Participants who attended the lifestyle intervention program had significantly fewer emergency department presentations [Risk Ratio (RR) 0.31, 95% Confidence Interval (CI) 0.11 to 0.83] and potentially avoidable emergency department presentations (RR 0.06, 95%CI .004 to .097) over the follow-up period. There were no differences between the groups in hospital admissions and there were insufficient data to determine changes in metabolic parameters. Lifestyle group participants increased their exercise capacity [6-minute walk test mean difference (MD) 41m, 95%CI 20 to 62] and had a mild decrease in weight (MD -0.8kg, 95%CI -1.5 to -0.2) and waist circumference (MD -1.3cm, 95%CI -2.1 to -0.6) after 8 weeks.. Significance of findings to allied health ...
The emergency department utilisation rate among foreign-born residents, once adjusted by age and sex, was 38% lower than that among Spanish-born residents. Moreover, across all age groups, the crude utilisation rates were lower in foreign-born than in Spanish-born residents. This result is consistent with previous reports of healthcare utilisation by the immigrant population and was probably due to the healthy immigrant effect [16, 25], according to which recently arrived immigrants have better health status than native-born residents because of a previous natural selection procedure in each country of origin. This fact has also been proven in our country: the percentages of good and excellent self-perceived health were higher, and chronic morbidity was 40% less frequent among economic immigrants than among the rest of the population living in the city of Madrid, after adjusting for age, sex and educational level [26]. To our knowledge, the only study that has analysed utilisation rates by ...
The emergency department utilisation rate among foreign-born residents, once adjusted by age and sex, was 38% lower than that among Spanish-born residents. Moreover, across all age groups, the crude utilisation rates were lower in foreign-born than in Spanish-born residents. This result is consistent with previous reports of healthcare utilisation by the immigrant population and was probably due to the healthy immigrant effect [16, 25], according to which recently arrived immigrants have better health status than native-born residents because of a previous natural selection procedure in each country of origin. This fact has also been proven in our country: the percentages of good and excellent self-perceived health were higher, and chronic morbidity was 40% less frequent among economic immigrants than among the rest of the population living in the city of Madrid, after adjusting for age, sex and educational level [26]. To our knowledge, the only study that has analysed utilisation rates by ...
TY - JOUR. T1 - Improved asthma outcomes in a high-morbidity pediatric population. T2 - Results of an emergency department-based randomized clinical trial. AU - Teach, Stephen J.. AU - Crain, Ellen F.. AU - Quint, Deborah M.. AU - Hylan, Michelle L.. AU - Joseph, Jill G. PY - 2006/5. Y1 - 2006/5. N2 - Objective: To determine if an emergency department-based asthma follow-up clinic could improve outcomes within a high-morbidity pediatric population. Design: Prospective, randomized clinical trial with 6 months of follow-up. Setting: Emergency department of an urban pediatric medical center. Participants: Convenience sample of 488 patients aged 12 months to 17 years, inclusive, with prior physician-diagnosed asthma and 1 or more other unscheduled visits in the previous 6 months and/or 1 or more hospitalizations in the prior 12 months. Intervention: Single follow-up clinic visit focusing on 3 domains: asthma self-monitoring and management, environmental modification and trigger control, and linkages ...
TY - JOUR. T1 - Acute heart failure syndromes. T2 - Emergency department presentation, treatment, and disposition: Current approaches and future aims: A scientific statement from the American Heart Association. AU - Weintraub, Neal L.. AU - Collins, Sean P.. AU - Pang, Peter S.. AU - Levy, Phillip D.. AU - Anderson, Allen S.. AU - Arslanian-Engoren, Cynthia. AU - Gibler, W. Brian. AU - McCord, James K.. AU - Parshall, Mark B.. AU - Francis, Gary S.. AU - Gheorghiade, Mihai. PY - 2010/11/9. Y1 - 2010/11/9. KW - AHA Scientific Statements. KW - acute care. KW - diagnosis. KW - emergency medicine. KW - heart failure. KW - outcomes. KW - prognosis. KW - treatment. UR - http://www.scopus.com/inward/record.url?scp=78649322294&partnerID=8YFLogxK. UR - http://www.scopus.com/inward/citedby.url?scp=78649322294&partnerID=8YFLogxK. U2 - 10.1161/CIR.0b013e3181f9a223. DO - 10.1161/CIR.0b013e3181f9a223. M3 - Review article. C2 - 20937981. AN - SCOPUS:78649322294. VL - 122. SP - 1975. EP - 1996. JO - ...
TY - JOUR. T1 - Does distance to hospital affect emergency department presentations and hospital length of stay among COPD patients?. AU - Rana, Rezwanul. AU - Gow, Jeff. AU - Moloney, Clint. AU - King, Alex. AU - Keijzers, Gerben. AU - Beccaria, Gavin. AU - Mullens, Amy. N1 - This article is protected by copyright. All rights reserved.. PY - 2020/8/12. Y1 - 2020/8/12. N2 - BACKGROUND: The primary goal of COPD management is to optimize a patients functional status and quality of life. By encouraging effective patient self-management within primary health care, unplanned and potentially avoidable COPD admissions to the emergency department can be avoided.AIM: The aim of this study is to examine whether distance to hospital influences the rate of ED presentation, hospital admission and hospital length of stay for COPD patients.METHODS: The 2016 to 2018 resulted in a total of 5253 patient presentations with a primary medical diagnosis code of J44 (COPD). These were at the main hospitals of three ...
Emergency departments are a critical component of Australias health care system. Many of Australias public hospitals have purpose-built emergency departments, staffed 24 hours a day, providing care for patients who require urgent medical attention. In 2016-17: •there were about 7.8 million presentations to Australian public hospital emergency departments, an average of more than 21,000 per day •patients aged 4 and under (who make up less than 7% of the population) accounted for about 11% of all emergency department presentations •patients aged 65 and over (who make up about 15% of the population) accounted for more than 21% of emergency department presentations •about one-quarter (or almost 2 million) of emergency department presentations had a principal diagnosis in the ICD-10-AM chapter Injury, poisoning and certain other consequences of external causes •the two most common individual principal diagnoses reported were Abdominal and pelvic pain (4.3%), and Pain in the throat and ...
