Search Tag: emergency department

ICU Management

ED-Based ICU - An Effective Solution?

2019 20 Sep

Intensive care units (ICUs) have a considerable impact, from the patients that stay in them to the society surrounding them. This demand has made significant economic strains on the healthcare industry with $0.40 of each dollar spent on healthcare in the U.S. spent on intensive care. The ageing population and the increasing number of people needing... Read more

IT Management

Making a Success of Health Data Exchange

2019 05 Sep

Recently, the Alaska Journal of Commerce reported the success of a data exchange platform being used at emergency departments in several Alaskan hospitals. The Collective Medical platform allows for easier health data exchange between hospitals and means that emergency department staff have immediate access to a patient’s medical history. The system... Read more

Cardiology Management

#ESCCongress: RAPID-TnT Study Shows Reduction in Wait Times and Admissions

2019 04 Sep

10% of the 7 million emergency department cases in South Australia each year are from suspected acute coronary syndrome (ACS). Led by Prof. Derek Chew of Flinders University, a new trial found a new troponin regime which could reduce discharge times for 70% of chest pain patients in Australian emergency departments. Findings were presented at the ESC... Read more

ICU Management

Emergency Department to ICU Time and Mortality

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

Emergency Department-Based Intensive Care Improves Patient Survival

2019 02 Aug

A study of the Massey Family Foundation Emergency Critical Care Center – EC3 found that the implementation of emergency department ICUs led to improved survival rates and better patient care. Opened in February 2015, EC3 is a highly advanced critical care centre, next to the emergency department at Michigan Medical. The unit is equipped with five... Read more

ICU Management

Monocyte Distribution Width as Biomarker for Early Sepsis Detection

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

A solid future for point-of-care ultrasound in intensive care

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

#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