Search Tag: emergency department

ICU Management

Metabolic-based biomarkers have potential to triage children with sepsis

2018 14 Nov

A new study has validated potential biomarkers for a sepsis-triage model to distinguish sepsis patients requiring care in the paediatric intensive care unit (PICU) from sepsis identified in the paediatric emergency department (PED) that does not require ICU admission. The study, led by Beata Mickiewicz and colleagues from the University of Calgary... Read more

ICU Management

Emirates Society of Emergency Medicine Conference 2018

2018 12 Dec

Follow ESEM on  Social Media : Read more

ICU Management

#EUSEM18: Is it a zebra, horse or chameleon? Diagnostic reasoning in the ED

2018 25 Sep

How can we predict errors in the emergency department? Clinician judgement is key, said Eric Dryver, speaking at the European Society for Emergency Medicine annual congress, held in Glasgow earlier this month. Dryver, emergency medician physician at Skåne University Hospital in Lund, Sweden, and chair of the EUSEM education committee, said that in... Read more

ICU Management

#EuSEM18: Sepsis in the emergency department - what antibiotics?

2018 18 Sep

Doctors are responsible for reducing antibiotic usage in their hospital, region and country. At the same time, emergency medicine doctors have the responsibility to treat very sick patients - with suspected sepsis and septic shock, efficiently. This was the conundrum addressed by Christian Backer Mogensen, consultant in infectious medicine and emergency... Read more

ICU Management

#EUSEM18: End-of-life care in the ED

2018 12 Sep

Nobody goes into emergency medicine to care for dying patients, but people do die in emergency departments, and end-of-life care could and should be better in the ED, said Mary Dawood, RN, of Imperial College Healthcare NHS Trust, London, speaking at the European Society of Emergency Medicine congress in Glasgow this week. She noted that EOLC in... Read more

ICU Management

2018 23 Aug

Human factors are a well recognised cause of discrepancies in patient care that can lead to adverse outcomes. In a busy Emergency Department (ED) setting, when dealing with the sickest patients at all hours and with a rotating workforce, there is an increased potential for inconsistent care despite clear evidence based protocols and guidelines on... Read more

ICU Management

Need to optimise disposition in ED patients presenting with infection

2018 18 Jul

Emergency department (ED) patients with suspected infection admitted to the intensive care unit (ICU) are associated with lower in-hospital mortality and costs than those initially admitted to the floor or discharged home, according to a new study published in the journal Critical Care. "Our findings demonstrate worse outcomes and higher costs... Read more

IMAGING Management

Can interventions reduce image ordering for low back pain in the ED?

2018 20 Jun

Low back pain (LBP) is a common complaint of people visiting the emergency department. As imaging of LBP has been identified as a key area of imaging overuse (e.g., Choosing Wisely recommendation), interventions to reduce image ordering among patients with LBP in both primary and acute care settings have been recommended. A new systematic review... Read more

ICU Management

Pre-ICU health organisation in Norway

2018 01 Jun

Presents the main principles of the Norwegian acute healthcare system. Norway is a rather small country with a population of about 5.3 million. More than half of these inhabitants are located in and around the larger cities, with about a million in the capital region of Oslo. Hence, significant parts of the country are rural, with fjords... Read more

ICU Management

Procalcitonin does not curb antibiotic use for lower respiratory tract infection

2018 29 May

In the Procalcitonin Antibiotic Consensus Trial (ProACT), the use of a procalcitonin-guided antibiotic prescription guideline did not result in less exposure to antibiotics than did usual care among patients presenting to the emergency department (ED) with suspected lower respiratory tract infection.  Overuse of antibiotics is common in infections... Read more