BACKGROUND: In children, community-acquired pneumonia is a frequent cause of emergency department (ED) presentation and hospital admission. Quality primary care may prevent some of these hospital visits. AIMS: The aim of this study was to identify primary care factors associated with ED presentation and hospital admission of preschool-aged children with community-acquired pneumonia. METHODS: A case-control study was conducted by enrolling three groups: children presenting to the ED with pneumonia and admitted (n = 326), or discharged home (n = 179), and well-neighbourhood controls (n = 351). Interviews with parents and primary care staff were conducted and health record review was performed. The association of primary care factors with ED presentation and hospital admission, controlling for available confounding factors, was determined using logistic regression. RESULTS: Children were more likely to present to the ED with pneumonia if they did not have a usual general practitioner (GP) (odds ratio (OR)
Practice Gap. Optimal care of kidney transplantation recipients requires a coordinated treatment and management approach to guide transitions of care from the inpatient to outpatient care setting; emergency department visits can represent fragmentation in this coordination of care. A more definitive understanding of the trends and causes of ED utilization among a national population of kidney recipients is necessary to identify potentially modifiable factors and to identify opportunities to improve quality of care and lower resource utilization. This activity will develop transplant providers understanding of the emergency department utilization, hospital admission, and outpatient nephrology visits, and to determine the sociodemographic and clinical characteristics associated with emergency department services following kidney transplantation.. Learner Objectives. 1. Assess the epidemiologic burden of emergency department utilization among kidney ...
Background. The benefits of continuity of care COC have not been firmly established for pediatric patients. Objective. To assess whether greater COC is associated with lower emergency department ED utilization. Setting. Outpatient teaching clinic at Children s Hospital and Regional Medical Center, Seattle, WA. Patients. All 785 Medicaid managed...
Results We included 5711 patients with mean age of 6.1±5.3 years and 55.4% males. The number of daily visits was 28.3±6.5 during Ramadan versus 31.5±7.3 during non-Ramadan (p=0.004). The peak time of visits ranged from 18:00 to 22:00 during non-Ramadan versus from 22:00 to 02:00 during Ramadan. During Ramadan, there were significantly more gastrointestinal (GI) and trauma-related complaints (39.0% vs 35.4%, p=0.01 and 2.9% vs 1.8%, p=0.005). The Ramadan group had faster work efficiency measures such as times to order tests (21.1±21.3 vs 24.3±28.1 min, p,0.0001) and to collect samples (50.7±44.5 vs 54.8±42.6 min, p=0.03). ...
The University of Chicago Medicine celebrated the completion of what will be the citys newest and most advanced adult emergency department when the $39 million facility opens to patients in late December. More than 150 people, including public officials, community representatives and faith leaders, were on hand for the Dec. 5 celebration, which included a ribbon-cutting ceremony and community tours of the new state-of-the-art emergency department.
Headache is a common and frequently disabling clinical disorder that accounts for nearly 2% of all emergency department presentations. Often patients are experiencing a headache that is not responding to commonly available medications. However, there is no good evidence to support which available hospital medications consistently offer effective pain relief to individuals with these types of refractory headache. Understandably this is a challenging scenario in the emergency department setting for both the patient and physician that often leads to inadequate or unsatisfactory symptom relief.. In a few small trials, there has been promising evidence that the medication propofol is potentially an effective, safe and quick treatment alternative for stubborn headaches. It is important to note that propofol is not a new medication and is routinely used on a daily basis throughout hospitals for both general anaesthesia and procedural sedation.. It is the intention of this research project to ...
Drug and Alcohol Findings Effectiveness Bank analysis titled: The impact of screening, brief intervention, and referral for treatment on emergency department patients
Background. Many proponents for healthcare reform suggest increased cost-sharing by patients as a method to reduce overall expenditures. Prior studies on the effects of co-payments for ED visits have generally not been directed toward understanding patient attitudes/behavior at point of care.Objectives. We conducted a survey at point of care to test our hypothesis that a significant number of patients with urgent chief complaints might have avoided the ED if asked to provide a co-payment.Methods. Cross-sectional study design. Stable, oriented, consenting patients at an inner-city, academic ED were consecutively enrolled at hours in which trained research associates were available to assist with data collection. Enrolled patients completed a written survey providing demographic/chief complaint information, and then were asked whether 13 interval amounts of co-payment ranging from 0 to |500 would have impacted their decision to visit the ED. Categorical data are presented as frequency of occurrence and
TY - JOUR. T1 - Pediatric emergency departments are more likely than general emergency departments to treat asthma exacerbation with systemic corticosteroids. AU - Bekmezian, Arpi. AU - Hersh, Adam L.. AU - Maselli, Judith H.. AU - Cabana, Michael D.. PY - 2011/2. Y1 - 2011/2. N2 - Objective. To determine whether systemic corticosteroids are under-prescribed (as measured by current NIH treatment guidelines) for children in the United States seen in the emergency department (ED) for acute asthma, and to identify factors associated with prescribing systemic corticosteroids. Methods. We used data from the 2001-2007 National Hospital Ambulatory Medical Care Survey. The study population was children ≤18 years old in the ED with a primary diagnosis of asthma (ICD-9-CM code 493.xx) who received bronchodilator(s). The primary outcome was receipt of a systemic corticosteroid in the ED. Independent variables included patient-level (e.g., demographics, insurance, fever, admission), physician-level ...
TY - JOUR. T1 - Volume of emergency department admissions for sepsis is related to inpatient mortality. T2 - Results of a nationwide cross-sectional analysis. AU - Powell, Emilie S.. AU - Khare, Rahul K.. AU - Courtney, D. Mark. AU - Feinglass, Joe. N1 - Copyright: Copyright 2017 Elsevier B.V., All rights reserved.. PY - 2010/11. Y1 - 2010/11. N2 - Objectives: Emergency department resuscitation plays a significant role in sepsis care, and it is unknown if patient outcomes vary by institution based on the level of sepsis experience of the emergency department. This study examines whether there is an association between the annual volume of patients admitted via the emergency department with sepsis and inpatient mortality. Design: Cross-sectional analysis of the 2007 Nationwide Inpatient Sample. Setting AND Patients: We included 87,166 adult emergency department sepsis admissions from 551 hospitals. MEASUREMENTS: Hospitals were categorized into quartiles by 2007 emergency department sepsis volume. ...
Study Objective: To assess the potential clinical impact of thrombolytic therapy for acute myocardial infarction by determining true-positive and false-positive rates of criteria for eligibility among emergency room patients with acute chest pain.. Design: Prospective multicenter cohort study.. Setting: Emergency rooms of three university and four community hospitals.. Patients: Emergency room patients (7734) with acute chest pain.. Measurements and Main Results: Only 261 (23%) of 1118 patients with acute myocardial infarctions were 75 years of age or younger, presented within 4 hours of the onset of pain, and had emergency room electrocardiograms showing probable acute myocardial infarction; 60 (0.9%) of the 6616 patients without infarction also met these criteria (positive predictive value, 261/321 = 81%; CI, 77% to 86%). The positive predictive value could increase to about 88% (CI, 82% to 93%) if eligibility were based on the official hospital electrocardiogram reading.. Conclusions: Because ...
