Wright State University
University of St. Augustine for Health Sciences
Grand Strand Medical Center
University of Chicago
Rappahannock Community College
Medical University of Innsbruck, Austria
Previous Health Care Experiences’ Influence On Health Care Perceptions Among Residents In Six Homeless Shelters In Seattle, Washington, July–October 2021,
2023
Centers for Disease Control and Prevention
Previous Health Care Experiences’ Influence On Health Care Perceptions Among Residents In Six Homeless Shelters In Seattle, Washington, July–October 2021, Ashley A. Meehan, Sarah N. Cox, Nicholas B. Thuo, Julia H. Rogers, Amy C. Link, Miguel A. Martinez, Natalie K. Lo, Brian J. Manns, Melissa A. Rolfes, Eric J. Chow, Helen Y. Chu, Emily Mosites, Morhaf Al Achkar
Journal of Patient-Centered Research and Reviews
Purpose: The study purpose was to learn and describe 1) where homeless shelter residents receive health care, 2) what contributes to positive or negative health care experiences among shelter residents, and 3) shelter resident perceptions toward health care.
Methods: Semi-structured interviews (SSIs) utilizing purposive sampling and focus group discussions (FGDs) utilizing convenience sampling were conducted at 6 homeless shelters in Seattle-King County, Washington, during July–October 2021. All residents (age ≥ 18) were eligible to participate. SSIs were conducted with 25 residents, and 8 FGDs were held. Thematic analysis was conducted using Dedoose.
Results: Participants received health care …
A Clinical Review Of Antibiotic Therapy Versus Appendectomy For Treatment Of Acute Uncomplicated Appendicitis,
2023
Southern Illinois University, Carbondale
A Clinical Review Of Antibiotic Therapy Versus Appendectomy For Treatment Of Acute Uncomplicated Appendicitis, Taylor Mcclard
SIU Journal of Medical Science Scholarly Works
Purpose: The purpose of this manuscript is to review the efficacy of antibiotic therapy in the treatment of acute uncomplicated appendicitis versus standard appendectomy.
Method: A PubMed literature search was conducted with keywords of acute appendicitis, antibiotics, and appendectomy. The publication date was limited to the last five years. Sample size less than 100 people, patient population less than five years of age, and articles examining only acute complicated appendicitis were excluded. Pertinent articles reviewing the efficacy of antibiotics compared to appendectomy serve as the basis for this clinical review.
Results: Antibiotic therapy alone could be a …
Geriatric Emergency Medicine Fellowship Journal Club: Screening For High-Risk Alcohol Use Among Older Adults In The Emergency Department,
2023
University of British Columbia
Geriatric Emergency Medicine Fellowship Journal Club: Screening For High-Risk Alcohol Use Among Older Adults In The Emergency Department, Kira Gossack-Keenan
Journal of Geriatric Emergency Medicine
Alcohol use in older adults is a growing and under-recognized issue. Older adults are at higher risk of alcohol-related complications due to underlying comorbidities, frailty, and polypharmacy. High-risk alcohol use and alcohol use disorder (AUD) are often missed among older patients. We present two recent studies on screening older patients for alcohol use. Older adults have unique needs and require a specialized approach to screening.
Patient Experience After Geriatric Emergency Medicine Assessment,
2023
Department of Emergency Medicine, Beaumont Health System
Patient Experience After Geriatric Emergency Medicine Assessment, Jessica Kuxhause, Natalie Liogas, Sarah Keene, Rebecca Fisher, Lauren Cameron Comasco
Journal of Geriatric Emergency Medicine
Study Objectives
The geriatric population is increasing in size and expected to represent 20% of the United States population by 2030 per US census data estimates, with expectant increase in geriatric emergency department (ED) visits.1 Prior research has demonstrated older adults evaluated in the ED are more likely to have an increased length of stay, more diagnostic tests, and higher overall costs than their younger counterparts, but despite consuming greater resources and staff time, older adults are still more likely to be dissatisfied with their treatment outcomes and less likely to feel that their presenting complaint has been resolved. …
Shared Disposition Decision Making In The Emergency Department For Persons Living With Dementia,
2023
Durham VA Medical Center / Duke University
Shared Disposition Decision Making In The Emergency Department For Persons Living With Dementia, Justine Seidenfeld, Fernanda Bellolio, Anita Vashi, Courtney Van Houtven, Susan Hastings
Journal of Geriatric Emergency Medicine
N/A
End-Of-Life Care In The Trauma Bay: Six Key Points,
2023
Western NSW Local Health District / Charles Sturt University
End-Of-Life Care In The Trauma Bay: Six Key Points, Louis Christie Dr
Journal of Geriatric Emergency Medicine
The dominant culture across North America, Europe and Australia has been characterized by workers in hospice and palliative care as ‘death denying’ or ‘death phobic’. The last two decades have seen a significant increase in the number of trauma patients with complex background co-morbidities due to advanced age. Effective end-of-life care in trauma requires physicians to begin careful, balanced and sensitive conversations encompassing goals of care and expectation-setting, in the trauma bay. These pointers will help the reader communicate the principles of these clinical decisions clearly to patients and their families.
