14_f&fid=28224&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22168193%26dopt%3DAbstract This article is the result of a breakout session of the 2011 Academic Emergency Medicine consensus conference "Interventions to Assure Quality in the Crowded Emergency Department" and focuses on three broad domains of patient-centered care: patient satisfaction, patient involvement, and care related to patient needs.The working group provided background information and an overview of interventions that have been conducted in the domains of patient satisfaction, patient involvement (patients' preferences and values in decision-making), and patient needs (e.g., comfort, information, education). Participants in the breakout session discussed interventions reported in the medical literature as well as initiated at their institutions, discussed the effect of crowding on patient-centered care, a... Accident and Emergency Nursing journals http://www.medworm.com/rss/comments.php?id=5515892 Thu, 01 Dec 2011 05:00:00 +0100 5515892 http://www.medworm.com/index.php?rid=5515891&cid=s_28224_14_f&fid=28224&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22168194%26dopt%3DAbstract This article summarizes the findings of the breakout session that investigated interventions to improve the timeliness of emergency care. This article will explore the background on the concept of timeliness of emergency care, the current state of interventions that have been implemented to improve timeliness, and specific questions as a framework for a future research agenda. PMID: 22168194 [PubMed - in process] (Source: Accident and Emergency Nursing) Accident and Emergency Nursing journals http://www.medworm.com/rss/comments.php?id=5515891 Thu, 01 Dec 2011 05:00:00 +0100 5515891 http://www.medworm.com/index.php?rid=5515890&cid=s_28224_14_f&fid=28224&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22168195%26dopt%3DAbstract This article, a product of the breakout session on "interventions to safeguard efficiency of care," explores various elements of the research agenda on efficiency and quality in crowded emergency departments (EDs). The authors discuss four areas identified as critical to achieving progress in the research agenda for improving ED efficiency: 1) What measures can be used to understand and improve the efficiency and quality of interventions in the ED? 2) Which factors outside of the ED's control affect ED efficiency? 3) How do workforce factors affect ED efficiency? 4) How do ED design, patient flow structures, and use of technology affect efficiency? Filling these knowledge gaps is vital to identifying interventions that improve the delivery of emergency care in all EDs. PMID: 22168195 [... Accident and Emergency Nursing journals http://www.medworm.com/rss/comments.php?id=5515890 Thu, 01 Dec 2011 05:00:00 +0100 5515890 http://www.medworm.com/index.php?rid=5515889&cid=s_28224_14_f&fid=28224&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22168196%26dopt%3DAbstract This article summarizes the proceedings of a breakout session, "Interventions to Safeguard System Effectiveness," at the 2011 Academic Emergency Medicine consensus conference, "Interventions to Assure Quality in the Crowded Emergency Department." Key definitions fundamental to understanding the effectiveness of emergency care during periods of emergency department (ED) crowding are outlined. Next, a proposed research agenda to evaluate interventions directed at improving emergency care effectiveness is outlined, and the paper concludes with a prioritization of those interventions based on breakout session participant discussion and evaluation. PMID: 22168196 [PubMed - as supplied by publisher] (Source: Accident and Emergency Nursing) Accident and Emergency Nursing journals http://www.medworm.com/rss/comments.php?id=5515889 Thu, 01 Dec 2011 05:00:00 +0100 5515889 http://www.medworm.com/index.php?rid=5515888&cid=s_28224_14_f&fid=28224&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22168197%26dopt%3DAbstract Authors: Hwang U, Weber EJ, Richardson LD, Sweet V, Todd K, Abraham G, Ankel F Abstract ACADEMIC EMERGENCY MEDICINE 2011; 18:1318-1323 © 2011 by the Society for Academic Emergency Medicine ABSTRACT: The effect of emergency department (ED) crowding on equitable care is the least studied of the domains of quality as defined by the Institute of Medicine (IOM). Inequities in access and treatment throughout the health care system are well documented in all fields of medicine. While there is little evidence demonstrating that inequity is worsened by crowding, theory and evidence from social science disciplines, as well as known barriers to care for vulnerable populations, would suggest that crowding will worsen inequities. To design successful interventions, however, it is important to ... Accident and Emergency Nursing journals http://www.medworm.com/rss/comments.php?id=5515888 Thu, 01 Dec 2011 05:00:00 +0100 5515888 http://www.medworm.com/index.php?rid=5515887&cid=s_28224_14_f&fid=28224&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22168198%26dopt%3DAbstract Conclusions:  Hospital mortality and hospital LOS are associated with length of ED boarding. ACADEMIC EMERGENCY MEDICINE 2011; 18:1324-1329 © 2011 by the Society for Academic Emergency Medicine. PMID: 22168198 [PubMed - in process] (Source: Accident and Emergency Nursing) Accident and Emergency Nursing journals http://www.medworm.com/rss/comments.php?id=5515887 Thu, 01 Dec 2011 05:00:00 +0100 5515887 http://www.medworm.com/index.php?rid=5515886&cid=s_28224_14_f&fid=28224&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22168199%26dopt%3DAbstract Conclusions:  Crowding is associated with decreased timeliness and effectiveness, but not equity, of analgesia delivery for children with fracture-related pain. PMID: 22168199 [PubMed - as supplied by publisher] (Source: Accident and Emergency Nursing) Accident and Emergency Nursing journals http://www.medworm.com/rss/comments.php?id=5515886 Thu, 01 Dec 2011 05:00:00 +0100 5515886 http://www.medworm.com/index.php?rid=5515885&cid=s_28224_14_f&fid=28224&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22168200%26dopt%3DAbstract This article describes emergency care systems and the extent of crowding across 15 countries outside of the United States: Australia, Canada, Denmark, Finland, France, Germany, Hong Kong, India, Iran, Italy, The Netherlands, Saudi Arabia, Catalonia (Spain), Sweden, and the United Kingdom. The authors are local emergency care leaders with knowledge of emergency care in their particular countries. Where available, data are provided about visit patterns in each country; however, for many of these countries, no national data are available on ED visits rates or crowding. For most of the countries included, there is both objective evidence of increases in ED visit rates and ED crowding and also subjective assessments of trends toward higher crowding in the ED. ED crowding appears to be worsening... Accident and Emergency Nursing journals http://www.medworm.com/rss/comments.php?id=5515885 Thu, 01 Dec 2011 05:00:00 +0100 5515885 http://www.medworm.com/index.php?rid=5515884&cid=s_28224_14_f&fid=28224&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22168201%26dopt%3DAbstract Authors: Wiler JL, Griffey RT, Olsen T Abstract ACADEMIC EMERGENCY MEDICINE 2011; 18:1371-1379 © 2011 by the Society for Academic Emergency Medicine ABSTRACT: Emergency department (ED) crowding is an international phenomenon that continues to challenge operational efficiency. Many statistical modeling approaches have been offered to describe, and at times predict, ED patient load and crowding. A number of formula-based equations, regression models, time-series analyses, queuing theory-based models, and discrete-event (or process) simulation (DES) models have been proposed. In this review, we compare and contrast these modeling methodologies, describe the fundamental assumptions each makes, and outline the potential applications and limitations for each with regard to usability in ... Accident and Emergency Nursing journals http://www.medworm.com/rss/comments.php?id=5515884 Thu, 01 Dec 2011 05:00:00 +0100 5515884 http://www.medworm.com/index.php?rid=5515883&cid=s_28224_14_f&fid=28224&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22168202%26dopt%3DAbstract Conclusions:  Emergency department crowding is associated with delays in antibiotic administration to the febrile neonate despite rapid recognition of this patient population as a high-risk group. Each component of ED crowding, in terms of input, throughput, and output factors, was associated with delays. Further work is required to develop processes that foster a more rapid treatment protocol for these high-risk patients, regardless of ED crowding pressures. PMID: 22168202 [PubMed - in process] (Source: Accident and Emergency Nursing) Accident and Emergency Nursing journals http://www.medworm.com/rss/comments.php?id=5515883 Thu, 01 Dec 2011 05:00:00 +0100 5515883 http://www.medworm.com/index.php?rid=5515882&cid=s_28224_14_f&fid=28224&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22168203%26dopt%3DAbstract Conclusions:  In this study on a single Monday evening, 47% of EDs in Michigan were actively boarding inpatients, while 24% were operating beyond capacity. On the following morning (Tuesday), EDs had fewer boarded inpatients than on Monday evening. However, these boarded inpatients remained in the ED for a significantly longer duration. PMID: 22168203 [PubMed - in process] (Source: Accident and Emergency Nursing) Accident and Emergency Nursing journals http://www.medworm.com/rss/comments.php?id=5515882 Thu, 01 Dec 2011 05:00:00 +0100 5515882 http://www.medworm.com/index.php?rid=5515881&cid=s_28224_14_f&fid=28224&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22168204%26dopt%3DAbstract This article chronicles the history, activities, lessons learned, and future of the Urgent Matters program. ACADEMIC EMERGENCY MEDICINE 2011; 18:1392-1399 © 2011 by the Society for Academic Emergency Medicine. PMID: 22168204 [PubMed - in process] (Source: Accident and Emergency Nursing) Accident and Emergency Nursing journals http://www.medworm.com/rss/comments.php?id=5515881 Thu, 01 Dec 2011 05:00:00 +0100 5515881 http://www.medworm.com/index.php?rid=5515880&cid=s_28224_14_f&fid=28224&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22168205%26dopt%3DAbstract Authors: PMID: 22168205 [PubMed - in process] (Source: Accident