Background Recent health service policies in the UK have focused on improving primary care access in order to reduce the use of costly emergency department services, even though the relationship between the two is based on weak or little evidence. domains: GP access characteristics, population characteristics, and health status aggregated to the level of the GP practice. Multiple linear regression was used to Ganetespib ascertain which variables account for the variation in emergency department attendance experienced by patients registered to each GP practice. Results None of the GP access variables accounted for the variation in emergency department attendance. The only variable that explained this variance was the Index of Multiple Deprivation (IMD). For every unit increase in IMD score of the GP practice, there would be an increase of 6.13 (95% CI = 4.56, 7.70) per 1000 patients per year in emergency department attendances. This accounted for 47.9% of the variance in emergency department ...
Study Purpose: Substance Use Among Violently Injured Youth in an Urban Emergency Department was an investigation into the natural course of service needs, use, and trajectories among high-risk youth with drug use who present to an inner-city Emergency Department with multiple risk behaviors (with and without acute violent injury). By over-sampling of a violently injured group, the study was able to obtain a sufficient sample size that has been lacking in prior work limiting conclusions and intervention development. The specific aims of the study included:. Specific Aim 1: To describe multiple risk behaviors of youth/young adults (ages 14-24) who report illicit drug use and who present to an urban Emergency Department for an acute violent injury (e.g., laceration, gun shot wound), compared to youth with drug use who seek non-violence related Emergency Department care (for unintentional injury and illness, e.g., motor vehicle crash, abdominal pain). Specific Aim 2: To identify the trajectories of ...
Working-age adults with disabilities account for a disproportionately high amount of annual emergency department visits, reports a comparison study from National Institutes of Health (NIH) researchers.. The NIH study analyzed pooled data from the Medical Expenditure Panel Survey. Researchers found access to regular medical care, health profile complexity, and disability status contributed to people with disabilities use of the emergency department.. Despite representing 17% of the working age US population, the study found that adults with disabilities accounted for 39.2% of total emergency department visits. Those with a severely limiting disability visited an urgent care department more often than their peers and were more likely to visit the emergency department more than 4 times per year.. Emergency visits also were associated with poor access to primary medical care, which was more prevalent among adults with disabilities.. We want to understand what takes people to the emergency ...
Working-age adults with disabilities account for a disproportionately high amount of annual emergency department visits, reports a comparison study from National Institutes of Health (NIH) researchers.. The NIH study analyzed pooled data from the Medical Expenditure Panel Survey. Researchers found access to regular medical care, health profile complexity, and disability status contributed to people with disabilities use of the emergency department.. Despite representing 17% of the working age US population, the study found that adults with disabilities accounted for 39.2% of total emergency department visits. Those with a severely limiting disability visited an urgent care department more often than their peers and were more likely to visit the emergency department more than 4 times per year.. Emergency visits also were associated with poor access to primary medical care, which was more prevalent among adults with disabilities.. We want to understand what takes people to the emergency ...
One of the promises of health information exchange is better communication between hospitals and community healthcare providers about patients, including efforts to reduce emergency department utilization rates and ensure people are receiving care in the most appropriate setting.. To improve their information flow, hospitals in Washington state have turned to a solution called the Emergency Department Information Exchange (EDIE), a software tool for proactively notifying EDs when high-utilization or special needs patients register. The information includes those patients prior ED visit history, primary care provider information, and associated care plans.. The Washington State Health Care Authority reports that use of EDIE by hospital EDs has helped save the state a projected $31 million annually. The HCA also reports a 23 percent visit reduction in unnecessary ED visits by Medicaid patients with more than 5 visits in 12 months. Based on this early success in Washington, the Oregon Health ...
Hospital emergency departments play a growing role in the U.S. health care system, accounting for a rising proportion of hospital admissions and serving increasingly as an advanced diagnostic center for primary care physicians.
According to data from European hospitals, about 1% of all emergency department (ED) admissions are related to poisoning. Poison information centres (PICs) can provide valuable support to ED personnel and help to optimise patient management in such cases.
Emergency departments (EDs) in many developed countries are experiencing increasing pressure due to rising numbers of patient presentations and emergency admissions. Reported increases range up to 7% annually. Together with limited inpatient bed capacity, this contributes to prolonged lengths of stay in the ED; disrupting timely access to urgent care, posing a threat to patient safety. The aim of this review is to summarise the findings of studies that have investigated the extent of and the reasons for increasing emergency presentations. To do this, a systematic review and synthesis of published and unpublished reports describing trends and underlying drivers associated with the increase in ED presentations in developed countries was conducted. Most published studies provided evidence of increasing ED attendances within developed countries. A series of inter-related factors have been proposed to explain the increase in emergency demand. These include changes in demography and in the ...
Abstract Introduction: Since the introduction of a shared e-scooter service to Auckland in October there have been multiple media reports of associated injuries, but no quantitation of the number or severity of these injuries, or the impact on hospital emergency department services in Auckland. Methods: We performed a retrospective chart review on all patients referred to Auckland hospital ED radiology with the indication containing e-scooter between 15 August 2018 and 15 December 2018. All requests were screened to ensure that the injury was caused by an e-scooter. Recorded data included patient demographics, type of imaging utilised, injury type, and whether admission or surgery was required. Results: Sixty-four patients met the inclusion criteria, only one of these was prior to introduction of shared e-scooters on 15 October 2018. Of these, there were 27 limb fractures, 3 dislocations, a fractured spine, 12 patients with concussion, 1 extra-dural bleed, 9 facial/skull fractures and multiple ...
BACKGROUND:Duplicated renal collecting system is a urological anomaly often found in pediatric patients. It is less commonly diagnosed in adulthood, particularly in a pregnant patient. Many point-of-care ultrasonography users may not be aware of this diagnosis, particularly in patients in the emergency department. It is important to recognize the duplicated system because in general, patients will often have hydronephrosis in only one renal pole rather than the entire kidney, which corresponds to an unequal renal function as documented on renal nuclear medicine functional scans. As a consequence, if the sonographer only identifies one ureter and incompletely visualizes the kidney, obstruction of one of the duplicated structures may be missed. CASE REPORT:We report 2 cases of duplicated ureter in patients in the emergency department who present with flank pain and urinary symptoms. Both patients were adult females, one pregnant, with duplicated ureter and severe right upper pole ...