Top 10 Things To Know About Falls In Older Adults,
2023
Harvard Affiliated Emergency Medicine Residency
Top 10 Things To Know About Falls In Older Adults, Alexander W. Zirulnik, Shan Liu
Journal of Geriatric Emergency Medicine
No abstract provided.
Abc's Of Geriatric Trauma,
2023
University of Chicago
Abc's Of Geriatric Trauma, Teresita Hogan
Journal of Geriatric Emergency Medicine
The ABC's approach to geriatric trauma alerts clinicians to specific important factors in emergency evaluation of an injured older adult.
Head Injury In Older Adults: To Scan Or Not To Scan? Ten Tips To Make The Best Decision,
2023
Faculté de médecine familiale et de médecine d'urgence, Université de Sherbrooke
Head Injury In Older Adults: To Scan Or Not To Scan? Ten Tips To Make The Best Decision, Audrey-Anne Brousseau, Éric Mercier
Journal of Geriatric Emergency Medicine
Ground-level falls are a leading cause of emergency department (ED) visits by older adults. In addition to understanding the cause of the fall, the assessment of potential fall-induced injuries such as traumatic intracranial hemorrhage, can be highly challenging for emergency clinicians. Premorbid conditions, medications and concomitant injuries can all interfere with the physical examination and impact the prevalence of signs traditionally associated with traumatic brain injury (TBI). When it comes to the decision to potentially investigate for a traumatic intracranial hemorrhage with a brain imaging such as a head computed tomography (CT), many potential predictors and factors will be considered. …
Geriatric Trauma Triage - The Scope Of The Problem,
2023
University of Melbourne
Geriatric Trauma Triage - The Scope Of The Problem, Mya Cubitt, Rachel Key
Journal of Geriatric Emergency Medicine
n/a
Older Person Fracture Presentation And Management Including Tips For Pain Management,
2023
University of Newcastle, Australia
Older Person Fracture Presentation And Management Including Tips For Pain Management, Timothy D W Arnold
Journal of Geriatric Emergency Medicine
Fractures in older adults occur in patients who commonly carry chronic, complex multi-system disease. Nuanced management for these injuries is required in this patient group to reduce mortality, morbidity and improve outcomes.
Current Best Practice In Pelvic And Hip Fracture Management In The Older Adult Population,
2023
University of Sydney, NSW , Australia
Current Best Practice In Pelvic And Hip Fracture Management In The Older Adult Population, Anthony P. Joseph
Journal of Geriatric Emergency Medicine
Fractures of the pelvis and hip are a relatively frequent occurrence in the older population. Pelvic fractures in older patients usually occur after a fall from standing height. CT scan is the investigation of choice. There are several classifications available which are useful in risk stratification and predicting surgical treatment. Haemorrhage is a major complication and can usually be treated by interventional radiology. An Orthopedic opinion should be sought promptly, and surgical stabilisation (if indicated) should be completed as early as possible to enable early mobilisation and the avoidance of complications such as deep vein thrombosis or pneumonia.
Hip fractures …
What Regenerative Agriculture Can Teach Medical Students About Human Health,
2023
Thomas Jefferson University
What Regenerative Agriculture Can Teach Medical Students About Human Health, David Ebbott, Dimitrios Papanagnou
Department of Emergency Medicine Faculty Papers
No abstract provided.
Evaluation Of Discharge Antibiotic Prescribing For Community Acquired Pneumonia At A Pediatric Emergency Department,
2023
St Christopher's Hospital for Children
Evaluation Of Discharge Antibiotic Prescribing For Community Acquired Pneumonia At A Pediatric Emergency Department, Priya Vyas, Catherine Cheng, Janet Chen, Jean Marie Rinnan, Emily Souder
St. Chris Research Day
No abstract provided.
