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1,260 Full-Text Articles 3,504 Authors 138,666 Downloads 89 Institutions

All Articles in Emergency Medicine

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1,260 full-text articles. Page 1 of 58.

Can Point-Of-Care Betahydroxybutyrate Testing Be Used To Predict Diabetic Ketoacidosis In The Pediatric Emergency Department?, Michelle Knoll 2019 Children's Mercy Hospital

Can Point-Of-Care Betahydroxybutyrate Testing Be Used To Predict Diabetic Ketoacidosis In The Pediatric Emergency Department?, Michelle Knoll

Research Days

No abstract provided.


Utilization Of Acupuncture Services In The Emergency Department Setting: A Quality Improvement Study, John R. Burns, Jessica J. F. Kram, Vashir Xiong, Jeanne M. Stark Casadont, Tiffany A. Mullen, Nancy Conway, Dennis J. Baumgardner 2019 Aurora Health Care

Utilization Of Acupuncture Services In The Emergency Department Setting: A Quality Improvement Study, John R. Burns, Jessica J. F. Kram, Vashir Xiong, Jeanne M. Stark Casadont, Tiffany A. Mullen, Nancy Conway, Dennis J. Baumgardner

Jessica Kram, MPH

Purpose: Patients often present to the emergency department (ED) for pain. As opioid fatalities rise, alternative treatments are warranted for pain management. Acupuncture, a nonpharmacological treatment involving the insertion of needles into skin or tissue at specific points within the body, may help to decrease acute pain. Our study aimed to assess the utilization and impact of acupuncture in the ED for acute pain management.

Methods: We conducted a retrospective analysis of purposefully collected quality improvement data. Patients who were ≥18 years old and who presented to the ED at an urban medical center in Wisconsin during 2017 were offered ...


Short-Interval Self-Learning To Improve Retention Of Resuscitation Skills: A Randomized Controlled Trial, Ryuhei Sato, Chika Nishiyama, Kosuke Kiyohara, Makiko Sano, Tasuku Matsuyama, Tomonari Shimamoto, Toshihiro Hatakeyama, Taku Iwami 2019 Kyoto University

Short-Interval Self-Learning To Improve Retention Of Resuscitation Skills: A Randomized Controlled Trial, Ryuhei Sato, Chika Nishiyama, Kosuke Kiyohara, Makiko Sano, Tasuku Matsuyama, Tomonari Shimamoto, Toshihiro Hatakeyama, Taku Iwami

International Journal of First Aid Education

The optimal interval and methods for cardiopulmonary resuscitation (CPR) retraining remain unclear. We evaluated the difference in CPR skills one year after a 45-minute chest compression-only CPR training among participants receiving short self-learning refresher training at 3-month intervals, those receiving this training at 6-month intervals, and those without the refresher training.

Participants were randomly assigned to the 3-month group, 6-month group, or control group. Resuscitation skills were assessed immediately after the initial training, and at 1 year after the training. The primary endpoint was the number of chest compressions performed with appropriate depth one year after the training. Among 129 ...


Clinical Decision Making: A Case Study Of The Effects Of Evidence Based Medicine And Past Empirical Experience In The Emergency Department, Olivia Zeman-Renner 2019 University of Nebraska at Omaha

Clinical Decision Making: A Case Study Of The Effects Of Evidence Based Medicine And Past Empirical Experience In The Emergency Department, Olivia Zeman-Renner

Theses/Capstones/Creative Projects

With a growing number of medical malpractice suits and the passage of policy that focuses on patient advocacy, an emphasis has been placed on research regarding the decision-making processes of physicians in everyday practices. Over the past decades, scholars have looked to specific clinical decision-making philosophies, how they can be implemented into practice, and the effects of such implementation, but little research has been done into the culmination of decision-making philosophies on a day-to-day basis. By focusing on single-case study of a Midwestern Emergency Department and asking Attending physicians to self-report their decision-making philosophies, this study serves as a transition ...


Utilization Of Acupuncture Services In The Emergency Department Setting: A Quality Improvement Study, John R. Burns, Jessica J. F. Kram, Vashir Xiong, Jeanne M. Stark Casadont, Tiffany A. Mullen, Nancy Conway, Dennis J. Baumgardner 2019 Aurora Health Care

Utilization Of Acupuncture Services In The Emergency Department Setting: A Quality Improvement Study, John R. Burns, Jessica J. F. Kram, Vashir Xiong, Jeanne M. Stark Casadont, Tiffany A. Mullen, Nancy Conway, Dennis J. Baumgardner

Journal of Patient-Centered Research and Reviews

Purpose: Patients often present to the emergency department (ED) for pain. As opioid fatalities rise, alternative treatments are warranted for pain management. Acupuncture, a nonpharmacological treatment involving the insertion of needles into skin or tissue at specific points within the body, may help to decrease acute pain. Our study aimed to assess the utilization and impact of acupuncture in the ED for acute pain management.