and Emergency Nursing) Accident and Emergency Nursing journals http://www.medworm.com/rss/comments.php?id=5515880 Thu, 01 Dec 2011 05:00:00 +0100 5515880 http://www.medworm.com/index.php?rid=5427742&cid=s_28224_14_f&fid=28224&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22092892%26dopt%3DAbstract Conclusions:  The sample size of the studies included in this review is too small to draw any definitive conclusion. However, their findings suggest that that the risk of bacterial meningitis in children presenting with simple febrile seizure is very low. PMID: 22092892 [PubMed - in process] (Source: Accident and Emergency Nursing) Accident and Emergency Nursing journals http://www.medworm.com/rss/comments.php?id=5427742 Tue, 01 Nov 2011 04:00:00 +0100 5427742 http://www.medworm.com/index.php?rid=5427741&cid=s_28224_14_f&fid=28224&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22092893%26dopt%3DAbstract Conclusions:  This study validated the previously derived four-variable DIVA score. A simpler three-variable rule was as predictive of failed IV placement on first attempt as the four-variable rule. Validation in nonpediatric EDs is needed to thoroughly evaluate generalizability. PMID: 22092893 [PubMed - in process] (Source: Accident and Emergency Nursing) Accident and Emergency Nursing journals http://www.medworm.com/rss/comments.php?id=5427741 Tue, 01 Nov 2011 04:00:00 +0100 5427741 http://www.medworm.com/index.php?rid=5427737&cid=s_28224_14_f&fid=28224&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22092894%26dopt%3DAbstract Conclusions:  When compared with saline, IV l-carnitine increases survival and MAP in a murine model of severe verapamil toxicity. PMID: 22092894 [PubMed - in process] (Source: Accident and Emergency Nursing) Accident and Emergency Nursing journals http://www.medworm.com/rss/comments.php?id=5427737 Tue, 01 Nov 2011 04:00:00 +0100 5427737 http://www.medworm.com/index.php?rid=5427736&cid=s_28224_14_f&fid=28224&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22092895%26dopt%3DAbstract Conclusions:  The overall incidence of neutropenia was 4.2% in all cocaine users and 2.1% in the levamisole-positive group. A striking number of the reported patients with levamisole-associated neutropenia have presented to care with oropharyngeal complaints, vasculitis, or fever. A clinical algorithm for identifying levamisole toxicity in the emergency department setting is provided. Further research is necessary to determine the circumstances required for levamisole-associated neutropenia. PMID: 22092895 [PubMed - in process] (Source: Accident and Emergency Nursing) Accident and Emergency Nursing journals http://www.medworm.com/rss/comments.php?id=5427736 Tue, 01 Nov 2011 04:00:00 +0100 5427736 http://www.medworm.com/index.php?rid=5427729&cid=s_28224_14_f&fid=28224&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22092896%26dopt%3DAbstract Conclusions:  The SNS and SLS are reliable, valid tests that can be used to rapidly estimate general health literacy and numeracy skill levels in adult ED patients. Continuing work is needed to establish their ability to predict clinical outcomes. PMID: 22092896 [PubMed - in process] (Source: Accident and Emergency Nursing) Accident and Emergency Nursing journals http://www.medworm.com/rss/comments.php?id=5427729 Tue, 01 Nov 2011 04:00:00 +0100 5427729 http://www.medworm.com/index.php?rid=5427728&cid=s_28224_14_f&fid=28224&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22092897%26dopt%3DAbstract Conclusions:  A moderate, nonlinear correlation exists between ESI acuity levels and ED E&M billing codes. Increasing age affects this correlation. Race and E&M code affect the correlation between ESI level and total professional charges. As such, basic triage data can be used to estimate E&M code and total professional charges. Future studies are needed to validate these findings across other institutional settings. PMID: 22092897 [PubMed - in process] (Source: Accident and Emergency Nursing) Accident and Emergency Nursing journals http://www.medworm.com/rss/comments.php?id=5427728 Tue, 01 Nov 2011 04:00:00 +0100 5427728 http://www.medworm.com/index.php?rid=5427666&cid=s_28224_14_f&fid=28224&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22092898%26dopt%3DAbstract Conclusions:  Good quantitative agreement between the experimental data and the theoretical model suggests that the constant peak displacement CPR model provides reasonable prediction of CC mechanics during CPR over a wide range of CC rates. Conflicts in the literature are also explained by showing that backboards can significantly enhance CPR CC performance when the back support stiffness is less than 250 N/cm, while for surfaces with higher stiffness, the benefit of using a backboard is reduced. PMID: 22092898 [PubMed - in process] (Source: Accident and Emergency Nursing) Accident and Emergency Nursing journals http://www.medworm.com/rss/comments.php?id=5427666 Tue, 01 Nov 2011 04:00:00 +0100 5427666 http://www.medworm.com/index.php?rid=5427577&cid=s_28224_14_f&fid=28224&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22092899%26dopt%3DAbstract Conclusions:  This study simultaneously assessed cognitive knowledge and simulated field performance. Utilization of these measurement techniques allowed for the assessment and comparison of field performance and cognitive knowledge. Results demonstrated an association between a practicing paramedic's performance on a cognitive examination and field performance, assessed by a simulated EMS response. PMID: 22092899 [PubMed - in process] (Source: Accident and Emergency Nursing) Accident and Emergency Nursing journals http://www.medworm.com/rss/comments.php?id=5427577 Tue, 01 Nov 2011 04:00:00 +0100 5427577 http://www.medworm.com/index.php?rid=5427539&cid=s_28224_14_f&fid=28224&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22092900%26dopt%3DAbstract The millennial generation and "the lecture". Acad Emerg Med. 2011 Nov;18(11):1186-7 Authors: Hart D, Joing S Abstract ACADEMIC EMERGENCY MEDICINE 2011; 18:1186-1187 © 2011 by the Society for Academic Emergency Medicine This lecture can be viewed in its entirety online by visiting http://vimeo.com/24148123. PMID: 22092900 [PubMed - in process] (Source: Accident and Emergency Nursing) Accident and Emergency Nursing journals http://www.medworm.com/rss/comments.php?id=5427539 Tue, 01 Nov 2011 04:00:00 +0100 5427539 http://www.medworm.com/index.php?rid=5427456&cid=s_28224_14_f&fid=28224&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22092901%26dopt%3DAbstract Authors: Quest TE, Simon JR, PMID: 22092901 [PubMed - as supplied by publisher] (Source: Accident and Emergency Nursing) Accident and Emergency Nursing journals http://www.medworm.com/rss/comments.php?id=5427456 Tue, 01 Nov 2011 04:00:00 +0100 5427456 http://www.medworm.com/index.php?rid=5427389&cid=s_28224_14_f&fid=28224&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22092902%26dopt%3DAbstract Authors: Pines JM, Schneider SM, Bernstein SL PMID: 22092902 [PubMed - in process] (Source: Accident and Emergency Nursing) Accident and Emergency Nursing journals http://www.medworm.com/rss/comments.php?id=5427389 Tue, 01 Nov 2011 04:00:00 +0100 5427389 http://www.medworm.com/index.php?rid=5427374&cid=s_28224_14_f&fid=28224&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22092903%26dopt%3DAbstract Authors: Kessler C, Hockberger R, Kuhn G PMID: 22092903 [PubMed - in process] (Source: Accident and Emergency Nursing) Accident and Emergency Nursing journals http://www.medworm.com/rss/comments.php?id=5427374 Tue, 01 Nov 2011 04:00:00 +0100 5427374 http://www.medworm.com/index.php?rid=5427373&cid=s_28224_14_f&fid=28224&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22092904%26dopt%3DAbstract Conclusions:  The BEEM rater scale is a highly reliable, single-question tool for a small number of EPs to collectively rate the relative clinical relevance within the specialty of EM of recently published studies from a variety of medical journals. It compares favorably with the MORE system because it achieves a high IRR despite simply requiring raters to read each article's title and conclusion. PMID: 22092904 [PubMed - in process] (Source: Accident and Emergency Nursing) Accident and Emergency Nursing journals http://www.medworm.com/rss/comments.php?id=5427373 Tue, 01 Nov 2011 04:00:00 +0100 5427373 http://www.medworm.com/index.php?rid=5427372&cid=s_28224_14_f&fid=28224&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22092905%26dopt%3DAbstract This article describes the case of a hospice patient who presented with sepsis and end-stage cancer to the ED. Patient, system, and physician factors made management decisions in the ED difficult. The goal in the ED should be to determine the best way to address terminally ill patient needs while respecting wishes to limit interventions that will only increase suffering near the end of life. PMID: 22092905 [PubMed - in process] (Source: Accident and Emergency Nursing) Accident and Emergency Nursing journals http://www.medworm.com/rss/comments.php?id=5427372 Tue, 01 Nov 2011 04:00:00 +0100 5427372 http://www.medworm.com/index.php?rid=5427371&cid=s_28224_14_f&fid=28224&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22092906%26dopt%3DAbstract Conclusions:  Helicopter EMS transport was associated with a decreased hazard of mortality among certain patients transported from the scene of injury directly to definitive care. Refinements in scene triage and transport guidelines are needed to more effectively select patients that may benefit from HEMS transport from those unlikely to benefit. PMID: 22092906 [PubMed - in process] (Source: Accident and Emergency Nursing) Accident and Emergency Nursing journals http://www.medworm.com/rss/comments.php?id=5427371 Tue, 01 Nov 2011 04:00:00 +0100 5427371 http://www.medworm.com/index.php?rid=5427370&cid=s_28224_14_f&fid=28224&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22092907%26dopt%3DAbstract Authors: Bosslet GT PMID: 22092907 [PubMed - in process] (Source: Accident and Emergency Nursing) Accident and Emergency Nursing journals http://www.medworm.com/rss/comments.php?id=5427370 Tue, 01 Nov 2011 04:00:00 +0100 5427370 http://www.medworm.com/index.php?rid=5427369&cid=s_28224_14_f&fid=28224&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22092908%26dopt%3DAbstract Authors: Wen LS, Noble JA PMID: 22092908 [PubMed - in process] (Source: Accident and Emergency