SMJ articles in the category "emergency department"

Original Article

Utilization of an Internal Medicine Triaging Resident in the Emergency Department Reduces Preventable Admissions and Improves Trainee Experiences

Objective: Increasing patient care requirements and suboptimal communication between emergency department (ED) and Internal Medicine (IM) services may lead to inefficient hospital utilization, lapses in transitions of care, and reduced trainee satisfaction in the inpatient setting. Furthermore, a lack of triaging roles for IM trainees has been a common limitation…

Posted in: emergency department 21

Original Article

Storage of Medications: A Survey of Families in the Pediatric Emergency Department

Objectives: To evaluate caregivers’ practice of prescription medication storage, particularly of opioid medications, as well as to provide educational materials to families about the opioid crisis. Methods: Caregivers of patients in a pediatric emergency department were asked to participate in a survey about medication storage practices and beliefs, focusing on…

Posted in: emergency department 21 ingestion 3 medication 5 opioids 10

Original Article

National Estimates of Noncanine Bite and Sting Injuries Treated in US Hospital Emergency Departments, 2011–2015

Objectives: Injuries resulting from contact with animals are a significant public health concern. This study quantifies and updates nonfatal bite and sting injuries by noncanine sources using the most recent data available (2011–2015) from the National Electronic Injury Surveillance System-All Injury Program with the purpose of using these updates to…

Posted in: emergency department 21 snake 2

Original Article

Emergency Medicine Resident–Driven Point of Care Ultrasound for Suspected Shoulder Dislocation

Objective: To determine the impact of implementing a musculoskeletal in-service educational intervention for emergency medicine (EM) residents on the use of point-of-care ultrasound (POCUS) to diagnose and manage shoulder dislocations in the emergency department (ED).Methods: This study was conducted in the ED of an academic teaching hospital in Miami, Florida….

Posted in: emergency department 21

Original Article

Teen Driving Education in a Pediatric Emergency Department: Effectiveness of a Toolkit

Objectives: In the United States, the leading cause of death for adolescents aged 16 to 24 years is motor vehicle crashes, with Alabama ranked as the second-worst state in the nation for teen driving deaths. We sought to determine the efficacy of teenage driving education within the setting of the…

Posted in: emergency department 21

Original Article

Patients Threatening Harm to Others Evaluated in the Emergency Department under the Florida Involuntary Hold Act (Baker Act)

Objectives: This study describes the specific threats of harm to others that led to the use of the Baker Act, the Florida involuntary hold act for emergency department (ED) evaluations. The study also summarizes patient demographics, concomitant psychiatric diagnoses, and emergent medical problems.Methods: This is a retrospective review of 251…

Posted in: emergency department 21 involuntary hold 2 suicidal 2

Original Article

Summary of Selected Healthcare Encounters among a Selection of Patients with Myotonic Muscular Dystrophy

Objective: Research has not examined the use of health care by patients with myotonic muscular dystrophy (MMD), but it would provide insights into this population, which is prone to comorbidities and high service needs. This study is an analysis of this understudied subgroup, using a unique linked dataset to examine…

Posted in: disability 3 emergency department 21 hospitalization 13

Original Article

CME Article: Patients on Involuntary Hold Status in the Emergency Department

Objectives: Patients requiring involuntary holds are frequently seen in the emergency department (ED). Much of what is known comes from studies of patients at urban academic centers. Our aim was to describe the demographic and clinical characteristics of patients who were evaluated while on involuntary status at a suburban ED.Methods:…

Posted in: emergency department 21 involuntary hold 2 substance abuse 9 suicidal ideation 2 suicide attempt 2

Original Article

Patients’ Perceptions of the Role of Physicians in Questioning and Educating in Firearms Safety: Post-FOPA Repeal Era

Objectives: In this study, we determined patients’ attitudes toward discussing firearms and issues of firearms safety with emergency department physicians. We assessed whether patients feel discriminated against should physicians discuss firearms safety, and whether they believed that physician counseling may change how patients store firearms. Methods: From June to October…

Posted in: emergency department 21 survey 8

Original Article

Health Information Exchange in the ED: What Do ED Clinicians Think?