Methods: We conducted a retrospective analysis of purposefully collected quality improvement data. Patients who were ≥18 years old and who presented to the ED at an urban medical center in Wisconsin during 2017 were offered ...


Improving Bronchiolitis Care Across Multiple Care Settings Using A Deimplementation Bundle, Amanda Nedved, Kathleen Berg, Troy Richardson, Amanda Montalbano, Matthew B. Johnson 2019 Children's Mercy Hospital

Improving Bronchiolitis Care Across Multiple Care Settings Using A Deimplementation Bundle, Amanda Nedved, Kathleen Berg, Troy Richardson, Amanda Montalbano, Matthew B. Johnson

Posters

Despite the availability of a bronchiolitis CPG; variation in care practices still existed at our institution. The aim of our quality improvement (QI) project was to increase overall adherence with our institutional CPG in patients 60 days to 24 months of age diagnosed with bronchiolitis in the urgent care centers (UCC), emergency departments (ED), and general inpatient units from a baseline of 40.9% to 60% by the end of two bronchiolitis seasons.


Information And Readiness Build Resilience: The Role Of The Disaster Information Management Research Center, Stacey J. Arnesen, Florence Chang 2019 National Library of Medicine

Information And Readiness Build Resilience: The Role Of The Disaster Information Management Research Center, Stacey J. Arnesen, Florence Chang

Collaborative Librarianship

The National Library of Medicine (NLM) established the Disaster Information Management Research Center (DIMRC) in 2008 based on its history of providing health information for disaster preparedness, response, and recovery. The NLM long range plan (Charting a Course for the 21st Century: NLM's Long Range Plan 2006-2016) called for creation of a center to show "a strong commitment to disaster remediation and to provide a platform for demonstrating how libraries and librarians can be part of the solution to this national problem". NLM was urged to "ensure continuous access to health information and effective use of libraries and librarians ...


Development Of An Rcu Vertical Care Expedites Low Acuity Patients Through The Ed, Griselle Pastor, Julie Lamoureux, Andrew Friedman, Matthew Kadrie, Sebastian Abdelnur, Joseph Scott 2019 West Kendall Baptist Hospital

Development Of An Rcu Vertical Care Expedites Low Acuity Patients Through The Ed, Griselle Pastor, Julie Lamoureux, Andrew Friedman, Matthew Kadrie, Sebastian Abdelnur, Joseph Scott

Julie Lamoureux

No abstract provided.


Improving Length Of Stay: Transitioning Care From The Emergency Department To A Clinical Decision Unit, Griselle Pastor, Van Cronkhite, Natalie Mancuso, Emilia Villoch 2019 Doctors Hospital

Improving Length Of Stay: Transitioning Care From The Emergency Department To A Clinical Decision Unit, Griselle Pastor, Van Cronkhite, Natalie Mancuso, Emilia Villoch

Griselle Pastor

No abstract provided.


Development Of An Rcu Vertical Care Expedites Low Acuity Patients Through The Ed, Griselle Pastor, Julie Lamoureux, Andrew Friedman, Matthew Kadrie, Sebastian Abdelnur, Joseph Scott 2019 West Kendall Baptist Hospital

Development Of An Rcu Vertical Care Expedites Low Acuity Patients Through The Ed, Griselle Pastor, Julie Lamoureux, Andrew Friedman, Matthew Kadrie, Sebastian Abdelnur, Joseph Scott

Griselle Pastor

No abstract provided.


Search And Rescue: The Importance Of Using Tracking Systems In Rural 135 Operations, April Larsen, Brent D. Bowen 2019 Embry-Riddle Aeronautical University

Search And Rescue: The Importance Of Using Tracking Systems In Rural 135 Operations, April Larsen, Brent D. Bowen

Student Works

In January 2020, under the NextGen initiative put in place by the Federal Aviation Administration (FAA), all aircraft flying in controlled airspace, both general aviation and commercial operations, will be required to have an Automatic Dependent Surveillance – Broadcast (ADS–B) system installed and operational. However, this is not required for Title 14 Code of Federal Regulations (CFR) Part 135 operations taking place outside of controlled airspace. Part 135 of the Federal Aviation Regulations (FAR) refers to aircraft operating as on-demand or air taxi services. A substantial amount of these operator’s bases, as well as flights, are conducted outside of ...