Nursing) Accident and Emergency Nursing journals http://www.medworm.com/rss/comments.php?id=5427369 Tue, 01 Nov 2011 04:00:00 +0100 5427369 http://www.medworm.com/index.php?rid=5383207&cid=s_28224_14_f&fid=28224&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22044429%26dopt%3DAbstract Conclusions:  In this study, junior EPs were able to obtain measurements of EPSS that correlated closely with visual estimates of LVEF by clinicians with extensive point-of-care and comprehensive echocardiography experience. PMID: 22044429 [PubMed - as supplied by publisher] (Source: Accident and Emergency Nursing) Accident and Emergency Nursing journals http://www.medworm.com/rss/comments.php?id=5383207 Tue, 01 Nov 2011 04:00:00 +0100 5383207 http://www.medworm.com/index.php?rid=5383206&cid=s_28224_14_f&fid=28224&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22044454%26dopt%3DAbstract Authors: Strausburg M PMID: 22044454 [PubMed - as supplied by publisher] (Source: Accident and Emergency Nursing) Accident and Emergency Nursing journals http://www.medworm.com/rss/comments.php?id=5383206 Tue, 01 Nov 2011 04:00:00 +0100 5383206 http://www.medworm.com/index.php?rid=5383205&cid=s_28224_14_f&fid=28224&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22044488%26dopt%3DAbstract Authors: Ben-Yakov M, Snider C Abstract ACADEMIC EMERGENCY MEDICINE 2011; 18:1-3 © 2011 by the Society for Academic Emergency Medicine ABSTRACT: Facebook and social media networking applications use is ubiquitous across all ages and cultures. Facebook has finally begun to appear in the medical-scientific press. Today's medical literature is focused on concerns of professionalism in young health care practitioners vis-à-vis the lay public as they continuously expose themselves through this online social medium. With over 500 million users, Facebook hosts many of our patients, who are also exposed to the Internet and social media. Nobody so far has considered the opposite issue: that of physician invasion of privacy by "looking-up" a patient on Facebook during clinical practice for... Accident and Emergency Nursing journals http://www.medworm.com/rss/comments.php?id=5383205 Tue, 01 Nov 2011 04:00:00 +0100 5383205 http://www.medworm.com/index.php?rid=5383204&cid=s_28224_14_f&fid=28224&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22044504%26dopt%3DAbstract Conclusions:  The TennCare disenrollment of 2005 was associated with a modest decrease in the number of total ED visits in Tennessee. However, the payer mix among the Tennessee ED population shifted abruptly. The increased rate of ED visits by Tennessee's uninsured and the increased proportion of uninsured ED visits leading to hospital admission suggest an increased burden of illness in this highly vulnerable population. PMID: 22044504 [PubMed - as supplied by publisher] (Source: Accident and Emergency Nursing) Accident and Emergency Nursing journals http://www.medworm.com/rss/comments.php?id=5383204 Tue, 01 Nov 2011 04:00:00 +0100 5383204 http://www.medworm.com/index.php?rid=5383203&cid=s_28224_14_f&fid=28224&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22044521%26dopt%3DAbstract Conclusions:  Although young age is associated with increased PTSD symptom severity scores, characteristics associated with young age, specifically assaultive trauma and low SES, account for this risk. Young age is not an independent risk factor for PTSD. Psychological assessment in the ED can be targeted toward assaultive trauma patients, especially those of low SES, to establish early intervention and hopefully prevent the development of PTSD. PMID: 22044521 [PubMed - as supplied by publisher] (Source: Accident and Emergency Nursing) Accident and Emergency Nursing journals http://www.medworm.com/rss/comments.php?id=5383203 Tue, 01 Nov 2011 04:00:00 +0100 5383203 http://www.medworm.com/index.php?rid=5383202&cid=s_28224_14_f&fid=28224&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22044793%26dopt%3DAbstract Authors: Rice CA, Wang EE PMID: 22044793 [PubMed - as supplied by publisher] (Source: Accident and Emergency Nursing) Accident and Emergency Nursing journals http://www.medworm.com/rss/comments.php?id=5383202 Tue, 01 Nov 2011 04:00:00 +0100 5383202 http://www.medworm.com/index.php?rid=5383221&cid=s_28224_14_f&fid=28224&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22017509%26dopt%3DAbstract Authors: Nestor E PMID: 22017509 [PubMed - as supplied by publisher] (Source: Accident and Emergency Nursing) Accident and Emergency Nursing journals http://www.medworm.com/rss/comments.php?id=5383221 Thu, 20 Oct 2011 04:00:00 +0100 5383221 http://www.medworm.com/index.php?rid=5383220&cid=s_28224_14_f&fid=28224&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22017537%26dopt%3DAbstract Authors: Veysman BD PMID: 22017537 [PubMed - as supplied by publisher] (Source: Accident and Emergency Nursing) Accident and Emergency Nursing journals http://www.medworm.com/rss/comments.php?id=5383220 Thu, 20 Oct 2011 04:00:00 +0100 5383220 http://www.medworm.com/index.php?rid=5383219&cid=s_28224_14_f&fid=28224&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21999551%26dopt%3DAbstract Authors: PMID: 21999551 [PubMed - in process] (Source: Accident and Emergency Nursing) Accident and Emergency Nursing journals http://www.medworm.com/rss/comments.php?id=5383219 Sat, 01 Oct 2011 04:00:00 +0100 5383219 http://www.medworm.com/index.php?rid=5383218&cid=s_28224_14_f&fid=28224&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21999553%26dopt%3DAbstract Conclusions:  This consensus process resulted in the development of a taxonomy of EM-specific domains for teaching and observable tasks for evaluating SBP. The concept of SBP is interlinked with the other general competencies and difficult to separate. Rather than develop specific SBP evaluation tools to measure the competency directly, SBP competency evaluation should be considered one element of a coordinated effort to teach and evaluate the six ACGME general competencies. PMID: 21999553 [PubMed - in process] (Source: Accident and Emergency Nursing) Accident and Emergency Nursing journals http://www.medworm.com/rss/comments.php?id=5383218 Sat, 01 Oct 2011 04:00:00 +0100 5383218 http://www.medworm.com/index.php?rid=5383217&cid=s_28224_14_f&fid=28224&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21999554%26dopt%3DAbstract Authors: Kessler C, Burton JH PMID: 21999554 [PubMed - in process] (Source: Accident and Emergency Nursing) Accident and Emergency Nursing journals http://www.medworm.com/rss/comments.php?id=5383217 Sat, 01 Oct 2011 04:00:00 +0100 5383217 http://www.medworm.com/index.php?rid=5383216&cid=s_28224_14_f&fid=28224&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21999555%26dopt%3DAbstract We present an approach to identifying research problems and conceptual frameworks and defining specific research questions. A common approach to curricular development is reviewed, as well as a fundamental overview of qualitative and quantitative methods that can be applied to educational research questions. Finally, suggestions for disseminating results and overcoming common barriers to conducting research are discussed. PMID: 21999555 [PubMed - in process] (Source: Accident and Emergency Nursing) Accident and Emergency Nursing journals http://www.medworm.com/rss/comments.php?id=5383216 Sat, 01 Oct 2011 04:00:00 +0100 5383216 http://www.medworm.com/index.php?rid=5383215&cid=s_28224_14_f&fid=28224&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21999557%26dopt%3DAbstract Conclusions:  There is variability in the content and structure of existing third-year EM rotations, as well as in financial and administrative needs and support. These data can help to inform CDs and departments that are starting or modifying EM third-year rotations, as well as contribute to the development of curricula for such rotations. PMID: 21999557 [PubMed - in process] (Source: Accident and Emergency Nursing) Accident and Emergency Nursing journals http://www.medworm.com/rss/comments.php?id=5383215 Sat, 01 Oct 2011 04:00:00 +0100 5383215 http://www.medworm.com/index.php?rid=5383214&cid=s_28224_14_f&fid=28224&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21999558%26dopt%3DAbstract Conclusions:  Our data indicate that program region, size, and research productivity were best associated with academic career selection. Program length was not found to be significantly associated with academic career selection by residents, in contrast to previous studies. While many of these factors are not changeable, academic productivity can be cultivated by decision-makers wishing to increase their residents' academic career selection as opposed to changing program length to extend training for an additional year. It is our belief that our model provides a good description of programmatic factors affecting career choice. Additional research is necessary to further validate these findings, as well to provide important context to their general applicability for policy-makers and pro... Accident and Emergency Nursing journals http://www.medworm.com/rss/comments.php?id=5383214 Sat, 01 Oct 2011 04:00:00 +0100 5383214 http://www.medworm.com/index.php?rid=5383213&cid=s_28224_14_f&fid=28224&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21999559%26dopt%3DAbstract Conclusions:  There was a significant increase in the daily mean number of procedures logged after the implementation of APL. Recorded data were more complete and more accurate during this time frame. This innovative system improved resident logging of required procedures and helped our assessment of Accreditation Council for Graduate Medical Education (ACGME) Patient Care and Practice-Based Learning Competencies for individual residents. PMID: 21999559 [PubMed - in process] (Source: Accident and Emergency Nursing) Accident and Emergency Nursing journals http://www.medworm.com/rss/comments.php?id=5383213 Sat, 01 Oct 2011 04:00:00 +0100 5383213 http://www.medworm.com/index.php?rid=5383212&cid=s_28224_14_f&fid=28224&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21999560%26dopt%3DAbstract Conclusions:  PGY3 resident clinical productivity, when measured as patients per hour, correlated poorly with academic performance when measured by written and oral ABEM scores. The PGY3 in-training examination was predictive of the ABEM written and oral examination scores. PMID: 21999560 [PubMed - in process] (Source: Accident and Emergency Nursing) Accident and Emergency