The Emergency Department at Grand View Hospital is the first in Pennsylvania to achieve accreditation as a Geriatric Emergency Department from the American College of Emergency Physicians (ACEP). The accreditation recognizes the additional level of resources, education and multidisciplinary care initiatives implemented by Grand View to manage the treatment and well-being of geriatric patients when visiting the Emergency Department and their transition when they are discharged from the hospital. Less than 65 hospitals in the country have been recognized with this accreditation.. We recognize that our elderly patients have different needs and challenges. They tend to visit emergency departments at a higher rate and often face more social and physical obstacles than others in the general community, says Michael Prasto, MD, Medical Director, Emergency Department at Grand View. At Grand View, we are particularly focused on what happens when a senior leaves our hospital, explains Kathleen Slagel, ...
The use of procedural sedation and analgesia (PSA) to accomplish painful procedures in the emergency department (ED) has become a standard of practice over the last decade. Substantial variance exists regarding usage of medication for PSA, and many anesthetic agents have been proposed for this use.. To our knowledge no head to head study compared the clinical effectiveness, safety profile and amnestic properties of midazolam/ketamine vs. propofol regimens for PSA in the adult ED setting.. This prospective randomized trail can will help to evaluate the effectiveness and safety profile of Midazolam/katamine regimen for ED PSA in adults and will contribute to the discussion regarding propofol roll in the ED. ...
The CHI St. Lukes Health-Sugar Land Hospitals emergency department offers comprehensive emergency services for all types of injuries or illnesses, 24 hours a day, seven days a week. The Emergency Department is staffed by emergency physicians and nurses.. Our Sugar Land emergency room offers exceptional emergency care for both children and adults. As part of the CHI St. Lukes Health-Sugar Land Hospital, emergency room patients have access to specialty physicians, and state of the art imaging and technology, as well as seamless admission to the hospital when necessary.. If you feel you are experiencing a life-threatening emergency, please call 9-1-1. You may request that the ambulance take you to a CHI St. Lukes Health-Sugar Land Hospitals emergency room.. CHI St. Lukes Health-Sugar Land Hospital. Emergency Department. 1317 Lake Pointe Parkway. Sugar Land, TX 77478. Phone: (281) 637-7000. ...
Heres a fun one courtesy of George W. Bush. He declared a national emergency With Respect to Export Control Regulations. This renewed presidential power to control exports during a national emergency after the Export Administration Act of 1979 lapsed. So, in essence, Bush declared an emergency so that he could control exports in the event of an emergency.. And it shouldnt escape you that there is ALWAYS some kind of emergency. (Or 31. Or 32, depending on how you count Trumps emergency.). Of course, were still under the state of emergency that was declared after 9-11.. Bush was pretty fond of national emergencies. So was Obama. Between them, the declared 21 that remain in effect today. Most of them involve economic sanctions. They read like this one - courtesy of Barack Obama.. A National Emergency With Respect to Blocking Property of Certain Persons Contributing to the Situation in Ukraine. This was in response to the Russian invasion of Crimea.. Basically, this is a workaround Congress. ...
CONCLUSION: One-third of patients presenting to the ED with acute asthma were already receiving ICS/LABA agents; this treatment was independently associated with preventive measures. While ICS/LABA management improves control of chronic asthma, patients using these agents who develop acute asthma reflect higher severity and increased risk of future relapse. PMID: 30311821 [PubMed - as supplied...
The hospitals Paediatric Emergency Department (PED) is moving back to its original location from midday on Tuesday 16 February, circled on the map below. The department had temporarily moved to allow the hospital to create additional space in the Adults Emergency Department during the COVID-19 pandemic. Should you need to visit the PED for a child requiring emergency care from midday on Tuesday 16 February, please proceed directly to the department detailed on the map. The department will be o
TY - JOUR. T1 - Emergency Department use of Apneic Oxygenation Versus Usual Care During Rapid Sequence Intubation. T2 - A Randomized Controlled Trial (The ENDAO Trial). AU - Caputo, Nicholas. AU - Azan, Ben. AU - Domingues, Rui. AU - Donner, Lee. AU - Fenig, Mark. AU - Fields, Douglas. AU - Fraser, Robert. AU - Hosford, Karlene. AU - Iuorio, Richard. AU - Kanter, Marc. AU - Mccarty, Moira. AU - Parry, Thomas. AU - Raja, Andaleeb. AU - Ryan, Mary. AU - Williams, Blaine. AU - Sharma, Hemlata. AU - Singer, Daniel. AU - Shields, Chris. AU - Scott, Sandra. AU - West, Jason R.. PY - 2017. Y1 - 2017. N2 - Objectives: Desaturation leading to hypoxemia may occur during rapid sequence intubation (RSI). Apneic oxygenation (AO) was developed to prevent the occurrence of oxygen desaturation during the apnea period. The purpose of this study was to determine if the application of AO increases the average lowest oxygen saturation during RSI when compared to usual care (UC) in the emergency setting. Methods: A ...
Introduction A proportion of patients presenting to emergency centres need to undergo procedures that can be unpleasant and painful. The provision of safe and effective analgesia and procedural sedation is a critical aspect of the provision of care in an emergency centre. Given the nature of an emergency centre, which is often overwhelming and noisy and appears chaotic to patients, the entire clinical experience for the patient and ultimately outcome can be improved if appropriate and effective procedural sedation is provided. The Emergency Medicine Society of South Africa (EMSSA) recognised the lack of uniformity on this topic1 and set up an expert panel responsible for the drafting of this practice guideline. This document is intended as a guide for emergency medicine specialists and all medical practitioners involved in the provision of emergency procedural sedation in emergency centres in South Africa. Procedural sedation definition Procedural sedation refers to a technique of administering ...
TY - JOUR. T1 - Management of Patients with Predicted Difficult Airways in an Academic Emergency Department. AU - Sakles, John C.. AU - Douglas, Matthew J.K.. AU - Hypes, Cameron D.. AU - Patanwala, Asad E. AU - Mosier, Jarrod M.. PY - 2017/3/29. Y1 - 2017/3/29. N2 - Background: Patients with difficult airways are sometimes encountered in the emergency department (ED), however, there is a little data available regarding their management. Objectives: To determine the incidence, management, and outcomes of patients with predicted difficult airways in the ED. Methods: Over the 1-year period from July 1, 2015 to June 30, 2016, data were prospectively collected on all patients intubated in an academic ED. After each intubation, the operator completed an airway management data form. Operators performed a pre-intubation difficult airway assessment and classified patients into routine, challenging, or difficult airways. All non-arrest patients were included in the study. Results: There were 456 patients ...