Easier And Faster Is Not Always Better: Grounded Theory Of A Large-Scale, System Transformation On The Clinical Work Of Emergency Nurses And Physicians, Elaine Zibrowski 2019 The University of Western Ontario

Easier And Faster Is Not Always Better: Grounded Theory Of A Large-Scale, System Transformation On The Clinical Work Of Emergency Nurses And Physicians, Elaine Zibrowski

Electronic Thesis and Dissertation Repository

Lean Thinking was pioneered during the 1980’s by the Toyota Motor Company as a method of process improvement for their production lines. Since the early 2000’s, there have been published reports of using Lean to redesign healthcare systems. Its effectiveness as a quality improvement method for healthcare has been contested due, in part, to our limited contextual understanding of how Lean affects the working conditions, and clinical workflow, of healthcare professionals. The objective of this dissertation was to explore how a Lean intervention may impact clinical work, and within what contexts.

A realist grounded theory approach was used ...


Engaging Emergency Department Patients In The Creation Of A Shared Decision-­Making Tool Regarding Ct Scanning In Kidney Stones: Challenges To Traditional Stakeholder Engagement, Elizabeth M. Schoenfeld, Connor J. Houghton, Pooja P. Patel, Leonora Merwin, Kathleen M. Mazor, Erik Hess, Charles Scales, Maggie Breslin, Peter K. Lindenauer 2019 University of Massachusetts Medical School

Engaging Emergency Department Patients In The Creation Of A Shared Decision-­Making Tool Regarding Ct Scanning In Kidney Stones: Challenges To Traditional Stakeholder Engagement, Elizabeth M. Schoenfeld, Connor J. Houghton, Pooja P. Patel, Leonora Merwin, Kathleen M. Mazor, Erik Hess, Charles Scales, Maggie Breslin, Peter K. Lindenauer

Kathleen M. Mazor

Background: Every year approximately 2 million patients are seen in US EDs for suspected renal colic, and the majority receive CT scans. The objective of our study was to develop a stakeholder-informed conversation aid to help clinicians use SDM regarding CT scanning in patients with suspected renal colic.

Methods: Using a published decision aid development framework, and under the direction of a multi-disciplinary Steering Committee, we engaged a diverse set of stakeholders via qualitative methods. EM clinicians, urologists, radiologists, researchers, and emergency department patients participated in focus groups and semi-structured interviews. All groups were recorded, transcribed, and analyzed in an ...


Acquiring Blood Pressures On High Risk Sepsis Patients In The Ed, McKenna Scharlau, Jacob Schneider 2019 Children's Mercy Hospital

Acquiring Blood Pressures On High Risk Sepsis Patients In The Ed, Mckenna Scharlau, Jacob Schneider

Nurse Presentations

Describes a project to improve use of the Sepsis Tool in the Emergency Department and to improve documentation of blood pressure measurements in high risk sepsis patients under three years of age.


Safety Oriented, Low-Cost Peritonsillar Abscess Needle Aspiration Model For Emergency Medicine Simulation, Anne Mai BS, Julie A. Fritzges DO, Gavin C. Barr Jr. MD, Marna R. Greenberg DO, MPH, FACEP, Smeet Bhimani DO 2019 Lehigh Valley Health Network

Safety Oriented, Low-Cost Peritonsillar Abscess Needle Aspiration Model For Emergency Medicine Simulation, Anne Mai Bs, Julie A. Fritzges Do, Gavin C. Barr Jr. Md, Marna R. Greenberg Do, Mph, Facep, Smeet Bhimani Do

Department of Emergency Medicine

No abstract provided.


Prehospital Troponin Testing Protocol For Accelerated Diagnosis And Early Intervention In Chest Pain Patients, Ronald D. Meador 2019 University of Texas at Tyler

Prehospital Troponin Testing Protocol For Accelerated Diagnosis And Early Intervention In Chest Pain Patients, Ronald D. Meador

DNP Scholarly Project and Selected Works

Non-ST elevation acute coronary syndromes (NSTE-ACS) have significant morbidity and mortality rates despite the progress made in diagnosis and management and represent a significant public health burden in the United States. Lengthy diagnostic algorithms contribute to emergency department over-crowding, increased health care costs, and adverse patient outcomes. A troponin assay instituted earlier in the diagnostic pathway of patients with chest pain suspected of NSTE-ACS will reduce time to definitive diagnosis and medical intervention. This will improve patient outcomes, decrease emergency department crowding through improved ED workflow, and reduce the economic burden. The Star Model of Knowledge Transformation was used to ...