Nursing journals http://www.medworm.com/rss/comments.php?id=5383212 Sat, 01 Oct 2011 04:00:00 +0100 5383212 http://www.medworm.com/index.php?rid=5383211&cid=s_28224_14_f&fid=28224&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21999561%26dopt%3DAbstract Conclusions:  Synchronous collection of MSF did not provide clinically different EM-HS scores within rater groups and did not result in improved correlations. Our small, single-center study supports asynchronous collection of MSF. PMID: 21999561 [PubMed - in process] (Source: Accident and Emergency Nursing) Accident and Emergency Nursing journals http://www.medworm.com/rss/comments.php?id=5383211 Sat, 01 Oct 2011 04:00:00 +0100 5383211 http://www.medworm.com/index.php?rid=5383210&cid=s_28224_14_f&fid=28224&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21999562%26dopt%3DAbstract Conclusions:  Methods should be developed to decrease resident variance in both numbers and types of clinical encounters and to provide curriculum supplementation for individuals and for the entire residency cohort in areas that are important for the clinical practice of EM, but that are rare or not encountered during residency training. PMID: 21999562 [PubMed - in process] (Source: Accident and Emergency Nursing) Accident and Emergency Nursing journals http://www.medworm.com/rss/comments.php?id=5383210 Sat, 01 Oct 2011 04:00:00 +0100 5383210 http://www.medworm.com/index.php?rid=5383209&cid=s_28224_14_f&fid=28224&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21999563%26dopt%3DAbstract Conclusions:  These results yield concrete guidance regarding test construction for the purpose of diagnostic skill assessment. The instruction strategy and complexity of cases selected should depend on the experience level and breadth of experience of the subjects one is attempting to assess. PMID: 21999563 [PubMed - in process] (Source: Accident and Emergency Nursing) Accident and Emergency Nursing journals http://www.medworm.com/rss/comments.php?id=5383209 Sat, 01 Oct 2011 04:00:00 +0100 5383209 http://www.medworm.com/index.php?rid=5383208&cid=s_28224_14_f&fid=28224&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21999564%26dopt%3DAbstract Conclusions:  Geriatric educational curricula for EM residents may positively affect knowledge base and appropriate decision-making when working with older adults in the ED. These educational enhancements may place elderly patients at less risk of adverse outcomes. PMID: 21999564 [PubMed - in process] (Source: Accident and Emergency Nursing) Accident and Emergency Nursing journals http://www.medworm.com/rss/comments.php?id=5383208 Sat, 01 Oct 2011 04:00:00 +0100 5383208 http://www.medworm.com/index.php?rid=5316794&cid=s_28224_14_f&fid=28224&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21996067%26dopt%3DAbstract Conclusions:  Male and female adolescents with acute assault-related injuries were very similar. Both reported extremely high rates of past year peer violence, assault-related injury, and substance use. The greater prevalence of some risk factors among adolescent females, such as depressive symptoms, dating aggression, and independent living status, should be further investigated. PMID: 21996067 [PubMed - in process] (Source: Accident and Emergency Nursing) Accident and Emergency Nursing journals http://www.medworm.com/rss/comments.php?id=5316794 Sat, 01 Oct 2011 04:00:00 +0100 5316794 http://www.medworm.com/index.php?rid=5316793&cid=s_28224_14_f&fid=28224&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21996068%26dopt%3DAbstract Conclusions:  Ambulance use varies by health insurance status. Medicaid coverage and lack of insurance are each independently associated with increased odds of ambulance use, suggesting a disproportionate role for emergency medical services (EMS) in the care of patients with limited financial resources. PMID: 21996068 [PubMed - as supplied by publisher] (Source: Accident and Emergency Nursing) Accident and Emergency Nursing journals http://www.medworm.com/rss/comments.php?id=5316793 Sat, 01 Oct 2011 04:00:00 +0100 5316793 http://www.medworm.com/index.php?rid=5316792&cid=s_28224_14_f&fid=28224&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21996069%26dopt%3DAbstract Conclusions:  To redress the linearity of most literature on patient flow, this study adopts a systems perspective and ethnographic methods to bring to light the dynamic role that individuals play, interacting with their work contexts, to maintain patient flow. The study provides an empirical foundation, uniquely discernible through qualitative research, about aspects of ED work that previously have been the subject only of discussion or commentary articles. This study provides empirical documentation of the moment-to-moment responses of emergency clinicians to work pressure brought about by factors outside much of their control, establishing the relationship between patient flow and work pressure. We conceptualize the ED as a dynamic system, combining socioprofessional influences to red... Accident and Emergency Nursing journals http://www.medworm.com/rss/comments.php?id=5316792 Sat, 01 Oct 2011 04:00:00 +0100 5316792 http://www.medworm.com/index.php?rid=5316791&cid=s_28224_14_f&fid=28224&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21996070%26dopt%3DAbstract Conclusions:  An interactive computer kiosk accurately, efficiently, and safely expedited the management of women with uncomplicated UTI in a busy, urban ED. Expanding the use of this technology to other conditions could help to improve ED patient flow. PMID: 21996070 [PubMed - in process] (Source: Accident and Emergency Nursing) Accident and Emergency Nursing journals http://www.medworm.com/rss/comments.php?id=5316791 Sat, 01 Oct 2011 04:00:00 +0100 5316791 http://www.medworm.com/index.php?rid=5316790&cid=s_28224_14_f&fid=28224&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21996071%26dopt%3DAbstract Conclusions:  When compared with OCA alone, the novel tape-OCA combination is equivalent with regard to complete wound edge apposition and cosmetic appearance. PMID: 21996071 [PubMed - in process] (Source: Accident and Emergency Nursing) Accident and Emergency Nursing journals http://www.medworm.com/rss/comments.php?id=5316790 Sat, 01 Oct 2011 04:00:00 +0100 5316790 http://www.medworm.com/index.php?rid=5316789&cid=s_28224_14_f&fid=28224&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21996072%26dopt%3DAbstract Conclusions:  In the study sample, elevated CACS was associated with a higher likelihood of underlying CAD on coronary CTA, but the addition of CACS to coronary CTA did not help predict 30-day cardiovascular events. PMID: 21996072 [PubMed - in process] (Source: Accident and Emergency Nursing) Accident and Emergency Nursing journals http://www.medworm.com/rss/comments.php?id=5316789 Sat, 01 Oct 2011 04:00:00 +0100 5316789 http://www.medworm.com/index.php?rid=5316788&cid=s_28224_14_f&fid=28224&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21996073%26dopt%3DAbstract Authors: Tews MC, Hamilton GC Abstract Academic Emergency Medicine 2011; 18:1072-1080 © 2011 by the Society for Academic Emergency Medicine ABSTRACT: The management of acutely ill and injured patients is an essential component of medical student education, yet the formal integration of emergency medicine (EM) into the medical school curriculum has progressed slowly since the inception of the specialty. Medical student interest and the number of resident positions in the National Resident Matching Program are higher than any time in the past, yet students often find access to EM faculty and clinical experience limited to a fourth-year rotation. Incorporating EM into all years of the undergraduate medical student curriculum can offer unique educational experiences and enhance expo... Accident and Emergency Nursing journals http://www.medworm.com/rss/comments.php?id=5316788 Sat, 01 Oct 2011 04:00:00 +0100 5316788 http://www.medworm.com/index.php?rid=5316787&cid=s_28224_14_f&fid=28224&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21996074%26dopt%3DAbstract Conclusions:  Forty-one EM educational studies published in 2010 were identified. This critical appraisal reviews and highlights five studies that met a priori quality indicators. Current trends and common methodologic pitfalls in the 2010 papers are noted. PMID: 21996074 [PubMed - as supplied by publisher] (Source: Accident and Emergency Nursing) Accident and Emergency Nursing journals http://www.medworm.com/rss/comments.php?id=5316787 Sat, 01 Oct 2011 04:00:00 +0100 5316787 http://www.medworm.com/index.php?rid=5316786&cid=s_28224_14_f&fid=28224&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21996075%26dopt%3DAbstract Authors: Stoltzfus JC Abstract Academic Emergency Medicine 2011; 18:1099-1104 © 2011 by the Society for Academic Emergency Medicine ABSTRACT: Regression techniques are versatile in their application to medical research because they can measure associations, predict outcomes, and control for confounding variable effects. As one such technique, logistic regression is an efficient and powerful way to analyze the effect of a group of independent variables on a binary outcome by quantifying each independent variable's unique contribution. Using components of linear regression reflected in the logit scale, logistic regression iteratively identifies the strongest linear combination of variables with the greatest probability of detecting the observed outcome. Important considerations when... Accident and Emergency Nursing journals http://www.medworm.com/rss/comments.php?id=5316786 Sat, 01 Oct 2011 04:00:00 +0100 5316786 http://www.medworm.com/index.php?rid=5316785&cid=s_28224_14_f&fid=28224&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21996076%26dopt%3DAbstract Authors: Elms A PMID: 21996076 [PubMed - in process] (Source: Accident and Emergency Nursing) Accident and Emergency Nursing journals http://www.medworm.com/rss/comments.php?id=5316785 Sat, 01 Oct 2011 04:00:00 +0100 5316785 http://www.medworm.com/index.php?rid=5267282&cid=s_28224_14_f&fid=28224&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21951280%26dopt%3DAbstract Authors: Post LA, Plantz DM PMID: 21951280 [PubMed - as supplied by publisher] (Source: Accident and Emergency Nursing) Accident and Emergency Nursing journals http://www.medworm.com/rss/comments.php?id=5267282 Mon, 26 Sep 2011 04:00:00 +0100 5267282 