ED Management
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Intriguing model significantly reduces boarding of psychiatric patients, need for inpatient hospitalization
Developers of the approach urge other communities to devise similar approaches, but funding is an issue
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Study: Education, training on proper splint technique needed in EDs, urgent care centers
A new study suggests that most of the splints applied in EDs and urgent care settings on pediatric patients with potential fractures are being placed improperly, leading to the potential for complications such as excessive swelling, blistering and other skin problems, and improper mobilization of the fracture. Researchers at the University of Maryland say this points to a need for better education and training of frontline practitioners on splinting techniques. Investigators plan to create and disseminate educational materials on correct splinting techniques for display in EDs and urgent care facilities. A second study is planned to evaluate the impact of these interventions.
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Use Screening Tools, Partnerships Care for IPV Victims
A study suggests that 72% of women with a history of intimate partner violence are not identified when they visit the ED for medical issues.
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Carolinas HealthCare system gets jump on potential for telepsychiatry
Long before the state of North Carolina decided to implement its statewide telepsychiatry program (NC-STeP), some health systems in the state were already delving into the approach. For instance, Charlotte, NC-based Carolinas HealthCare System was among the first to deploy telemedicine in the state, and the potential to use the technology for psychiatric consults was recognized early on, according to Brad Watling, MD, FACEP, FAAEM, system medical director at Carolinas Medical Center in Charlotte, NC. “It had some fits and starts … but over the last couple of years we have hit the ground running with it,” he says.
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States Leverage Their Telepsychiatry Solutions to Ease ED Crowding
Many states are turning to telepsychiatry-based solutions to connect patients with needed care while decompressing their overcrowded EDs.
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Celebrities in the ED: Managers often face both ethical and operational challenges
Despite their efforts to maintain a perfect image in the press, celebrities have many of the same experiences as your everyday patients. They get sick and injured, and they go to the hospital. -
Temblor drives ED staff, patients into outdoor tent
While weather-related disasters such as hurricanes or tornadoes can present some tough challenges for an ED manager, you generally have at least a few hours to prepare for the possibility of severe weather. -
HICS is updated for consistency with NIMS
The California Emergency Medical Services Authority has released an updated version of the Hospital Incident Command System (HICS), an incident management system to help hospitals improve their emergency planning and response capabilities. -
QI project slashes mislabeling rates
The ED at Boston Medical Center has reduced major mislabeling events from 47% (23/49) to 14% (4/29) in a year, thanks to a quality improvement project that kept the ED informed weekly when errors occurred. -
Caffeine abuse may be missed in the ED
Caffeine abuse may be an emerging problem among young people, according to research summarized in a poster presented in October at the annual American College of Emergency Medicine Scientific Assembly.