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A patient handover, or handoff, in health care can be defined as the transfer of information, professional responsibility, and accountability between individuals and teams. Handoffs represent a time of particular patient vulnerability to complications and medical errors, and with the current focus on safety an increasing amount of attention has been devoted to characterizing and improving them.
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Rice and colleagues report a secondary analysis of outcomes among trauma patients in relation to the degree to which the clinicians managing them adhered to a specified set of evidence-based guidelines.
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This study examined outcomes for 3494 adult patients who experienced clinical deterioration that triggered a medical emergency team (MET) activation over a 2-year period.
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In this issue: Aspirin and cancer prevention; rivaroxaban for pulmonary embolism; new rhinosinusitis practice guidelines; and FDA actions.
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This study from Portugal addresses an important gap in managing patients who have been extubated after an episode of acute respiratory failure facilitating the clearance of airway secretions to avoid the necessity of reintubation.
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The purpose of this study was to use data from the multi-institutional APACHE IV database (Cerner Corporation) to compare characteristics of and outcomes for patients who were readmitted to the ICU and those who were not readmitted after ICU discharge; to identify risk factors for ICU readmission; and to examine case-mix adjusted outcomes for patients with and without ICU readmission.
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Case 1. Lily is a 23-year-old female nursing student who presented after losing consciousness. Lily was watching an EM nurse clean a wound for eventual suturing.
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Classically, pneumonia is defined as an infection of the lung parenchyma. However, worldwide, a variety of definitions exist, including fever, hypoxia, a constellation of other clinical symptoms, and radiologic findings. In pediatric and adolescent populations, early diagnosis will assist emergency department (ED) physicians with correctly managing and subsequently avoiding potential morbidity and mortality of this common infectious disease.
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Foreign body ingestion is a common problem, especially in children younger than 3 years of age. Fortunately, most cases have uneventful outcomes, but the potential for a devastating complication exists. Button batteries are particularly dangerous, and timely and appropriate management is critical. This article comprehensively reviews pediatric foreign body ingestions.