This hospital ethnography focused on the relationship between culture and emergency physician habitus. The habitus of these physicians was defined as those routine, patterned forms of behaviors and practices performed by the physicians while in the emergency department and while interacting with the patient during the physician-patient interaction. Pierre Bourdieus practice theory was used to address how culture was related to the habitus of the emergency physician. The researcher found that culture was not only related to the habitus of these physicians, but it reproduced, and at times created, aspects of the habitus through the practices performed while in the emergency department and while interacting with patients.
As the population ages, the number of individual living with cancer will continue to rise, and the number of Emergency Department (ED) visits for this population will continue to increase. Cancer patients visit EDs because symptoms, such as pain or vomiting, cant be controlled at home, in an assisted living facility, or in their providers office. The ED is often the only place that can provide the necessary treatments as well as immediate access to technologically advanced testing for those with cancer. However, palliative care (PC) services, such as relief of burdensome symptoms), attention to spiritual or social concerns, and establishing goals of care, is not standard care in the ED outside of a few medical centers. Most patients do not have well-defined goals of care, and are often subjected to painful and marginally effective tests and procedures, not because they are consistent with their goals but because it is less time-consuming than discussing other options and has less perceived ...
Our trial confirms that the Canadian CT Head Rule is highly sensitive (100%) for identifying clinically important brain injuries in patients with minor head injury. 6 However, it did not show that implementation of the rule led to a reduction in emergency department use of CT imaging. In fact, there was an increase over time in use of CT scans at 10 of 12 sites, most notably at community hospitals. Many factors likely account for these findings, including our use of simple, inexpensive interventions, suboptimal compliance, crowding in Canadian emergency departments, increased ease of access to CT scans in emergency departments, and an overall secular trend toward increased use of CT imaging.. This implementation study, designed and conducted according to strict methodologic standards, represents the final stage in the development of a clinical decision rule. 11,13,15 Our previous studies to derive, validate and implement the Ottawa Ankle Rules, the Ottawa Knee Rule and the Canadian C-Spine Rule ...
STUDY OBJECTIVE: We examine the utility of emergency department (ED) ultrasonography in treatment of skin and soft tissue infections.. METHODS: We enrolled ED patients with skin and soft tissue infections and surveyed clinicians in regard to their pre-ultrasonography certainty about the presence or absence of an abscess, their planned management, post-ultrasonography findings, and actual management. We determined sensitivity and specificity of ultrasonography and clinical evaluation, and assessed appropriateness of management changes based on initial clinical assessment and outcomes through 1-week follow-up.. RESULTS: Among 1,216 patients, clinicians were uncertain of abscess presence in 105 cases (8.6%) and certain for 1,111 cases (91.4%). Based on surgical exploration and follow-up through 1 week, sensitivity and specificity for abscess detection by clinical evaluation were 90.3% and 97.7%, and by ultrasonography were 94.0% and 94.1%, respectively. Among 1,111 cases for which the clinician was ...
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A new series of studies analyzing drug-related hospital emergency department visits throughout the country during 2008 reveals a substantial percentage of these visits involve suicide attempts. According to these studies conducted by the Substance Abuse and Mental Health Services Administration (SAMHSA) more than one in every twelve (8.8 percent) drug-related hospital emergency department visit by an adolescent is a suicide attempt - double the rate found among cases involving those age 25 and older (4.4 percent). Among cases involving young adults aged 18 to 25 the attempted suicide rate was 6.6 percent. The vast majority of these suicide attempts by adolescents were made by females (72.3 percent). Females constituted a majority of cases among young adults and those over age 25 as well, but at significantly lower levels (57.6 percent and 57.7 percent, respectively).. Although pharmaceutical drugs were involved in more than 9 out of 10 of these drug-related suicide attempt cases, there were ...
The elderly represent only 13 percent of the population in the United States, but account for 37 percent of hospital discharges [33] and this phenomenon is not unique to the United States. Both to assure the highest quality of care and to control costs, one must understand why elders go to emergency departments and why they are admitted to the hospital at such a high rate. Certainly large numbers of re-hospitalizations are unnecessary. The Medicare Payment Advisory Commission in the US said that potentially preventable re-hospitalizations cost the American taxpayer $12 billion dollars a year [25]. As one manifestation of a renewed awareness of the need for change, in 2012, the US federal agency that pays for elder care, CMS, set new rules for readmissions for acute myocardial infarction, heart failure, and pneumonia and COPD [26]. As part of this process CMS has a formula for assessing the excess readmission ratio for a hospital, which, in turn, is affecting its reimbursement to ...
Today, U.S. Senators Tom Udall (D-N.M.) and Susan Collins (R-Maine), along with U.S. Senators Jeanne Shaheen (D-N.H.) and Lisa Murkowski (R-Alaska), introduced a bipartisan joint resolution to terminate the presidents national emergency declaration and uphold the separation of powers outlined in the Constitution. The resolution is a companion resolution to H.J.Res 46, which passed the House with a bipartisan vote of 245-182 earlier this week.. On February 15, the president declared a national emergency at the southern border, which would divert funding already appropriated for military construction and other projects toward a border wall --despite the fact that Congress alone holds the power of the purse, to appropriate taxpayer funds. The joint resolution introduced by the senators today would terminate the national emergency declaration and uphold the separation of powers.. There is no legal or factual basis to justify the presidents emergency declaration because there is no national ...
MOREHEAD CITY, N.C. (WNCT) - One Eastern North Carolina hospital is using new technology to cut down patient wait times in the emergency room. Carteret Health Care patients can now check in to the emergency room online through its online system called In Quicker. Here
We devised a randomised controlled trial to evaluate the effectiveness and efficiency of an intervention based on case management care for frequent emergency department users. The aim of the intervention is to reduce such patients emergency department use, to improve their quality of life, and to reduce costs consequent on frequent use. The intervention consists of a combination of comprehensive case management care and standard emergency care. It uses a clinical case management model that is patient-identified, patient-directed, and developed to provide high intensity services. It provides a continuum of hospital- and community-based patient services, which include clinical assessment, outreach referral, and coordination and communication with other service providers. We aim to recruit, during the first year of the study, 250 patients who visit the emergency department of the University Hospital of Lausanne, Switzerland. Eligible patients will have visited the emergency department 5 or more times
Methods Prospective, dual-centre UK-based study over a 1-year period (1 April 2017 to 31 March 2018) of CFS recorded digitally at nursing triage on ED arrival and on hospital admission by a medical doctor. Inclusion criteria were emergency medical admission in those aged ≥65 staying at least one night in hospital with a CFS completed in both ED and at hospital admission. Agreement between ED triage nurse and inpatient hospital physician was assessed using a weighted Kappa statistic and Spearmans correlation coefficient. The ability of the ED to diagnose frailty (defined by a CFS ≥5) was assessed using sensitivity, specificity, positive predictive value (PPV), negative predictive value (NPV) and receiver operating characteristic (ROC) curves. At both time points the ability of the CFS to predict inpatient mortality was also assessed. ...
