Emergency Medicine Commons^™

An Emergency Department Staff Tackles The Healthy Workplace Initiative : A Staff Nurse Perspective., Paul Clark

Faculty Scholarship

This article describes the Healthy Workplace Initiative in the adult emergency department from the staff nurse perspective. Examples of one action planning team's processes and outcomes are delineated. The Rapid Diagnostics action planning team is delineated as lived while caring for patients in today's high-pressure emergency department. The Healthy Workplace Initiative empowers staff, with the guidance of facilitators, to make changes that improve the workplace and to create a healthy workplace for staff and patients. The result is greater staff ownership of the emergency department which leads to greater job satisfaction and improved patient care.

Long-Term Correction Of Ornithine Transcarbamylase Deficiency By Wpre-Mediated Overexpression Using A Helper-Dependent Adenovirus, Asad Mian, W. Michael Mccormack Jr, Viraj Mane, Soledad Kleppe, Philip Ng, Milton Finegold, William E. O'Brien, John R. Rodgers, Arthur L. Beaude, Brendan Lee

Department of Emergency Medicine

The urea cycle disorders (UCDs) are important models for developing gene replacement therapy for liver diseases. Long-term correction of the most common UCD, ornithine transcarbamylase (OTC) deficiency, has yet to be achieved in clinical or preclinical settings. The single human clinical trial using early-generation adenovirus (Ad) failed to show any biochemical correction. In adult OTC-deficient mice, an E1/E2-deleted Ad vector expressing the mouse OTC gene, but not the human, was only transiently therapeutic. By using post-transcriptional overexpression in the context of the less immunogenic helper-dependent adenoviral vector, we achieved metabolic correction of adult OTC-deficient mice for >6 months. Demonstrating this …

Emergency Medicine: A Relatively New Specialty, Rifat Rehmani

Department of Emergency Medicine

No abstract provided.

Orbital Cellulitis Masquerading As Cavernous Sinus Thrombosis: A Case Report, M. R. Shaikh, Syed Muhammad Baqir, N. Zakir

Department of Emergency Medicine

No abstract provided.

Emergency Section And Overcrowding In A University Hospital Of Karachi, Pakistan, R Rehmani

Department of Emergency Medicine

Objective: To quantify the extent of Emergency Section overcrowding at a tertiary care hospital and to identify possible solutions.Methods: This was a retrospective chart review of all the patients presented to the Aga Khan University Hospital's (AKUH) Emergency Section (ES). The ES information system has an automatic patient log and generates daily report for patients who stay longer than 6 hours. The charts of all patients who stayed longer than 6 hours were reviewed.Results: Among 9630 patients, 1999 (20.8%) were held in the ES for more than 6 hours. Of those 134 (6.7%) were discharged from the ES, while 1535 …

Ua61/6 Newsletter Issue 3, Wku Institute For Rural Health Development & Research

WKU Archives Records

Newsletter created by and about the Institute for Rural Health Development & Research. This issue contains:

• Senator Mitch McConnell Earmarks Dollars for WKU Hispanic Initiative
• Dr. Louella Fong Directs Bilingual Program
• Give Kids a Smile Brightens Children’s Day – Dental Hygiene
• College of Health & Human Services Focuses on Gerontology Demands
• Partners Key to Successful Hispanic Health Fair & Screening Event
• Public Health Department Now Offers Worksite Health Promotion
• KEMSA Offers EMS Management Workshop – Kentucky Emergency Medical Services Academy

Progress Report: Emergency Medicine In Southern Israel, Paris B. Lovett

Paris B Lovett

To the Editor:—In the United States, debates about the ‘‘acceptance’’ of emergency medicine (EM) seem to belong to another era. Specialized care by emergency physicians (EPs) has become a widespread expectation held by patients and by medical providers. In other countries, however, EM has not reached the same stage of progress as a specialty. This is true even in countries where lifelong practitioners of EM have leading roles in research and public policy. The case of Israel is particularly poignant. Israelis are highly skilled in preparing for and managing mass casualty events, and disaster medicine is prominent and well developed. …

Informed Consent For Medical Research: Case Studies, Catherine A. Marco

Emergency Medicine Faculty Publications

Informed consent for medical research is an essential, but challenging, process to assure the protection of the rights of potential research subjects. Numerous barriers to the informed consent process exist among patients, including impaired decisional capacity, impaired cognition, language barriers, illiteracy, insufficient time and communication, and numerous others. Because of the inherent vulnerability of patients, particular attention should be paid to addressing barriers to adequate informed consent, and steps should be taken to ensure adequate delivery of information, understanding of the study and its risks and benefits, and voluntariness of the informed consent.