September 2019, Volume 112 - Issue 9

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

Michael J. Maniaci, MD, M. Caroline Burton, MD, Christian Lachner, MD, Tyler F. Vadeboncoeur, MD, Nancy L. Dawson, MD, Archana Roy, MD, Adrian G. Dumitrascu, MD, Patricia C. Lewis, ARNP, Teresa A. Rummans, MD

Abstract: 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...

(pp 463-468)

CME Article: Benefits of Using The Pause after Death in Emergency Departments: A Delphi Study

Tim Cunningham, DrPH, RN, Dallas M. Ducar, MSN, RN

Abstract: Objective: The Pause is a short-term, microbreak created by an emergency nurse in 2009. It provides care team members a few seconds of silence to honor a patient who has died while also honoring the efforts of the team. It is used now on four continents as a standard...

(pp 469-474)

Commentary on “Benefits of Using The Pause after Death in Emergency Departments: A Delphi Study”

Brian James Daley, MD, FACS

Abstract: Today’s modern medical world is an array of technology and protocolized care. Evidence-based care is driving uniform practice and avoiding variability. This, unfortunately, is alsodriving disenchantment, burnout, moral outrage, or whatever one wishes to call it, in...

(pp 475)

Homelessness Among Patients in a Southeastern Safety Net Emergency Department

Toni S. Jackson, MD, Tim P. Moran, PhD, Jonathan Lin, BS, Jeremy Ackerman, MD, PhD, Bisan A. Salhi, MD, PhD

Abstract: Objectives: Emergency departments (EDs) are important providers for homeless individuals, providing vital health care and meeting the subsistence needs of many homeless patients (eg, food, water, shelter). Studies that have examined the proportion of patients in the ED...

(pp 476-482)

Moral Injury or Burnout?

Thomas F. Heston, MD, Joshuel A. Pahang, BS

Abstract: Burnout among healthcare providers is a growing problem, leading to the early retirement of otherwise qualified professionals and suboptimal medical care. Rates of physician burnout in the United States are estimated to exceed 50%, increasing the cost of medical care...

(pp 483)

Comment on “Propofol Versus Dexmedetomidine for Procedural Sedation in a Pediatric Population”

Steven T. Baldwin, MD

Abstract: The utilization and standards of practice for pediatric deep sedation have undergone multiple changes during the last 20 to 30 years. The key drivers of change include growth inimaging and surgical procedures along with desires to better alleviate patient stress related to...

(pp 484-486)

A Simulation Course Focusing on Forensic Evidence Collection Improves Pediatric Knowledge and Standardizes Curriculum for Child Abuse

David W. Bernard, MD, Marjorie Lee White, MD, MPPM, Nancy M. Tofil, MD, Chris Jolliffe, RN, SANE-P, Amber Youngblood, BSN, RN, J. Lynn Zinkan, MPH, RN, Stacy L. Gaither, MSN, RN, Dawn Taylor Peterson, PhD, Yih Ying Yuan, MD

Abstract: Objectives: Our hypothesis was that pediatric residents and medical students who participated in a structured forensic evidence collection course would have improved knowledge of prepubertal evidence collection practices and pubertal genital anatomy.Methods: The course...

(pp 487-490)

Anesthetic Errors During Procedures in the United States

Punit Singh, MD, Mostafa Maita, DO, John Lacci, BA, Brian Boies, MD, America S. Revere, BS, Eden T. Sirak, BS, Ali Seifi, MD

Abstract: Objectives: The purpose of this study was to identify the incidence of anesthetic errors per discharges in the United States within these errors, the incidence of death. A secondary aim was to identify any association between the mortality and patient comorbidities.Methods:...

(pp 491-496)

Transitions of Care for Healthy Young Adults: Promoting Primary Care and Preventive Health

Laurie Graves, MD, Shannon Leung, MD, Prashant Raghavendran, DO, Sarah Mennito, MD, MSCR

Abstract: The transition of care between pediatric and adult medicine is a challenging time for patients and physicians. This longitudinal process encompasses much more than the physical transfer of a patient between providers. Established transition of care processes and literature...

(pp 497-499)