Objectives: Our regional health information exchange (HIE), known as Carolina eHealth Alliance (CeHA)-HIE, serves all major hospital systems in our region and is accessible to emergency department (ED) clinicians in those systems. We wanted to understand reasons for low CeHA-HIE utilization and explore options for improving it. Methods: We implemented…

Posted in: emergency department 21 health information exchange 4

Original Article

Contraception Initiation in the Emergency Department: A Pilot Study on Providers’ Knowledge, Attitudes, and Practices

Objectives: Almost half of all pregnancies in the United States are unintended; these pregnancies are associated with adverse outcomes. Many reproductive-age females seek care in the emergency department (ED), are at risk of pregnancy, and are amenable to contraceptive services in this setting. Through a pilot study, we sought to…

Posted in: contraception 14 emergency department 21 knowledge 6 questionnaire 3

Original Article

Longitudinal Trends in the Prevalence of Diabetes Mellitus in an Urban Emergency Department

Objective: The objective of this study was to examine the longitudinal trends in diabetes mellitus (DM) in emergency department (ED) patients and evaluate the factors associated with those trends. Methods: We conducted a retrospective analysis of all patients who presented to the ED from 2006 to 2011. The presence of…

Posted in: body mass index 17 diabetes mellitus 34 emergency department 21 Obesity 70

Original Article

Association of Systemic Inflammatory Response Syndrome with Clinical Outcomes of Pediatric Patients with Pneumonia

Objectives: Systemic inflammatory response syndrome (SIRS) may complicate pneumonia. When present, it suggests that the patient’s pneumonia is more severe. As such, recognition of SIRS among patients with pneumonia may be helpful in identifying those requiring more careful evaluation. Our objective was to examine the relation between the presence of…

Posted in: community-acquired pneumonia 2 emergency department 21 systemic inflammatory response syndrome 2

Original Article

Effectiveness of an Urban Emergency Department Call-Back System in the Successful Linkage to Treatment of Sexually Transmitted Infections

Objectives: There is a high incidence of asymptomatic sexually transmitted infections (STIs) in emergency department (ED) patients. There is no historical indication, physical examination finding, or rapidly available laboratory testing specific for detecting STIs in women. This study was conducted to describe the performance of an ED call-back system for…

Posted in: chlamydia 3 emergency department 21 gonorrhea 2 screening 34 sexually transmitted infection 2

Original Article

CME Article: Emergency Department Orthopedics Observation Unit as an Alternative to Admission

Objectives: Inclusion of select orthopedic problems in the orthopedics observation unit (OOU) may reduce hospital admissions. Our system allows OOU status for 24 hours, but the effect on admissions is unknown. Our primary hypothesis was that we could predict which OOU patients required admission based on the presence of uncontrolled…

Posted in: emergency department 21 observation 4 orthopedics 3

Original Article

No Difference in Emergency Department Length of Stay for Patients with Limited Proficiency in English

Objectives The population of the United States continues to diversify, with an increasing percentage of individuals who have limited English proficiency (LEP). A major concern facing emergency departments (EDs) around the country is increasing length of stay (LOS). Although multiple studies have shown racial and ethnic disparities in waiting time…

Posted in: emergency department 21 length of stay 14 limited English proficiency 2

Original Article

Reasons Military Patients With Primary Care Access Leave an Emergency Department Waiting Room Before Seeing a Provider

Objectives: Our objective was to assess patients’ understanding of emergency department (ED) wait times and why patients may leave the waiting room before seeing a provider. Methods: Survey of patients in the ED waiting room of an urban tertiary care military hospital where civilian and military patients are treated. Results:…

Posted in: emergency department 21

Original Article

Association of Doxycycline Prescriptions and Tick-Related Emergency Department Visits in North Carolina

Objectives: To compare the seasonal frequency of doxycycline prescriptions with tick-related emergency department (ED) visits in North Carolina, and to determine if doxycycline prescriptions are associated in time with an increase in the number of ED visits for a tick-related patient complaint or a subsequent diagnosis of a tick-borne infection….

Posted in: doxycycline 2 emergency department 21 epidemiology 36

Original Article

Well-Child Care in Infancy and Emergency Department Use by South Carolina Medicaid Children Birth to 6 Years Old

Objectives: This analysis tests the hypothesis that children enrolled in Medicaid with the recommended early and periodic screening, diagnosis and treatment (EPSDT) visits in the first 24 months utilize fewer emergency department (ED) services birth to 6 years old than children with fewer visits. Methods: Data represent all health encounters…

Posted in: emergency department 21 Medicaid 13 primary care provider 2

Original Article

The Effects of Deep Breathing Training on Pain Management in the Emergency Department

Purpose:The purpose of this study was to measure the impact of deep breathing exercises on the pain levels in patients who presented to the emergency department (ED) with pain as their chief complaint. A secondary purpose was to measure the impact of deep breathing teaching on indicators of patient satisfaction.Methods:This…

Posted in: emergency department 21 Pain Management 4
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