Issue - Southern Medical Association

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…

Original Article

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

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 of…

Invited Commentary

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

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 doctors, nurses, and medical personnel. Electronic medical records, check boxes, rule-driven pharmacologic delivery…

Original Article

Homelessness Among Patients in a Southeastern Safety Net Emergency Department

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 setting who experience homelessness have been conducted primarily in the northeastern United…

Perspectives

Moral Injury or Burnout?

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 through high turnover and decreased quality of patient care.1

Editorial

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

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 anxiety or pain, improve procedural performance of providers,…

Original Article

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

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 curriculum included a forensic evidence collection video created by the sexual assault nurse examiner directors. After…

Original Article

Anesthetic Errors During Procedures in the United States

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: A retrospective analysis of the hospitals in the United…

Perspectives

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

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 exist for many chronic disease populations, but little focus has been…