Search Tag: ED

Sepsis

2024 03 Jul

  Sepsis and septic shock, caused by a dysregulated response to infection, affect nearly 50 million people globally, resulting in approximately 11 million deaths. Early identification and management, including source control, antimicrobial therapy, and fluid resuscitation, are associated with reduced mortality. The Surviving Sepsis Campaign (SSC)...Read more

ICU Management

2024 23 May

Nurses working in emergency departments seek more training, stating that the high-pressure environment can negatively affect their decision-making.   Researchers from the University of East Anglia (UEA) conducted the first-ever U.K. survey of triage nurses to explore their backgrounds, training, and decision-making processes. The study is published in...Read more

Sepsis

2024 13 Feb

  Early recognition and initiation of antibiotics are crucial in managing sepsis. Various warning scores, including qSOFA (quick Sequential Organ Failure Assessment), have been introduced to aid early detection. Patients with suspected infection and at least two of the qSOFA clinical signs are at a significantly higher risk of death after 28 days....Read more

ICU Management

2024 06 Feb

  Hospitals utilise unscheduled return visit (URV) rates in emergency departments (EDs) to determine care quality. Higher rates lead to increased costs and longer wait times for patients who need immediate care. Frequent ED visits also contribute to overcrowding, causing treatment delays and higher mortality rates.  Developing predictive models...Read more

IMAGING Management

2023 19 Oct

According to a new study, imaging clinical decision support (CDS) aims to assist healthcare providers in making informed choices regarding imaging studies. The study is dedicated to to breaking down the effects of CDS on decision-making processes and workflow management within the high-pressure environment of the Emergency Department (ED).  ...Read more

ICU Management

2021 30 Apr

Over the past few years, inspired by landmark publications, 1,2,3 demonstrating the feasibility, safety and clinical value of transesophageal echocardiography (TEE) performed by emergency physicians (EPs), a number of U.S. hospitals have established TEE programmes based in their emergency departments (EDs). In 2017, the American College of Emergency...Read more

ICU Management

2021 27 Apr

Timely delivery of antibiotics is a major cornerstone of sepsis therapy. Clinical evidence suggests that every one-hour delay in antibiotics after emergency department (ED) triage or the onset of organ dysfunction or shock could result in a 3-7% increase in the odds of a poor outcome. The Surviving Sepsis Campaign (SSC) guidelines recommend antibiotic...Read more

ICU Management

2020 12 Feb

Violent attacks against emergency physicians remain a problem. While mass shootings at hospitals are quite rare, violent attacks against emergency physicians are becoming too common these days.  There have been cases where emergency physicians have been knocked unconscious, physically assaulted, hit, bitten, kicked, and punched by patients. According...Read more

ICU Management

2019 20 Sep

Intensive care units (ICUs) have a considerable impact on the lives of the patients that are admitted there to their families and the society as a whole. The delivery of intensive care to these patients is considerably expensive and resource-intensive. With an ageing population and the rise in the volume and acuity of patients requiring critical care,...Read more

ICU Management

2019 22 Aug

Delays in transferring patients from the Emergency Department (ED) to the ICU could delay treatment, leaving the patient at risk. A recent study explored the impact of this and found that increased ED to ICU wait times were associated with increased hospital mortality.   Data was used from the Dutch quality registry National Intensive Care Evaluation,...Read more

ICU Management

2019 25 Jul

Existing biomarkers provide limited use for rapid detection of sepsis since they cannot accurately distinguish sepsis from other common conditions encountered in the emergency department (ED). Now a U.S. clinical trial suggests that the monocyte distribution width (MDW) can be a useful indicator of Sepsis-2 and Sepsis-3 in high-risk ED patients. "Changes...Read more

ICU Management

2019 19 Jul

Point-of-care ultrasound (POCUS) has become an established tool for the rapid assessment and diagnosis of patients across a variety of medical disciplines, not least in the high-octane environment of intensive care medicine. Dr. Timm Steuber, senior consultant and head of the ICU at Evangelisches Krankenhaus Unna, Germany, discusses his day-to-day...Read more

ICU Management

2019 22 Mar

At the 39th International Symposium on Intensive Care and Emergency Medicine , Dr. Michael Pulia discussed the challenges of antibiotic stewardship. Dr. Pulia, Assistant Professor at the BerbeeWalsh Department of Emergency Medicine, serves as Medical Director for the ED antibiotic stewardship quality improvement programme at the University of Wisconsin. ...Read more

ICU Management

2017 22 Mar

SWESEM is the Swedish Society for Emergency Medicine, the national association for Swedish Emergency Physicians. We are happy to see Emergency Medicine become a primary specialty in Sweden 2015. Find SWESEM on Social Media      Read more

IT Management

2016 01 Aug

With unpredictable rises in Emergency Department use, one Florida health system brainstormed to develop a strategy to deal with the unexpected volume. The solution was to control surges by combining triage with telemedicine. Aiming to offset overcrowding in the Emergency Department, Baptist Health South Florida in Coral Gables developed what it called...Read more

Executive Health Management

2015 23 Nov

Emergency departments (ED) are usually designed in a linear flow, attaching nurses or physicians to particular patients and specific tasks. However, this type of system is vulnerable to uneven staff low, high patient levels, and a backflow of ED discharge.  If an ED was designed to be more versatile and facilitate more effective teamwork, it would...Read more