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Articles Tagged With: emergency

  • Emergency Nurses Face Barriers to Serious Illness Conversations

    Emergency nurses view lack of privacy, concerns about delayed patient throughput, and perceived difficulty as barriers to having serious illness conversations with patients in the emergency department (ED) setting, a recent study found.

  • Tachycardia in the Emergency Department: Part II

    This issue completes the two-part series on tachycardia. This issue will finish the discussion of additional causes of tachycardia, address management, and conclude by covering some challenging issues with this arrhythmia.

  • Hyponatremia: Evaluation and Management in the Emergency Department

    Hyponatremia is one of the most common electrolyte derangements among adults presenting to the emergency department and is associated with significant morbidity and mortality. A variety of factors and disease processes can contribute to the development of hyponatremia, varying in both chronicity and in subsequent symptomatology. Understanding the varied etiologies of hyponatremia is essential for the emergency physician to appropriately manage this electrolyte disorder, ensuring appropriate treatment and disposition in a common but potentially dangerous disease process.

  • Emergency Department Management of Violent Patients

    A violent patient is someone under medical care who is a threat of danger to themselves, other patients, or hospital staff. Like many of the problems we face in the emergency department, the management of a violent (or potentially violent) patient is not always straightforward. Each encounter will be influenced by the patient’s background, underlying health conditions, comorbid issues, psychiatric history, socioeconomic factors, and much more.

  • Ways Case Managers Can Improve Disaster Planning

    Effective disaster planning requires improved annual preparedness training, better focus on patient transition, more emphasis on rehabilitation after discharge, strengthened teams, and transitions of care contingencies.

  • Pediatric Procedural Sedation and Analgesia in the Emergency Department

    Children in the acute care setting may require nonpharmacologic and pharmacologic adjuncts for anxiety, pain, or to successfully complete diagnostic testing or therapeutic interventions. The authors review the requirements and pharmacologic agents necessary to complete a successful pediatric procedural sedation and analgesia.

  • Are We Prescribing Enough Emergency Contraception?

    In this national sample of obstetrician-gynecologists, the majority (84%) reported offering at least one form of emergency contraception, with 80% offering the levonorgestrel pill, 18% offering ulipristal acetate, and 29% offering the copper intrauterine device.

  • Acute, Hospital-Level Care in the Home: A Glimpse of the Future

    Emergency providers can provide hospital-level acute care to patients at home under Advanced Care at Home, a new program from the Mayo Clinic that leverages technology and in-person services. The approach has been introduced in Jacksonville, FL, and Eau Claire, WI.

  • An Anatomical Review of Trauma to the Mouth and Throat

    Trauma to the mouth and throat is very common. Fortunately, the majority of the injuries are minor, but early and timely recognition of critical, potentially devastating injuries is essential. The authors provide a thorough review highlighting critical injuries and their management.

  • Accreditation Program Elevates Pain and Addiction Care in the ED

    Long before the COVID-19 pandemic, frontline providers were confronting an epidemic of patients struggling with opioid use disorders (OUD). Recognizing the urgent need for improvement in this area, the American College of Emergency Physicians is rolling out a new accreditation program that is aimed at nudging EDs across the country to up their game when it comes to both the treatment of pain and the way they manage patients who present with OUD.