Perceptions On The Opioid Epidemic: A Qualitative Study, Rebecca Leach, Brittany Chapman, Ailish Hanly, Stephanie Carreiro 2019 University of Massachusetts Medical School

Perceptions On The Opioid Epidemic: A Qualitative Study, Rebecca Leach, Brittany Chapman, Ailish Hanly, Stephanie Carreiro

Community Engagement and Research Symposia

Background: Opioid use disorder (OUD) and resultant opioid overdoses have amplified over the last 20 years, despite efforts to identify best practices for treatment. Little research has focused on the disconnect between individuals with OUD and their healthcare providers.

Hypothesis: We hypothesize that discrepancies exist between individuals with OUD and their healthcare providers with respect to perceptions of and experiences with medical care, the opioid antidote naloxone, and current treatment paradigms. Highlighting these discrepancies will inform future healthcare models.

Methods: Using electronic surveys and semi-structured interviews, we will collect qualitative data from both individuals with OUD and emergency providers to ...


Engaging Emergency Department Patients In The Creation Of A Shared Decision-­Making Tool Regarding Ct Scanning In Kidney Stones: Challenges To Traditional Stakeholder Engagement, Elizabeth M. Schoenfeld, Connor J. Houghton, Pooja P. Patel, Leonora Merwin, Kathleen M. Mazor, Erik Hess, Charles Scales, Maggie Breslin, Peter K. Lindenauer 2019 University of Massachusetts Medical School

Engaging Emergency Department Patients In The Creation Of A Shared Decision-­Making Tool Regarding Ct Scanning In Kidney Stones: Challenges To Traditional Stakeholder Engagement, Elizabeth M. Schoenfeld, Connor J. Houghton, Pooja P. Patel, Leonora Merwin, Kathleen M. Mazor, Erik Hess, Charles Scales, Maggie Breslin, Peter K. Lindenauer

Community Engagement and Research Symposia

Background: Every year approximately 2 million patients are seen in US EDs for suspected renal colic, and the majority receive CT scans. The objective of our study was to develop a stakeholder-informed conversation aid to help clinicians use SDM regarding CT scanning in patients with suspected renal colic.

Methods: Using a published decision aid development framework, and under the direction of a multi-disciplinary Steering Committee, we engaged a diverse set of stakeholders via qualitative methods. EM clinicians, urologists, radiologists, researchers, and emergency department patients participated in focus groups and semi-structured interviews. All groups were recorded, transcribed, and analyzed in an ...


At-Risk Ems Employees- A Model Of Assessment And Intervention.Pdf, Ron J. Hammond, Kate Miller 2019 Utah Valley University

At-Risk Ems Employees- A Model Of Assessment And Intervention.Pdf, Ron J. Hammond, Kate Miller

Ron J. Hammond

This paper includes data results from a survey of Utah (U.S.) EMS personnel.  Those who reported having already reach a point of wanting to quit the field and having reached a point of wanting to resign their current position were classified as being “At Risk” (N=142) and were compared to those who had not (N=395).  T-Test and ratio analysis indicated that those At Risk were found to have significantly higher incidences of difficult past calls, PTSD-like symptoms, and a variety of personal hardships. Both groups had relatively high indicators of negative impact of working in the EMS ...


An Exploration Of Why Healthcare Professionals Under-Report Observed Patient Aggression, Sydney Bonta 2019 University of Nebraska at Omaha

An Exploration Of Why Healthcare Professionals Under-Report Observed Patient Aggression, Sydney Bonta

Student Research and Creative Activity Fair

An Exploration of Why Healthcare Professionals Under-Report Observed Patient Aggression

Authors: Sydney Bonta & Lisa L. Scherer, Ph.D.

Advisor: Lisa L. Scherer, Ph.D.

According to the 2011 US Bureau of Justice Statistics report, medical professionals experienced the third highest proportion of workplace violence (WPV), with violence primarily emanating from patient. In a national survey of nurses employed in hospitals, 76% stated that they had encountered some sort of violence in their workplace (Speroni, Fitch, Dawson, Dugan, Atherton, & Leesburg, 2014). Similarly, patient aggression against physicians has long been a problem (Morrison, Lantos, Levinson, 1998). Despite this widespread exposure to WPV ...


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