Introduction Severe sepsis and septic shock (SS) are time-critical medical emergencies that affect millions of people in the world. Earlier administration of antibiotics has been shown to reduce mortality from SS; however, the initiation of early resuscitation requires recognition that a patient may have sepsis. Early warning scores (EWS) are broadly used to detect patient deterioration, but to date have not been evaluated to detect patients at risk for SS. The purpose of our study was to look at the relationship between the initial national EWS (NEWS) in the emergency department (ED) and the diagnosis of SS. ...
The Emergency Department at WellSpan York Hospital is open 24-hours-a-day to care for ill or injured residents in our area. Dedicated nurses, physicians and other staff members provide acute care for a wide variety of conditions. The physicians and staff of the Emergency Department work with Advanced Life Support units and other ambulance units to coordinate pre-hospital and hospital-based care. Computerized patient tracking and medical records systems allow our Emergency Departments to provide cutting-edge care.. Sexual Assault Forensic Examiner (SAFE) and Developing Options for Violent Emergencies (DOVE) patient care and education teams are also based at WellSpan York Hospital. Comprehensive Crisis Intervention and psychiatry services are also available 24-hours-a-day. This commitment to patient-centered care and to the education of tomorrows health care providers allows us to continually improve and focus our patient care efforts.. ...
Review: inhaled corticosteroids alone appear to be as effective as oral corticosteroids after emergency department discharge for acute asthma ...
This scoping review aimed to synthesize the available evidence on the epidemiology, patient- and caregiver-associated factors, clinical characteristics, screening tools, prevention, interventions, and perspectives of health care professionals in regard to elder abuse in the out-of-hospital or emergency department (ED) setting.
Medical emergencies are one of the major stressors in life and having to battle with your insurance company afterward only adds more stress. Our goal is to minimize that stress by ensuring your emergency is resolved quickly and efficiently. Beaumont Emergency Center is your personal advocate in this process by making sure that the benefits for which you pay monthly will be honored by your insurance company.. At Beaumont Emergency Center, we provide fast, concierge emergency care to all members of the Plano community and surrounding areas. State law requires your health insurance company pays your emergency room claim based on your in-network benefits. This safeguards you from having to worry about finding an in-network provider when experiencing a medical emergency. Insurance Code law can be found here.. ...
TY - JOUR. T1 - Predictive validity of the CriSTAL tool for short-term mortality in older people presenting at Emergency Departments: a prospective study. AU - Cardona, Magnolia. AU - Lewis, Ebony. AU - Kristensen, Mette R.. AU - Skjøt-Arkil, Helene. AU - Ekmann, Anette A.. AU - Nygaard, Hanne H.. AU - Turner, Robin M.. AU - Garden, Frances. AU - Alkhouri, Hatem. AU - Asha, Stephen Edward. AU - Mackenzie, John. AU - Perkins, Margaret. AU - Suri, Sam. AU - Holdgate, Anna. AU - Winoto, Luis. AU - Chang, David C. W.. AU - Luxan, Blanca Gallego. AU - McCarthy, Sally. AU - Petersen, John A.. AU - Jensen, Birgitte N.. AU - Mogensen, Christian Backer. AU - Hillman, Ken. AU - Brabrand, Mikkel. PY - 2018/12/1. Y1 - 2018/12/1. N2 - PurposeTo determine the validity of the Australian clinical prediction tool Criteria for Screening and Triaging to Appropriate aLternative care (CRISTAL) based on objective clinical criteria to accurately identify risk of death within 3 months of admission among older ...
The HEART Pathway, which combines the HEART score, with 0- and 3-hour cardiac troponin tests, is a recently developed decision aid designed to identify emergency department patients who are safe for early discharge. Adult emergency department patients with symptoms related to acute coronary syndrome without ST-elevation on electrocardiogram (n = 282) were randomized to the HEART Pathway or usual care. In the HEART Pathway arm, emergency department providers used the HEART score, a validated decision aid, and troponin measures at 0 and 3 hours to identify patients for early discharge. Usual care was based on American College of Cardiology/American Heart Association guidelines. The primary outcome, objective cardiac testing (stress testing or angiography), and secondary outcomes, index length of stay, early discharge, and major adverse cardiac events (death, myocardial infarction, or coronary revascularization), were assessed at 30 days by phone interview and record review.. ...
Mintegi S, Azkunaga B, Prego J, Qureshi N, Dalziel SR, Arana-Arri E, Acedo Y, Martinez-Indart L, Urkaregi A, Salmon N, Benito J, Kuppermann N, Pediatric Emergency Research Networks (PERN) Poisoning Working Group. International Epidemiological Differences in Acute Poisonings in Pediatric Emergency Departments. PEDIATRIC EMERGENCY CARE 35 (1) : 50 - 57(2019) PubMed ...
TY - JOUR. T1 - Towards prevention of acute lung injury. T2 - Frequency and outcomes of emergency department patients at-risk - A multicenter cohort study. AU - Hou, Peter C.. AU - Elie-Turenne, Marie Carmelle. AU - Mitani, Aya. AU - Barry, Jonathan M.. AU - Kao, Erica Y.. AU - Cohen, Jason E.. AU - Frendl, Gyorgy. AU - Gajic, Ognjen. AU - Gentile, Nina T.. N1 - Funding Information: The STAR Center provided internal funding (Dr. Frendl), research staff, and biostatistical support, Brigham and Womens Hospital, Boston, MA. Dr. Gajic is supported in part by grants from the National Heart, Lung, and Blood Institute HL78743-01A1; National Center for Research Resources 1 KL2 RR024151. Dr. Gentile is supported in part by grants from the National Institute of Neurological Disorders and Stroke 5U10NS059039-04. The rest of the authors have no disclosures or conflict of interest.. PY - 2012/12. Y1 - 2012/12. N2 - Background: Few emergency department (ED) evaluations on acute lung injury (ALI) have been ...
