Search Tag: emergency department

ICU Management

#ISICEM19: Custom-built antibiotic stewardship for the ED - Dr. Michael Pulia

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

Harvard study: machine learning improves ED triage

2019 27 Feb

The increasing number of emergency department (ED) visits often correlates with ED crowding and delays in care. This problem highlights the need for ED triage systems that accurately differentiate and prioritise critically ill from stable patients, enabling efficient allocation of finite ED resources.     Currently, the Emergent Severity... Read more

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

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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