Search Tag: emergency department

Sepsis

Qsofa-with-supar-for-risk-detection-antibiotic-treatment-guidance

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

Machine-learning-for-predicting-unscheduled-returns-to-ed

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

The-influence-of-predictive-text-clinical-decision-support-on-imaging-order-entry

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

Cardiology Management

Esccongress-ambulances-should-take-cardiac-arrest-patients-to-closest-emergency-department

2023 27 Aug

A recent trial involving all hospitals in London, U.K., reports no disparity in survival at 30 days in patients with resuscitated cardiac arrest who were transported by ambulance to a cardiac arrest centre or the nearest emergency department. These findings were presented during a Hot Line session at the ESC Congress 2023.   Sudden cardiac arrest...Read more

ICU Management

Pem-2023

2023 31 Mar

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ICU Management

Ed-admission-and-adherence-to-surviving-sepsis-campaign-bundle

2022 15 Feb

Approximately 85,000 patients are admitted to the emergency department in the U.S. each year for sepsis or septic shock. The Surviving Sepsis Campaign (SSC) has established International clinical practice guidelines for managing these patients. The guidelines consist of a bundle that includes treatments for various components of sepsis, including rapid...Read more

IT Management

Patient-photo-in-ehr-impact-on-errors

2020 17 Nov

Displaying patient photos in the electronic health record (EHR) banner not only enhances a physician's ability to correctly identify patients. Importantly, this may also be a simple and inexpensive way to avoid wrong-patient order entry (WPOE) errors, says a new study (Salmasian et al. 2020)   You might also like: Get Data on Board: Incorporating...Read more

ICU Management

Violent-attacks-against-emergency-physicians

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

Top-icu-stories-of-2019

2019 28 Dec

As we move into 2020, here's a quick recap of our most clicked stories in ICU in 2019:  Using Biomarkers for Mortality Prediction in Patients With Sepsis A new study evaluated the prognostic value of six biomarkers at onset of sepsis in adult patients with sepsis or septic shock. Risk Factors for Frailty and Death in the ICU...Read more

ICU Management

Emergency-department-to-icu-time-associated-with-mortality

2019 07 Nov

Most emergency rooms have a triage system that enables the triage nurse to determine which patient is seriously ill to ensure that the patient is promptly admitted and treated. For disorders like heart attack and stroke, there are standard emergency room protocols in most hospitals that enable patients to receive care within 3-5 hours of initial...Read more

ICU Management

Ed-based-icu-an-effective-solution

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

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

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

Prompt-cards-in-the-emergency-department

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