The diagnosis of pediatric pancreatitis has been increasing over the last 15 years but the etiology of this is uncertain. The population of pre-adolescent patients with pancreatitis in the emergency department has not been specifically described. Our objective was to determine the characteristics of these patients to illuminate this population and disease in order to better identify them and avoid a delay in diagnosis and treatment. This was a retrospective descriptive study of consecutive pediatric patients under the age of 13 years between 2006 and 2016 who presented to our pediatric emergency department with a diagnosis of atraumatic pancreatitis. Patient characteristics, lab and imaging results, identified etiology of pancreatitis, and recurrence rates were recorded and evaluated. There were 139 visits, of which 85 were for a first episode of acute pancreatitis, and 54 were patients with an episode of recurrent pancreatitis. The median age for all visits was 8 years (IQ range 5-11). Of the acute
Today, like always, Pharmacy Chick was doing her little thing in the pharmacy (filling prescriptions..what else) when this guy came in with a script from the Hospital emergency room. On it was a Z-pak and some cough syrup. Not surprisingly, he wants to know how long it will take, to which I reply 20-30 minutes. He said I just want to get home, I had to spend 6 hours at the ER today and I have this terrible sinus infection.. Puhleeze. He lost me at sinus infection.. Lets review: He didnt go to the walk-in family clinic..he didnt go do his PCP, or an urgent care, zoom-care, immediate-care, or zippity-do-dah minute clinic. He went to the HOSPITAL EMERGENCY ROOM….for a sinus infection. This is the same place that you bring a dude wheeled in on a stretcher whilst somebody else has a bag or cooler carrying one of the dudes appendages ripped off in a car accident. This is also the same place you bring somebody who has had a heart attack/stroke/SAH or the like. But give me a break…. It just ...
The Emergency Department at the Strait Richmond Hospital will be closed on Thursday, Feb. 15 and Friday, Feb. 16. The department will reopen on Saturday, Feb. 17 at 8:00 a.m.. These closures are due to the unavailability of physicians to cover the shifts. If you have an emergency, please call 911 or go to the nearest open emergency department. For non-emergency health advice from a registered nurse, please call 811. The provincial Mental Health Crisis Line operates 24/7 at 1-888-429-8167 ...
At the beginning of prioritized health care personnel (HPC) immunization, there was a high rate of COVID-19 vaccine acceptance and receipt, with physicians and advance practice providers having the highest overall proportion. These are the findings of a surveillance project on COVID-19 vaccination rates among emergency department staff at United States academic medical centers, which will be published in the April issue of the Academic Emergency Medicine (AEM) journal, a peer-reviewed journal of the Society for Academic Emergency Medicine (SAEM).
TY - JOUR. T1 - Epidemiology and diagnostic and therapeutic management of febrile seizures in the Italian pediatric emergency departments: A prospective observational study.. AU - Corsello, Giovanni. AU - Ajovalasit, Patrizia. AU - Vitaliti, Giovanna. AU - Ricceri, Fulvio. AU - Caramaschi, Elisa. AU - Di Pianella, Alberto Verrotti. AU - Pulvirenti, Rita Maria. AU - Navone, Carla. AU - La Bianca, Maria Rosaria. AU - Prota, Maurizio. AU - Falsaperla, Raffaele. AU - Signorile, Giuseppe. AU - Lubrano, Riccardo. AU - Villani, Alberto. AU - Urbino, Antonio. AU - Castagno, Emanuele. AU - Falsaperla, Raffaele. PY - 2017. Y1 - 2017. N2 - AIM: Febrile seizures (FS) involve 2-5% of the paediatric population, among which Complex FS (CFS) account for one third of accesses for FS in Emergency Departments (EDs). The aim of our study was to define the epidemiology, the clinical, diagnostic and therapeutic approach to FS and CFSs in the Italian EDs. METHODS: A multicenter prospective observational study was ...
INTRODUCTION: Ossification of the cricoid ridge mimicking impacted upper aerodigestive tract fish bone has been described in several case reports. We performed this study to determine the prevalence of such ossification in an adult population from Singapore and to identify specific imaging features that may be used as aid in differentiating patients with cricoid ridge ossification from those having an upper aerodigestive tract impacted fish bone. METHODS: We retrospectively evaluated 442 lateral neck radiographs of patients aged 16 years and above that were performed in the adult emergency department at the National University Hospital, Singapore, during the four-month period between 1 September 2014 and 31 December 2014 ...
Study objectives : To determine how emergency physicians and nurses spend their time on emergency department activities. Methods : An observational time-and-motion study was performed at a 36-bed ED with annual census of 84,000 in a central city teaching hospital sponsoring an emergency medicine residency program. Participants were emergency...
Crossroads Community Hospital offers emergency care services when you need them most. The specially trained medical professionals that make up our emergency department team are here 24/7/365 to provide care for you and your family in an emergency situation. We offer a large reception area with private registration, a triage room, a large trauma/critical care room, an OB/GYN room, seven general exam rooms and a decontamination room with exterior entry. All patient care rooms have cardiac monitor capability and are in close proximity to radiology and surgery services.. We utilize a computer tracking system to keep all staff and management informed about the Emergency Department patient flow so adjustments can be made immediately based on patient volume.. To show our dedication to serving you during an emergency,Crossroads Community Hospital participates in a 30-MINUTES-OR-LESS ER SERVICE PLEDGE. Learn more about what to expect at Crossroads Community Hospitals ED.. ...
Add the Epworth Hospital Emergency Department Nurse logo to your nursing uniforms. In the Emergency Department the nurses wear navy blue nursing scrubs.
The Emergency department at HazratHeleema Hospital is well equipped to handle all kinds of Medical Emergencies. The department is open 24/7, 365 days a year and is staffed with well-trained emergency professionals, who are capable of delivering highest quality of emergency medical care with compassion and human touch. Our emergency team is comprised of qualified emergency physicians, trained emergency nurses & paramedics dedicated to provide the best emergency care comparable with global standards. The emergency department is well supported by rest of the Hospital. Patients can access 24/7 Lab & Radiology services through emergency department and be assured of high quality diagnostics & clinical opinion round the clock. Hazrat Haleema Hospital offers the best care & treatment in cases of emergencies with the round the clock support of emergency medical officer. A patient with an emergency coming to our emergency room is rapidly stabilized by our emergency team. Our team of EMOs is present round ...
