Emergency Medicine Topics
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ICU Staff Report Severe Moral Distress, But Resources Are Underused
Unresolved ethical concerns not only cause individual moral distress, but can also change the staff relationships and clinical cohesiveness.
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Ethical Guidance for Research on Dying or Recently Deceased ICU Patients
There are no authoritative international ethical guidelines governing research on dying or recently deceased individuals. A group of investigators sought to start a conversation about challenges and potential solutions. They developed a preliminary framework for the ethical conduct of research with imminently dying patients.
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New Advances in Cardiac Arrest Treatment
Cardiac arrest requires emergent medical intervention, with the goal of perfusing the brain and other major organs while attempting to reverse the underlying etiology causing the arrest.
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Progress on Pediatric Readiness in EDs Continues
The pandemic slowed progress and not all emergency departments fully adhere to national guidelines, but continuous improvement is evident.
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AAP Advocates Placing Outpatient Pharmacies in Emergency Departments
The pediatrics group suggests this around-the-clock service would ensure more patients fill vital prescriptions.
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Fewer Delays in Sepsis Treatment via Provider in Triage Model
However, more research is needed to identify which key elements of this process can be reliably replicated using cost-effective resources to balance liabilities and risks.
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Legal Considerations if ED Embraces Provider in Triage Approach
Implementing standing orders at triage and taking a team approach to care, with triage nurses, nurse practitioners, physician assistants, and emergency physicians all working together, are better approaches to improve the triage process.
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EDs Face OSHA Citations for Failing to Prevent Violence
OSHA cited a Texas hospital for failing to adequately protect employees from violence, after a patient assaulted a security officer who lost consciousness and was subsequently hospitalized. The agency noted the hospital had not created policies and procedures to protect employees from assault by patients who had exhibited violent behavior.
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How Emergency Medicine Leaders Can Implement an Intervention to Assess Suicide Risk
EDs will need to build a multidisciplinary implementation team to review their current care delivery, build improved protocols, deploy those protocols, adjust them iteratively over time to work out the kinks, and install methods for sustaining the effort long-term.
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Virtual Nurses Alleviate Burdens on Frontline Staff, Critical Workforce Shortages
Across the United States, health systems are experimenting with programs that enable nurses, working remotely, to handle tasks that usually are handled by in-person, bedside nurses. These virtual nurses are managing everything from purposeful rounding to handling administrative tasks that often keep bedside nurses from spending more time on patient care.