Emergency Medicine - Adult and Pediatric
RSSArticles
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Diagnosis and Management of Abscesses
Abscesses are a common complication of skin and soft tissue infections that frequently are encountered in the emergency department. The authors discuss current considerations in the diagnosis and management of abscesses, including recurrent abscesses and the role of ultrasound and antibiotics.
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AAP Advocates Placing Outpatient Pharmacies in Emergency Departments
The pediatrics group suggests this around-the-clock service would ensure more patients fill vital prescriptions.
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Complications of Implantable Cardioverter Defibrillators in the Emergency Department Setting
It is critical for providers in emergency department settings to be aware of the risks associated with implantable cardioverter defibrillator (ICD) placement and management of ICD malfunctions and complications.
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Patients with Limited English Proficiency Pose Risks
It is critical for administrators to provide professional interpreter services for all languages commonly spoken among patient populations that present to emergency departments most often.
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Acute Shoulder Injuries in the Emergency Department
Shoulder injuries account for a significant portion of musculoskeletal injuries evaluated in the emergency department.The incidence is projected to increase dramatically over the next decade because of changing population characteristics. Emergency medicine clinicians must be prepared to care for shoulder injuries from direct trauma and overuse from sporting activities or occupational injuries.
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The Current State of RSV
Respiratory syncytial virus is a common virus encountered in the ED, with myriad presentations and complications that clinicians must be able to identify and manage. The authors provide state-of-the-art diagnostic and management strategies for the acute care clinician.
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Emergency Nurse Criminally Charged for Diverting Pain Medications
There are specific malpractice risks for EDs in this situation. Risks for patients include inadequate pain relief and infectious disease transmission. There also are patient safety issues related to receiving care from an impaired provider. For leaders, there are processes to put in place that can help them identify patterns or trends indicating potential diversion.
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When ED Is Packed, Keep Patients Moving with Triage Hallway, Dedicated Staff
Since Pull to Infinity was implemented in June 2022, the average time it takes to see a provider in the ED has dropped from 22 minutes to seven minutes. This, despite continually expanding volumes. The average patient arrival-to-discharge time has improved to 175 minutes, down seven minutes. Also, the leave-without-being-seen rate declined from 3.5% last year to 1.6% in the first four months of 2023.
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Skin and Soft Tissue Infections
Skin and soft tissue infections represent a large portion of infections treated in the emergency department. Early diagnosis and treatment of severe infections decrease morbidity and mortality in addition to healthcare costs. It is important for the emergency provider to understand the pathophysiology associated with the development of these infections and the recommendations for the specific treatment based on clinical presentation.
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Reversal of Oral Anticoagulation in the Emergency Department
This review will describe the physiological components of the clotting cascade, highlight common anticoagulant agents in use, and discuss means of oral anticoagulation reversal.