This project was an investigation into the natural course of service needs, use, and trajectories among high-risk youth and young adults with drug use who presented to an inner-city Emergency Department with multiple risk behaviors (with and without acute violent injury). Eligible participants included youth/young adults (ages 14-24) who sought care at the Hurley Medical Center (HMC) Emergency Department (ED) located in Flint, Michigan between December 19, 2009 and September 7, 2011. Consenting youth completed a self-administered computerized screening survey. All participants who self-reported past year drug use were recruited for the longitudinal study. For a comparison group, a randomly selected sample of drug using youth seeking ED care for other reasons (e.g. abdominal pain, motor vehicle crash) were selected for longitudinal study (equilibrated monthly proportionally for age/gender with the acute violent injury group). Participants in the violent injury and comparison group completed a ...
QuickLink: BREAKING: Measure to block Trumps national emergency declaration passes House - A resolution terminating Pres. Trumps declaration of a national emergency has exceeded the number of votes needed for passage in the House. The measure, sponsored by Rep. Castro, D-TX, is intended to stop the presidents use of billions of dollars in existing federal funds to build a wall on the southern border without congressional approval. The Senate, where the vote is likely be close, is required to hold a vote within 18 days, which Trump can veto if it passes Congress.
Get exceptional Hospitalization services from highly experienced & loving pet care professionals in Corpus Christi, TX. Visit VCA Oso Creek Animal Hospital & Emergency Center today.
Friday, June 21, 2013 By Bob Shepard. The Emergency Department at the University of Alabama at Birmingham (UAB) Hospital will begin testing baby boomers for the hepatitis C virus (HCV) in August 2013. All patients born between 1945 and 1965 who present at the ED for any cause will be offered a blood test for HCV as part of their routine examination.. The testing is part of a Centers for Disease Control and Prevention (CDC) initiative designed to identify patients with HVC and get them into appropriate treatment. The CDC estimates that one-time testing of all Baby Boomers could detect 800,000 additional people with hepatitis C and save more than 120,000 lives because 75 percent of these infections are curable with new treatments.. We anticipate screening between 8,000 and 12,000 Baby Boomers for HCV in 2013 and expect to identify between 260 to 400 new cases of HCV infection at UAB, said James Galbraith, M.D., associate professor of emergency medicine and head of the UAB HIV and HCV screening ...
Europe Ambulatory Surgical & Emergency Center Services Market: - Industry Analysis, Size, Share, Growth, Trends and Forecast 2014 - 2020. Europe Ambulatory Surgical and Emergency Center Services Market Propelled by Increasing Geriatric Population, Poised
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The Yukon Liberal Party wants to open a new collaborative primary health-care facility, a kind of one-stop medical shop, for about $5 million a year.. It would be both a walk-in and an appointment-based facility - a place for non-emergency patients to go.. It tends to a be a place where people can come in and access the care they need, including physicians, said Mount Lorne Liberal candidate Colleen Wirth, drawing on her 30 years of experience as a registered nurse.. They also may need to see a dietician; they may need to see a pharmacist, Wirth said Thursday.. Its under one roof.. Currently, the only place for Whitehorse patients to go is the Whitehorse General Hospital emergency room, she said.. Facilities such as this will save us money by decreasing non-emergency visits at the emergency department at the hospital and save us money over the long term by preventing some health problems from occurring.. The Liberal Party isnt talking about building a new facility. Instead, it plans ...
TAKEAWAY: Hospitals are moving toward treatment of some emergency department patients sitting up (treated vertically) instead of having all patients lie down on a bed or stretcher. Some hospitals with busy emergency departments are employing new models of care delivery to try to expedite care, including assessing and treating patients who are less seriously ill…
Barbee GA, Booms Z 14(3). 1 - 6 (Journal Article). The authors report five cases of pelvic hematoma without associated pelvic fracture after military static-line parachute operations, a significantly underreported injury. The case reports and discussion include initial emergency department presentation, stabilization requirements, and imaging, disposition, and management recommendations. Data were collected retrospectively through review of medical records from a single institution over the course of a single calendar year, 2012-2013. Pelvic hematoma should be strongly considered in the patient with lower abdominal, hip, or pelvic pain after blunt injury from parachute landing fall even in the absence of associated fracture. The cases discussed display this underreported injury and highlight the frequent necessity for admission to a high-acuity care center for close monitoring.. ...
Kingman Community Hospital Emergency Department was notified by the Kansas Department of Health and Environment that it has been designated as a Level IV Trauma Center. This designation will be a vital resource when every second counts.. ...
Acute ocular motility disorders (OMDs) are a frequent reason for admission to an outpatient general hospital or to a pediatric Emergency Department …
Background: The epidemiology of acute pancreatitis in the United States is largely unknown, particularly episodes that lead to an emergency department (ED) visit. We sought to address this gap and describe ED practice patterns. Methods: Data were collected from the National Hospital Ambulatory Medical Care Survey between 1993 and 2003. We examined demographic factors and ED management including medication administration, diagnostic imaging, and disposition. Results: ED visits for acute pancreatitis increased over the study period from the 1994 low of 128,000 visits to a 2003 peak of 318,000 visits (p = 0.01). The corresponding ED visit rate per 10,000 U.S. population also increased from 4.9 visits (95%CI, 3.1-6.7) to 10.9 (95%CI, 7.6-14.3) (p = 0.01). The average age for patients making ED visits for acute pancreatitis during the study period was 49.7 years, 54% were male, and 27% were black. The ED visit rate was higher among blacks (14.7; 95%CI, 11.9-17.5) than whites (5.8; 95%CI, 5.0-6.6). At ...
[ad_1] -| The state emergency service disinfected more than 36,000 objects and 25,000 pieces of equipment 12.05.2020 04:59 Ukrinform In order to counter the coronavirus, the emergency service of the State Emergency Service carried out special treatment of more than 36,000 objects, 25,000 pieces of equipment and 38,000 kilometers of roads. This was reported by […]
We are excited to see an insurer like Humana involved with WHIE and look forward to working with Humana on these initiatives. WHIE now has more than one year of patient history data online, with 13 hospitals contributing to the exchange and five emergency departments using WHIE as a standard in patient care, said Kim Pemble, chairman of the board and executive director of WHIE. 2009 will bring continued growth for WHIE, building on this new relationship with Humana and an ongoing relationship with Milwaukee Health Care Partnership. Additionally, as part of a complementary emergency department program, in August of 2008, Humana initiated a pilot program to help members potentially seeking emergency department care. All members in the pilot program who may need emergency services at some point have received information on self-management strategies and on urgent care as a possible alternative to emergency department use.. In addition, members with two visits within a one-year period receive an ...