http://www.medworm.com/index.php?rid=5267281&cid=s_28224_14_f&fid=28224&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21951652%26dopt%3DAbstract Conclusions:  The VBG electrolytes were 97.8% sensitive and 100% specific for the diagnosis of DKA in hyperglycemic patients. These preliminary findings support the use of VBG electrolytes in lieu of VBG along with serum chemistry analysis to rule in or rule out DKA. ACADEMIC EMERGENCY MEDICINE 2011; 18:1-4 © 2011 by the Society for Academic Emergency Medicine. PMID: 21951652 [PubMed - as supplied by publisher] (Source: Accident and Emergency Nursing) Accident and Emergency Nursing journals http://www.medworm.com/rss/comments.php?id=5267281 Mon, 26 Sep 2011 04:00:00 +0100 5267281 http://www.medworm.com/index.php?rid=5267280&cid=s_28224_14_f&fid=28224&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21951681%26dopt%3DAbstract Conclusions:  With commonly available angiocatheters, the lateral approach is less likely to be successful than the anterior approach. The anterior approach may fail in many patients as well. Longer angiocatheters may increase the chances of decompression, but would also carry a higher risk of damage to surrounding vital structures. PMID: 21951681 [PubMed - as supplied by publisher] (Source: Accident and Emergency Nursing) Accident and Emergency Nursing journals http://www.medworm.com/rss/comments.php?id=5267280 Mon, 26 Sep 2011 04:00:00 +0100 5267280 http://www.medworm.com/index.php?rid=5267279&cid=s_28224_14_f&fid=28224&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21951715%26dopt%3DAbstract Conclusions:  Changing the EMS trauma triage cutoff for elders from GCS 13 to GCS 14 results in improved sensitivity for clinically relevant outcomes. In injured elders, the decline in GCS from 15 to 14 is associated with increased mortality, a finding not observed in younger adults. Elders with GCS 14 have greater odds of mortality and TBI than adults with GCS 13. These results support recent changes in EMS trauma triage guidelines for elders adopted in Ohio. PMID: 21951715 [PubMed - as supplied by publisher] (Source: Accident and Emergency Nursing) Accident and Emergency Nursing journals http://www.medworm.com/rss/comments.php?id=5267279 Mon, 26 Sep 2011 04:00:00 +0100 5267279 http://www.medworm.com/index.php?rid=5267278&cid=s_28224_14_f&fid=28224&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21951760%26dopt%3DAbstract Conclusions:  Current trauma guidelines suggest that the pregnant trauma patient be placed in a 15° left lateral tilt position to prevent aortocaval compression. A computer simulation study suggests that this tilt may be inadequate to offload the vena cava and normalize the circulation. PMID: 21951760 [PubMed - as supplied by publisher] (Source: Accident and Emergency Nursing) Accident and Emergency Nursing journals http://www.medworm.com/rss/comments.php?id=5267278 Mon, 26 Sep 2011 04:00:00 +0100 5267278 http://www.medworm.com/index.php?rid=5267277&cid=s_28224_14_f&fid=28224&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21951820%26dopt%3DAbstract Authors: Singer J PMID: 21951820 [PubMed - as supplied by publisher] (Source: Accident and Emergency Nursing) Accident and Emergency Nursing journals http://www.medworm.com/rss/comments.php?id=5267277 Mon, 26 Sep 2011 04:00:00 +0100 5267277 http://www.medworm.com/index.php?rid=5267276&cid=s_28224_14_f&fid=28224&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21951840%26dopt%3DAbstract Authors: Fonseca YA, Veysman BD PMID: 21951840 [PubMed - as supplied by publisher] (Source: Accident and Emergency Nursing) Accident and Emergency Nursing journals http://www.medworm.com/rss/comments.php?id=5267276 Mon, 26 Sep 2011 04:00:00 +0100 5267276 http://www.medworm.com/index.php?rid=5267275&cid=s_28224_14_f&fid=28224&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21951912%26dopt%3DAbstract Authors: Beck E PMID: 21951912 [PubMed - as supplied by publisher] (Source: Accident and Emergency Nursing) Accident and Emergency Nursing journals http://www.medworm.com/rss/comments.php?id=5267275 Mon, 26 Sep 2011 04:00:00 +0100 5267275 http://www.medworm.com/index.php?rid=5221454&cid=s_28224_14_f&fid=28224&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21906201%26dopt%3DAbstract Conclusions:  This study showed that serial visual estimations of the respiratory variation of IVC diameter and LVF agreed with bedside measurements of caval index and LVF during early fluid challenges to symptomatic hypotensive ED patients. There was moderate inter-rater agreement in both visual estimates. In addition, acute volume loading was associated with detectable acute changes in IVC measurements. PMID: 21906201 [PubMed - in process] (Source: Accident and Emergency Nursing) Accident and Emergency Nursing journals http://www.medworm.com/rss/comments.php?id=5221454 Thu, 01 Sep 2011 04:00:00 +0100 5221454 http://www.medworm.com/index.php?rid=5221453&cid=s_28224_14_f&fid=28224&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21906202%26dopt%3DAbstract Conclusions:  Nonmydriatic fundus photography taken by nurse practitioners is a feasible alternative to direct ophthalmoscopy in the ED. It is performed well by nonphysician staff, is well-received by staff and patients, and requires a trivial amount of time to perform. PMID: 21906202 [PubMed - in process] (Source: Accident and Emergency Nursing) Accident and Emergency Nursing journals http://www.medworm.com/rss/comments.php?id=5221453 Thu, 01 Sep 2011 04:00:00 +0100 5221453 http://www.medworm.com/index.php?rid=5221452&cid=s_28224_14_f&fid=28224&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21906203%26dopt%3DAbstract Conclusions:  There was marked variation in ED workload rates and whether or not ambulance diversion occurred during a 24-hour period. This variability in initiating ambulance diversion suggests different or inconsistently applied decision-making criteria for initiating diversion. PMID: 21906203 [PubMed - as supplied by publisher] (Source: Accident and Emergency Nursing) Accident and Emergency Nursing journals http://www.medworm.com/rss/comments.php?id=5221452 Thu, 01 Sep 2011 04:00:00 +0100 5221452 http://www.medworm.com/index.php?rid=5221451&cid=s_28224_14_f&fid=28224&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21906204%26dopt%3DAbstract Conclusions:  MR-proADM and copeptin, alone or in combination, may provide superior short-term mortality prediction compared to natriuretic peptides and troponin. Presented results are explorative due to the limited number of events, but validation in larger trials seems promising. PMID: 21906204 [PubMed - as supplied by publisher] (Source: Accident and Emergency Nursing) Accident and Emergency Nursing journals http://www.medworm.com/rss/comments.php?id=5221451 Thu, 01 Sep 2011 04:00:00 +0100 5221451 http://www.medworm.com/index.php?rid=5221450&cid=s_28224_14_f&fid=28224&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21906205%26dopt%3DAbstract Conclusions:  Using a previously published process, a structured literature review, and consensus expert panel opinion, only the GCS can currently be firmly recommended as a specific RAM or OM for prehospital trauma research (along with core measures that have already been established and published). This effort highlights the paucity of reliable, validated RAMs and OMs currently available for outcomes research in the prehospital setting and hopefully will encourage additional, methodologically sound evaluations of the promising, Category 2 RAMs and OMs, as well as the development of new measures. PMID: 21906205 [PubMed - as supplied by publisher] (Source: Accident and Emergency Nursing) Accident and Emergency Nursing journals http://www.medworm.com/rss/comments.php?id=5221450 Thu, 01 Sep 2011 04:00:00 +0100 5221450 http://www.medworm.com/index.php?rid=5195513&cid=s_28224_14_f&fid=28224&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21883635%26dopt%3DAbstract Conclusions:  In this study, patients undergoing shoulder dislocation reduction using US-guided interscalene block spent less time in the ED and required less one-on-one health care provider time compared to those receiving procedural sedation. There was no difference in pain level or satisfaction when compared to procedural sedation patients. ACADEMIC EMERGENCY MEDICINE 2011; 18:1-6 © 2011 by the Society for Academic Emergency Medicine. PMID: 21883635 [PubMed - as supplied by publisher] (Source: Accident and Emergency Nursing) Accident and Emergency Nursing journals http://www.medworm.com/rss/comments.php?id=5195513 Mon, 29 Aug 2011 23:00:00 +0100 5195513 http://www.medworm.com/index.php?rid=5195512&cid=s_28224_14_f&fid=28224&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21883636%26dopt%3DAbstract Conclusions:  Leadership courses for aspiring chairs in EM should foster the development of academic experience and managerial skills. Advanced degrees in leadership or administration are highly desirable in future chairs. ACADEMIC EMERGENCY MEDICINE 2011; 18:1-7 © 2011 by the Society for Academic Emergency Medicine. PMID: 21883636 [PubMed - as supplied by publisher] (Source: Accident and Emergency Nursing) Accident and Emergency Nursing journals http://www.medworm.com/rss/comments.php?id=5195512 Mon, 29 Aug 2011 23:00:00 +0100 5195512 http://www.medworm.com/index.php?rid=5195511&cid=s_28224_14_f&fid=28224&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21883637%26dopt%3DAbstract Conclusions:  Out-of-hospital care was associated with improved in-hospital processes for the care of critically ill patients. Despite shortened ED treatment times for septic patients who arrive by EMS, a mortality benefit could not be demonstrated. ACADEMIC EMERGENCY MEDICINE 2011; 18:1-7 © 2011 by the Society for Academic Emergency Medicine. PMID: 21883637 [PubMed - as supplied by publisher] (Source: Accident and Emergency Nursing) Accident and Emergency Nursing journals http://www.medworm.com/rss/comments.php?id=5195511 Mon, 29 Aug 2011 23:00:00 +0100 5195511 http://www.medworm.com/index.php?rid=5195510&cid=s_28224_14_f&fid=28224&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21883638%26dopt%3DAbstract Conclusions:  Over one-third of U.S. EDs have an OU. Short-stay admission patients have similar characteristics as ED observation patients and may represent an opportunity for the growth of OUs. ACADEMIC EMERGENCY MEDICINE 2011; 18:1-7 © 2011 by the Society for Academic Emergency Medicine. PMID: 21883638 [PubMed - as supplied by publisher] (Source: Accident and Emergency Nursing) Accident and Emergency Nursing journals http://www.medworm.com/rss/comments.php?id=5195510 Mon, 29 Aug 2011 23:00:00 +0100 5195510 http://www.medworm.com/index.php?rid=5195509&cid=s_28224_14_f&fid=28224&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21883639%26dopt%3DAbstract Authors: Macvane CZ, Doty CI PMID: 21883639 [PubMed - as supplied by publisher] (Source: Accident and Emergency Nursing) Accident and Emergency Nursing journals http://www.medworm.com/rss/comments.php?id=5195509 Mon, 29 Aug 2011 23:00:00 +0100 5195509 http://www.medworm.com/index.php?rid=5160293&cid=s_28224_14_f&fid=28224&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21854480%26dopt%3DAbstract Conclusions:  Compared to internal medicine, pediatrics, anesthesiology, and family medicine, EM received the least amount of NIH support per active faculty member and ranked next to last for NIH support by active physician. Given the many benefits of research both for the specialty and for society, EM needs to continue to develop and support an adequate cohort of independent investigators. ACADEMIC EMERGENCY MEDICINE 2011; 18:1-4 © 2011 by the Society for Academic Emergency Medicine. PMID: 21854480 [PubMed - as supplied by publisher] (Source: Accident and Emergency Nursing) Accident and Emergency Nursing journals http://www.medworm.com/rss/comments.php?id=5160293 Thu, 18 Aug 2011 23:00:00 +0100 5160293 http://www.medworm.com/index.php?rid=5160292&cid=s_28224_14_f&fid=28224&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21854481%26dopt%3DAbstract Authors: Veysman BD PMID: 21854481 [PubMed - as supplied by publisher] (Source: Accident and Emergency Nursing) Accident and Emergency Nursing journals http://www.medworm.com/rss/comments.php?id=5160292 Thu, 18 Aug 2011 23:00:00 +0100 5160292 http://www.medworm.com/index.php?rid=5160291&cid=s_28224_14_f&fid=28224&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21854482%26dopt%3DAbstract Conclusions:  This review of presentations at a national meeting found a lack of compliance with printed guidelines for COI disclosure during scientific presentation. Efforts to increase uniformity and clarity may result in increased compliance. ACADEMIC EMERGENCY MEDICINE 2011; 18:1-4 © 2011 by the Society for Academic Emergency Medicine. PMID: 21854482 [PubMed - as supplied by publisher] (Source: Accident and Emergency Nursing) Accident and Emergency Nursing journals http://www.medworm.com/rss/comments.php?id=5160291 Thu, 18 Aug 2011 23:00:00 +0100 5160291 http://www.medworm.com/index.php?rid=5160290&cid=s_28224_14_f&fid=28224&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21854483%26dopt%3DAbstract Authors: Zils SW, Codner PA, Pirrallo RG PMID: 21854483 [PubMed - as supplied by publisher] (Source: Accident and Emergency Nursing) Accident and Emergency Nursing journals http://www.medworm.com/rss/comments.php?id=5160290 Thu, 18 Aug 2011 23:00:00 +0100 5160290 http://www.medworm.com/index.php?rid=5160289&cid=s_28224_14_f&fid=28224&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21854484%26dopt%3DAbstract Authors: Jeanmonod R PMID: 21854484 [PubMed - as supplied by publisher] (Source: Accident and Emergency Nursing) Accident and Emergency Nursing journals http://www.medworm.com/rss/comments.php?id=5160289 Thu, 18 Aug 2011 23:00:00 +0100 5160289 http://www.medworm.com/index.php?rid=5160288&cid=s_28224_14_f&fid=28224&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21854485%26dopt%3DAbstract Conclusions:  The frequency of severe, immediate complications from CECT imaging that includes IV contrast is less than 1%, and the frequency of mild complications is less than 2%. The authors conclude that CECT is associated with a very low rate of severe immediate complications. ACADEMIC EMERGENCY MEDICINE 2011; 18:1-5 © 2011 by the Society for Academic Emergency Medicine. PMID: 21854485 [PubMed - as supplied by publisher] (Source: Accident and Emergency Nursing) Accident and Emergency Nursing journals http://www.medworm.com/rss/comments.php?id=5160288 Thu, 18 Aug 2011 23:00:00 +0100 5160288 http://www.medworm.com/index.php?rid=5160287&cid=s_28224_14_f&fid=28224&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21854486%26dopt%3DAbstract Conclusions:  Geospatial techniques and hospital data records can be used to characterize potential subjects and delineate a high-risk population to inform directed CC and public disclosure strategies. ACADEMIC EMERGENCY MEDICINE 2011; 18:1-5 © 2011 by the Society for Academic Emergency Medicine. PMID: 21854486 [PubMed - as supplied by publisher] (Source: Accident and Emergency Nursing) Accident and Emergency Nursing journals http://www.medworm.com/rss/comments.php?id=5160287 Thu, 18 Aug 2011 23:00:00 +0100 5160287 http://www.medworm.com/index.php?rid=5160286&cid=s_28224_14_f&fid=28224&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21854487%26dopt%3DAbstract Conclusions:  Cervical spine CT imaging for children discharged from the ED with trauma diagnoses increased from 2005 through 2009. Older age and evaluation outside a Level I pediatric trauma center were associated with a higher c-spine CT rate. Educational interventions focused outside pediatric trauma centers may be an effective approach to decreasing CT imaging of the c-spine of pediatric trauma patients. PMID: 21854487 [PubMed - as supplied by publisher] (Source: Accident and Emergency Nursing) Accident and Emergency Nursing journals http://www.medworm.com/rss/comments.php?id=5160286 Thu, 18 Aug 2011 23:00:00 +0100 5160286 http://www.medworm.com/index.php?rid=5160285&cid=s_28224_14_f&fid=28224&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21854488%26dopt%3DAbstract Conclusions:  While no results were significant for the overall study group, subgroup analysis of children age 0 to 2 years suggests that the VeinViewer may decrease the time to PIV placement. PMID: 21854488 [PubMed - as supplied by publisher] (Source: Accident and Emergency Nursing) Accident and Emergency Nursing journals http://www.medworm.com/rss/comments.php?id=5160285 Thu, 18 Aug 2011 23:00:00 +0100 5160285 http://www.medworm.com/index.php?rid=5142669&cid=s_28224_14_f&fid=28224&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21843212%26dopt%3DAbstract Authors: Cone DC PMID: 21843212 [PubMed - in process] (Source: Accident and Emergency Nursing) Accident and Emergency Nursing journals http://www.medworm.com/rss/comments.php?id=5142669 Sun, 31 Jul 2011 23:00:00 +0100 5142669 http://www.medworm.com/index.php?rid=5142668&cid=s_28224_14_f&fid=28224&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21843213%26dopt%3DAbstract Conclusions:  Recent joint surgery or cellulitis overlying a prosthetic hip or knee were the only findings on history or physical examination that significantly alter the probability of nongonococcal septic arthritis. Extreme values of sWBC (>50 × 10(9) /L) can increase, but not decrease, the probability of septic arthritis. Future ED-based diagnostic trials are needed to evaluate the role of clinical gestalt and the efficacy of nontraditional synovial markers such as lactate. PMID: 21843213 [PubMed - in process] (Source: Accident and Emergency Nursing) Accident and Emergency Nursing journals http://www.medworm.com/rss/comments.php?id=5142668 Sun, 31 Jul 2011 23:00:00 +0100 5142668 http://www.medworm.com/index.php?rid=5142667&cid=s_28224_14_f&fid=28224&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21843214%26dopt%3DAbstract Authors: Lang ES, Worster A Abstract ACADEMIC EMERGENCY MEDICINE 2011; 18:797-799 © 2011 by the Society for Academic Emergency Medicine ABSTRACT: The interpretation and optimal application of the myriad of diagnostic modalities at the emergency physician's (EP's) disposal is a core challenge of clinical practice. Connecting the wealth of scientific literature that informs our understanding of test performance, including elements of the history and the physical examination, is a daunting task. Translating this knowledge into improved patient outcomes requires two fundamentals; the first involves getting the evidence "straight" through systematic approaches that highlight quality work and methods for getting evidence to the point of need. This commentary discusses the potential impa... Accident and Emergency Nursing journals http://www.medworm.com/rss/comments.php?id=5142667 Sun, 31 Jul 2011 23:00:00 +0100 5142667 http://www.medworm.com/index.php?rid=5142666&cid=s_28224_14_f&fid=28224&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21843215%26dopt%3DAbstract Conclusions:  The ketamine/propofol combination provides adequate sedation and analgesia for painful procedures and appears to be a safe and useful technique in the ED. PMID: 21843215 [PubMed - in process] (Source: Accident and Emergency Nursing) Accident and Emergency Nursing journals http://www.medworm.com/rss/comments.php?id=5142666 Sun, 31 Jul 2011 23:00:00 +0100 5142666 http://www.medworm.com/index.php?rid=5142665&cid=s_28224_14_f&fid=28224&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21843216%26dopt%3DAbstract Conclusions:  This study showed poor repeatability and accuracy in bladder volume measurements using BladderScan ABUS when compared to RTUS. The ABUS method does not appear to be a reliable method for assessing bladder volumes in children aged 0 to 24 months prior to bladder instrumentation. PMID: 21843216 [PubMed - in process] (Source: Accident and Emergency Nursing) Accident and Emergency Nursing journals http://www.medworm.com/rss/comments.php?id=5142665 Sun, 31 Jul 2011 23:00:00 +0100 5142665 http://www.medworm.com/index.php?rid=5142664&cid=s_28224_14_f&fid=28224&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21843217%26dopt%3DAbstract Conclusions:  All three triage systems appear to be equally valid. Although the ESI showed the highest percentage of undertriage and the ISS the lowest, it seems preferable to use a verifiable, formally structured triage system. PMID: 21843217 [PubMed - in process] (Source: Accident and Emergency Nursing) Accident and Emergency Nursing journals http://www.medworm.com/rss/comments.php?id=5142664 Sun, 31 Jul 2011 23:00:00 +0100 5142664 http://www.medworm.com/index.php?rid=5142663&cid=s_28224_14_f&fid=28224&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21843218%26dopt%3DAbstract Conclusions:  High plasma lactate was associated with increased in-hospital mortality in this sample of patients with acute PE. PMID: 21843218 [PubMed - in process] (Source: Accident and Emergency Nursing) Accident and Emergency Nursing journals http://www.medworm.com/rss/comments.php?id=5142663 Sun, 31 Jul 2011 23:00:00 +0100 5142663 http://www.medworm.com/index.php?rid=5142662&cid=s_28224_14_f&fid=28224&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21843219%26dopt%3DAbstract Conclusions:  In a setting with universal health insurance, worse health status is the largest predictor of ED utilization, but low SES is independently associated with increased use of the ED, regardless of visit urgency. This study lends support to findings in other health systems that those using EDs are more ill and more disadvantaged. PMID: 21843219 [PubMed - as supplied by publisher] (Source: Accident and Emergency Nursing) Accident and Emergency Nursing journals http://www.medworm.com/rss/comments.php?id=5142662 Sun, 31 Jul 2011 23:00:00 +0100 5142662 http://www.medworm.com/index.php?rid=5142661&cid=s_28224_14_f&fid=28224&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21843220%26dopt%3DAbstract Conclusions:  A model for predicting the risk of immediate hospital admission at triage for all-cause ED patients was developed and validated using routinely collected hospital data. Early prediction of the need for hospital admission at the time of triage may help identify patients deserving of early admission planning and resource allocation and thus potentially reduce ED overcrowding. PMID: 21843220 [PubMed - in process] (Source: Accident and Emergency Nursing) Accident and Emergency Nursing journals http://www.medworm.com/rss/comments.php?id=5142661 Sun, 31 Jul 2011 23:00:00 +0100 5142661 http://www.medworm.com/index.php?rid=5142660&cid=s_28224_14_f&fid=28224&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21843221%26dopt%3DAbstract Conclusions:  Copeptin and Prx4 are new prognostic markers in patients presenting to the ED with NSCs. Copeptin and Prx4 might be valuable tools for risk stratification and decision-making in this patient group. PMID: 21843221 [PubMed - in process] (Source: Accident and Emergency Nursing) Accident and Emergency Nursing journals http://www.medworm.com/rss/comments.php?id=5142660 Sun, 31 Jul 2011 23:00:00 +0100 5142660 http://www.medworm.com/index.php?rid=5142659&cid=s_28224_14_f&fid=28224&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21843222%26dopt%3DAbstract Conclusions:  Feedback devices for CPR during transportation do not have an effect on objective components of physical strain, but decrease perceived exertion in experienced rescuers in an experimental setting. PMID: 21843222 [PubMed - in process] (Source: Accident and Emergency Nursing) Accident and Emergency Nursing journals http://www.medworm.com/rss/comments.php?id=5142659 Sun, 31 Jul 2011 23:00:00 +0100 5142659 http://www.medworm.com/index.php?rid=5142658&cid=s_28224_14_f&fid=28224&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21843223%26dopt%3DAbstract This article describes the structure of the program and discusses the history and major drivers behind its founding. We report major changes, cite ongoing challenges, and discuss lessons learned from the program's first 7 years that may help advise other nascent training programs in developing countries. PMID: 21843223 [PubMed - in process] (Source: Accident and Emergency Nursing) Accident and Emergency Nursing journals http://www.medworm.com/rss/comments.php?id=5142658 Sun, 31 Jul 2011 23:00:00 +0100 5142658 http://www.medworm.com/index.php?rid=5142657&cid=s_28224_14_f&fid=28224&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21843224%26dopt%3DAbstract Conclusions:  Higher-quality CPGs for mTBI are consistent in their recommendations about assessment, imaging, and provision of patient information. There is not, however, an agreed definition of mTBI, and the quality of future CPGs could be improved with better reporting of stakeholder involvement, procedures for updating, and greater consideration of the applicability of the recommendations (cost implications, monitoring procedures). Nevertheless, guideline developers may benefit from adapting existing CPGs to their local context rather than investing in developing CPGs de novo. PMID: 21843224 [PubMed - in process] (Source: Accident and Emergency Nursing) Accident and Emergency Nursing journals http://www.medworm.com/rss/comments.php?id=5142657 Sun, 31 Jul 2011 23:00:00 +0100 5142657 http://www.medworm.com/index.php?rid=5142656&cid=s_28224_14_f&fid=28224&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21843225%26dopt%3DAbstract Authors: Ong ME, Shin SD, Tanaka H, Ma MH, Khruekarnchana P, Hisamuddin N, Atilla R, Middleton P, Kajino K, Leong BS, Khan MN Abstract ACADEMIC EMERGENCY MEDICINE 2011; 18:890-897 © 2011 by the Society for Academic Emergency Medicine ABSTRACT: Disease-based registries can form the basis of comparative research to improve and inform policy for optimizing outcomes, for example, in out-of-hospital cardiac arrest (OHCA). Such registries are often lacking in resource-limited countries and settings. Anecdotally, survival rates for OHCA in Asia are low compared to those in North America or Europe, and a regional registry is needed. The Pan-Asian Resuscitation Outcomes Study (PAROS) network of hospitals was established in 2009 as an international, multicenter, prospective registry of OHCA... Accident and Emergency Nursing journals http://www.medworm.com/rss/comments.php?id=5142656 Sun, 31 Jul 2011 23:00:00 +0100 5142656 http://www.medworm.com/index.php?rid=5142655&cid=s_28224_14_f&fid=28224&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21843226%26dopt%3DAbstract Conclusions:  An increasing number of international EM journals have appeared over the past 10 years. Every EM journal exhibited a positive impact factor trend, but the gap between EM journals' impact factors has widened in the past 10 years. PMID: 21843226 [PubMed - in process] (Source: Accident and Emergency Nursing) Accident and Emergency Nursing journals http://www.medworm.com/rss/comments.php?id=5142655 Sun, 31 Jul 2011 23:00:00 +0100 5142655 http://www.medworm.com/index.php?rid=5110820&cid=s_28224_14_f&fid=28224&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21802879%26dopt%3DAbstract CONCLUSION: In our population of ambulatory female ED patients, resistance to TMP/SMX is just below the 20% threshold that the Infectious Disease Society of America recommends for continued empiric use (Clin Infect Dis.1999;29(4):745-758, Clin Infect Dis.2011;52(5):e103-120), whereas resistance to other narrow-spectrum agents, such as nitrofurantoin and cephalexin, may be lower than published antibiograms for our sites. Fluoroquinolone resistance remains very low. PMID: 21802879 [PubMed - as supplied by publisher] (Source: Accident and Emergency Nursing) Accident and Emergency Nursing journals http://www.medworm.com/rss/comments.php?id=5110820 Wed, 27 Jul 2011 23:00:00 +0100 5110820 http://www.medworm.com/index.php?rid=5110821&cid=s_28224_14_f&fid=28224&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21790839%26dopt%3DAbstract This article is not intended to serve as a systematic review or clinical guideline but is instead meant to be a selection of current high-quality IEM literature, with the hope that it will foster further growth in the field, highlight evidence-based practice, and encourage discourse. ACADEMIC EMERGENCY MEDICINE 2011; 18:1-8 © 2011 by the Society for Academic Emergency Medicine. PMID: 21790839 [PubMed - as supplied by publisher] (Source: Accident and Emergency Nursing) Accident and Emergency Nursing journals http://www.medworm.com/rss/comments.php?id=5110821 Mon, 25 Jul 2011 23:00:00 +0100 5110821 http://www.medworm.com/index.php?rid=5067665&cid=s_28224_14_f&fid=28224&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21762470%26dopt%3DAbstract Conclusions:  In this cohort of patients suspected of having any infection in the ED, the accuracy of nCD64, s-TREM-1, and HMGB-1 was not significantly sensitive or specific for diagnosis of sepsis. ACADEMIC EMERGENCY MEDICINE 2011; 18:1-9 © 2011 by the Society for Academic Emergency Medicine. PMID: 21762470 [PubMed - as supplied by publisher] (Source: Accident and Emergency Nursing) Accident and Emergency Nursing journals http://www.medworm.com/rss/comments.php?id=5067665 Sun, 17 Jul 2011 23:00:00 +0100 5067665 http://www.medworm.com/index.php?rid=5017873&cid=s_28224_14_f&fid=28224&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21729185%26dopt%3DAbstract Conclusions:  Human immunodeficiency virus screening using an additional staff model has no clinically significant effect on the overall LOS for discharged patients. ACADEMIC EMERGENCY MEDICINE 2011; 18:1-6 © 2011 by the Society for Academic Emergency Medicine. PMID: 21729185 [PubMed - as supplied by publisher] (Source: Accident and Emergency Nursing) Accident and Emergency Nursing journals http://www.medworm.com/rss/comments.php?id=5017873 Mon, 04 Jul 2011 23:00:00 +0100 5017873 http://www.medworm.com/index.php?rid=5017872&cid=s_28224_14_f&fid=28224&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21729186%26dopt%3DAbstract Has "What's in Your Pocket" Changed Meaning? Acad Emerg Med. 2011 Jul 5; Authors: Singer J PMID: 21729186 [PubMed - as supplied by publisher] (Source: Accident and Emergency Nursing) Accident and Emergency Nursing journals http://www.medworm.com/rss/comments.php?id=5017872 Mon, 04 Jul 2011 23:00:00 +0100 5017872 http://www.medworm.com/index.php?rid=5017871&cid=s_28224_14_f&fid=28224&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21729187%26dopt%3DAbstract This article discusses initial implementation and results. ACADEMIC EMERGENCY MEDICINE 2011; 18:1-8 © 2011 by the Society for Academic Emergency Medicine. PMID: 21729187 [PubMed - as supplied by publisher] (Source: Accident and Emergency Nursing) Accident and Emergency Nursing journals http://www.medworm.com/rss/comments.php?id=5017871 Mon, 04 Jul 2011 23:00:00 +0100 5017871 http://www.medworm.com/index.php?rid=5017870&cid=s_28224_14_f&fid=28224&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21729188%26dopt%3DAbstract Conclusions:  This study found no evidence that clerkship site affected final exam score. Academic EM clerkships may consider partnering with other hospitals for clinical experiences without compromising education. ACADEMIC EMERGENCY MEDICINE 2011; 18:1-4 © 2011 by the Society for Academic Emergency Medicine. PMID: 21729188 [PubMed - as supplied by publisher] (Source: Accident and Emergency