Telehealth Clinical Appropriateness And Quality,
2023
Thomas Jefferson University
Telehealth Clinical Appropriateness And Quality, Lulu Wang, Anthony Fabiano, Arjun K. Venkatesh, Nick Patel, Judd E. Hollander
Department of Emergency Medicine Faculty Papers
Contrary to common perception, telehealth is not simply a substitute for in-person care. With an array of modalities—live audio–video, asynchronous patient communication, and remote patient monitoring, to name a few—telehealth creates entirely new avenues of care delivery (Table 1). Although our current care model is reactive—relying on episodic visits to an office or hospital—telehealth allows us to be proactive, filling in the gaps to provide a continuum of care. Widespread uptake of telehealth has created fertile ground for long-overdue health system reform. In this study, we describe essential next steps: redefine telehealth clinical appropriateness, evolve payment models, provide necessary training, …
Ethical Considerations Of Clinical Research In Emergency Care Settings: A Review,
2023
University of Connecticut
Ethical Considerations Of Clinical Research In Emergency Care Settings: A Review, Adith Velavan
Honors Scholar Theses
Emergency and acute care settings are some of the most volatile and high intensity areas of any healthcare operation. Better understanding of systems and treatments in these spaces are critical to improving outcomes for the high risk patients that are treated there. Clinical research serves as a cornerstone of modern medical research, and is critical to the further improvement of clinical care in these settings. This thesis serves to explore the ethicality of such research given the constraints of emergency medicine settings. Not only does this thesis provide a strong foundation regarding the history and current practices of clinical research, …
End Of Life In The Ed – Brain Death And Organ Transplantation,
2023
Philadelphia College of Osteopathic Medicine
End Of Life In The Ed – Brain Death And Organ Transplantation, Madison Cohen, Robert Griffin, Donald Penney
Research Day
Brain death is defined as the irreversible loss of all brain and brainstem functions. While the criteria for diagnosing brain death have been established and refined since 1995, physicians remain uncomfortable with making the diagnosis leading to delays in pronouncing the patient as brain dead. While seemingly benign, a delay in pronouncing a patient as brain dead can place a financial burden on the family and cause additional and unnecessary emotional distress. Furthermore, delayed pronunciation of death causes improper delegation of the medical care team's resources and loss of the patient's potential to serve as an organ donor. The purpose …
Common Misperceptions Of Child Abuse In Toddler Femur Fractures,
2023
University of Kansas Medical Center
Common Misperceptions Of Child Abuse In Toddler Femur Fractures, Olivia Pruss, Jonathan Warren, Vincent Staggs, Grace Tideman, Collin Erickson, William L. Hennrikus, Richard M. Schwend
Research Days
Background: Current AAOS guidelines recommend that all children younger than thirty-six months with a femur fracture be evaluated for child abuse. However, the chance for abuse in walking-age children is highly unlikely at less than 20%.
Objectives/Goal: The purpose of this study is to identify how a patient’s age and femur fracture morphology impact the likelihood that providers assess a fracture as non-accidental and their decision to pursue further investigation of possible child abuse.
Methods/Design: This was a questionnaire study completed by clinicians from multiple specialties. There were 5 subgroup populations (6, 12, 18, 24, 35 months old) combined with …
“There’S A Difference In Practice When You Have To Make The Decision”: Autonomy In Pediatric Emergency Medicine Fellowship,
2023
Children's Mercy Kansas City
“There’S A Difference In Practice When You Have To Make The Decision”: Autonomy In Pediatric Emergency Medicine Fellowship, Katherine Dunne, Vivek Dubey, Sarkan Toy, Camryn Martinez, Kelsey Gavin, Christopher S. Kennedy
Research Days
Background: The Accreditation Council for Graduate Medical Education allows individual training programs to define appropriate supervision and autonomy commensurate with the trainees’ knowledge, clinical competence, and patient complexity and acuity. In pediatric emergency medicine (PEM), supervision is not standardized and subject to supervisor discretion, creating variability in trainee autonomy.
Objectives/Goal: To explore the concept of autonomy from the perspectives of PEM fellows and faculty.
Methods/Design: We conducted a qualitative study consisting of semi-structured interviews of PEM fellows and faculty from a large, single-center pediatric emergency medicine fellowship program. A trained interviewer conducted the interviews over an electronic interview platform. Audio …
Pediatric Educational Outreach To A Community Based Emergency Department: Clinical Management Of The Febrile Infant,
2023
Children's Mercy Kansas City
Pediatric Educational Outreach To A Community Based Emergency Department: Clinical Management Of The Febrile Infant, Jess Parker, Frances Turcotte Benedict, Emily Hillman, Ryan C. Jacobsen, Ashley K. Sherman, Arjun Sarin
Research Days
Background: Multiple studies have shown variability in the approach to treatment of febrile infants ≤ 60 days of age in community emergency departments (EDs), and the American Academy of Pediatrics (AAP) recently published new guidelines on management of febrile infants. Therefore, an opportunity exists to provide evidence-based recommendations for the care of this patient population to providers in community EDs.
Objectives/Goal: To assess 1) alignment of community ED provider practices with an AAPinformed Clinical practice guideline (CPG) for management of febrile infants ≤ 60 days of age. 2) change in comfort level and degree of alignment after targeted education.
Methods/Design: …