Nursing) Accident and Emergency Nursing journals http://www.medworm.com/rss/comments.php?id=5017870 Mon, 04 Jul 2011 23:00:00 +0100 5017870 http://www.medworm.com/index.php?rid=5017869&cid=s_28224_14_f&fid=28224&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21729189%26dopt%3DAbstract Conclusions:  SCC can have a subtle presentation with absent or unilateral motor and sensory deficits, but gait ataxia may be an additional finding. ED misdiagnosis of SCC in nontrauma patients is common. ACADEMIC EMERGENCY MEDICINE 2011; 18:1-7 © 2011 by the Society for Academic Emergency Medicine. PMID: 21729189 [PubMed - as supplied by publisher] (Source: Accident and Emergency Nursing) Accident and Emergency Nursing journals http://www.medworm.com/rss/comments.php?id=5017869 Mon, 04 Jul 2011 23:00:00 +0100 5017869 http://www.medworm.com/index.php?rid=5017868&cid=s_28224_14_f&fid=28224&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21729190%26dopt%3DAbstract Authors: Livshits Z, Hoffman RS PMID: 21729190 [PubMed - as supplied by publisher] (Source: Accident and Emergency Nursing) Accident and Emergency Nursing journals http://www.medworm.com/rss/comments.php?id=5017868 Mon, 04 Jul 2011 23:00:00 +0100 5017868 http://www.medworm.com/index.php?rid=5017867&cid=s_28224_14_f&fid=28224&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21729191%26dopt%3DAbstract Authors: Caspers C, Zink B PMID: 21729191 [PubMed - as supplied by publisher] (Source: Accident and Emergency Nursing) Accident and Emergency Nursing journals http://www.medworm.com/rss/comments.php?id=5017867 Mon, 04 Jul 2011 23:00:00 +0100 5017867 http://www.medworm.com/index.php?rid=5017875&cid=s_28224_14_f&fid=28224&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21707828%26dopt%3DAbstract Conclusions:  This pilot study demonstrated that sonographic measurements of anterior neck soft tissue thickness at the level of hyoid bone and thyrohyoid membrane can be used to distinguish difficult and easy laryngoscopies. Clinical screening tests did not correlate with US measurements, and US was able to detect difficult laryngoscopy, indicating the limitations of the conventional screening tests for predicting difficult laryngoscopy. ACADEMIC EMERGENCY MEDICINE 2011; 18:1-5 © 2011 by the Society for Academic Emergency Medicine. PMID: 21707828 [PubMed - as supplied by publisher] (Source: Accident and Emergency Nursing) Accident and Emergency Nursing journals http://www.medworm.com/rss/comments.php?id=5017875 Sun, 26 Jun 2011 23:00:00 +0100 5017875 http://www.medworm.com/index.php?rid=5017874&cid=s_28224_14_f&fid=28224&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21707829%26dopt%3DAbstract Authors: Hollander JE, Chang AM PMID: 21707829 [PubMed - as supplied by publisher] (Source: Accident and Emergency Nursing) Accident and Emergency Nursing journals http://www.medworm.com/rss/comments.php?id=5017874 Sun, 26 Jun 2011 23:00:00 +0100 5017874 http://www.medworm.com/index.php?rid=4969449&cid=s_28224_14_f&fid=28224&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21692900%26dopt%3DAbstract Authors: Motov SM, Marshall JP ACADEMIC EMERGENCY MEDICINE 2011; 18:1-5 © 2011 by the Society for Academic Emergency Medicine ABSTRACT: Pain is the most common reason people visit emergency departments (EDs); this implies that emergency physicians (EPs) should be experts in managing acute painful conditions. The current trend in the literature, however, demonstrates that EPs possess inadequate knowledge and lack formal training in acute pain management. The purpose of this article is to create a formal educational curriculum that would assist emergency medicine (EM) residents in proper assessment and treatment of acute pain, as well as in providing a solid theoretical and practical knowledge base for managing acute pain in the ED. The authors propose a series of lectures, case-oriente... Accident and Emergency Nursing journals http://www.medworm.com/rss/comments.php?id=4969449 Mon, 20 Jun 2011 23:00:00 +0100 4969449 http://www.medworm.com/index.php?rid=4969434&cid=s_28224_14_f&fid=28224&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21692901%26dopt%3DAbstract Conclusions:  Overall, TNO appears to be an effective intervention to reduce ED LOS, especially in injury and/or suspected fracture cases. The available evidence is limited by small numbers of studies, weak methodologic quality, and incomplete reporting. Future studies should focus on a better description of the contextual factors surrounding these interventions and exploring the impact of TNO on other indicators of productivity and satisfaction with health care delivery. PMID: 21692901 [PubMed - as supplied by publisher] (Source: Accident and Emergency Nursing) Accident and Emergency Nursing journals http://www.medworm.com/rss/comments.php?id=4969434 Mon, 20 Jun 2011 23:00:00 +0100 4969434 http://www.medworm.com/index.php?rid=4969427&cid=s_28224_14_f&fid=28224&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21692902%26dopt%3DAbstract Conclusions:  Boarding was associated with home medication delays, but fewer cardiac enzyme test delays. Boarding was not associated with delayed PTT checks, antibiotic administration, medication errors, or adverse events/near misses. These findings likely reflect the inherent resources of the ED and the inpatient units. PMID: 21692902 [PubMed - as supplied by publisher] (Source: Accident and Emergency Nursing) Accident and Emergency Nursing journals http://www.medworm.com/rss/comments.php?id=4969427 Mon, 20 Jun 2011 23:00:00 +0100 4969427 http://www.medworm.com/index.php?rid=4969521&cid=s_28224_14_f&fid=28224&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21676048%26dopt%3DAbstract We present a research agenda for acute, unscheduled care in the United States developed in conjunction with an Agency for Healthcare Research and Quality-funded conference hosted by the American College of Emergency Physicians in October 2009, titled "Improving the Quality and Efficiency of Emergency Care Across the Continuum: A Systems Approach." Given the possible increase in ED utilization over the next several years as more people become insured, understanding differences in cost, quality, and access for conditions that may be treated in EDs or clinic settings will be vital in guiding national health policy. PMID: 21676048 [PubMed - as supplied by publisher] (Source: Accident and Emergency Nursing) Accident and Emergency Nursing journals http://www.medworm.com/rss/comments.php?id=4969521 Tue, 31 May 2011 23:00:00 +0100 4969521 http://www.medworm.com/index.php?rid=4969520&cid=s_28224_14_f&fid=28224&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21676049%26dopt%3DAbstract We present a research agenda addressing the major questions that are posed by the introduction of IT into ED care; these questions relate to interoperability, patient flow and integration into clinical work, real-time decision support, handoffs, safety-critical computing, and the interaction between IT systems and clinical workflows. PMID: 21676049 [PubMed - as supplied by publisher] (Source: Accident and Emergency Nursing) Accident and Emergency Nursing journals http://www.medworm.com/rss/comments.php?id=4969520 Tue, 31 May 2011 23:00:00 +0100 4969520 http://www.medworm.com/index.php?rid=4969519&cid=s_28224_14_f&fid=28224&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21676050%26dopt%3DAbstract Authors: Schuur JD, Baugh CW, Hess EP, Hilton JA, Pines JM, Asplin BR ACADEMIC EMERGENCY MEDICINE 2011; 18:e52-e63 © 2011 by the Society for Academic Emergency Medicine ABSTRACT: The decision to admit a patient to the hospital after an emergency department (ED) visit is expensive, frequently not evidence-based, and variable. Outpatient critical pathways are a promising approach to reduce hospital admission after emergency care. Critical pathways exist to risk stratify patients for potentially serious diagnoses (e.g., acute myocardial infarction [AMI]) or evaluate response to therapy (e.g., community-acquired pneumonia) within a short time period (i.e., less than 36 hours), to determine if further hospital-based acute care is needed. Yet, such pathways are variably used while many pa... Accident and Emergency Nursing journals http://www.medworm.com/rss/comments.php?id=4969519 Tue, 31 May 2011 23:00:00 +0100 4969519 http://www.medworm.com/index.php?rid=4969518&cid=s_28224_14_f&fid=28224&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21676051%26dopt%3DAbstract Authors: Pines JM, Asplin BR, Kaji AH, Lowe RA, Magid DJ, Raven M, Weber EJ, Yealy DM ACADEMIC EMERGENCY MEDICINE 2011; 18:e64-e69 © 2011 by the Society for Academic Emergency Medicine ABSTRACT: Frequent use of emergency department (ED) services is often perceived to be a potentially preventable misuse of resources. The underlying assumption is that similar and more appropriate care can be delivered outside of EDs at a lower cost. To reduce costs and incentivize more appropriate use of services, there have been efforts to design interventions to transition health care utilization of frequent users from EDs to other settings such as outpatient clinics. Many of these efforts have succeeded in smaller trials, but wider use remains elusive for varying reasons. There are also some fundamen... Accident and Emergency Nursing journals http://www.medworm.com/rss/comments.php?id=4969518 Tue, 31 May 2011 23:00:00 +0100 4969518 http://www.medworm.com/index.php?rid=4969517&cid=s_28224_14_f&fid=28224&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21676052%26dopt%3DAbstract Authors: Quest TE, Asplin BR, Cairns CB, Hwang U, Pines JM ACADEMIC EMERGENCY MEDICINE 2011; 18:e70-e76 © 2011 by the Society for Academic Emergency Medicine ABSTRACT: Palliative care focuses on the physical, spiritual, psychological, and social care from diagnosis to cure or death of a potentially life-threatening illness. When cure is not attainable and end of life approaches, the intensity of palliative care is enhanced to deliver the highest quality care experience. The emergency department (ED) frequently cares for patients and families during the end-of-life phase of the palliative care continuum. The intersection between palliative care and emergency care continues to be more clearly defined. Currently, there is a mounting body of evidence to guide the most effective strategies... Accident and Emergency Nursing journals http://www.medworm.com/rss/comments.php?id=4969517 Tue, 31 May 2011 23:00:00 +0100 4969517