Emergency
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Flu Season Strains ED Capacity Across Country
Still, by the end of February, data show that flu activity remained widespread in every state except Oregon and Hawaii, and health officials warn frontline providers that flu activity is likely to remain elevated for several more weeks.
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Three-tier Accreditation Process for Geriatric EDs is on the Launch Pad
In recognition of the fact that older adults present unique care needs, ACEP has taken a leading role in a new effort to provide Geriatric Emergency Department Accreditation to EDs that meet the standards spelled out in the Geriatric Emergency Department Guidelines, a series of recommendations the ACEP board of directors and several other national emergency medicine and geriatrics organizations endorsed in 2014.
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Avoiding Costs, Risks Through Reduced Hospitalization Among Older Adults
New research suggests that transitional care nurses with geriatrics training can help facilitate the discharge of older patients who present to the ED for care. Investigators found that such interventions can reduce hospitalization in this patient group, enabling patients to avoid hospital-associated risks such as functional and cognitive declines and healthcare-associated infections.
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Advanced Management of Opioid Overdose in the Emergency Department
This article aims to provide acute care providers with advanced techniques in the management of opioid overdoses, including the use of naloxone, the opioid receptor antagonist, as well as harm reduction management strategies aimed at long-term risk mitigation in this vulnerable population.
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Ultrasound-guided Nerve Blocks in the Emergency Department
Ultrasound-guided nerve blocks offer effective and safe alternatives to systemic analgesics to manage pain in the ED. This article reviews the literature supporting the use of ultrasound-guided nerve blocks in the ED and describes how to perform some of the most basic nerve blocks.
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Orofacial, Eye, and Ear Trauma
Facial trauma is uncommon in children. However, the unique features of these injuries, as well as the assessment and management considerations to minimize radiation exposure and ensure optimal cosmetic outcome, require an awareness of the diagnostic and therapeutic approach in pediatric patients. The authors provide an overview of orofacial, eye, and ear trauma in children.
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Pre-existing Health Determines Quality of Life, Physical Symptoms After ICU Discharge
The authors of this nested cohort study within a randomized, controlled trial of ICU survivors requiring > 48 hours of mechanical ventilation found that pre-existing comorbidity was the main determinant of long-term health-related quality of life.
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Massive Transfusion Protocols: Recommendations Regarding Initiation and Termination
This was a narrative review of societal recommendations for initiation of massive transfusion protocols based on objective scoring systems and clinical assessment and criteria for termination of protocols.
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Implementing Restrictive Transfusion Strategies to Improve Patient Outcomes
There is extensive evidence supporting a restrictive transfusion approach in critically ill patients and cardiac surgery patients. The data favor restrictive strategies in hip and knee surgery, except in geriatric patients for whom evidence favors a more liberal transfusion strategy. Evidence is sparse in sepsis, oncology, and acute coronary syndrome patients, warranting further study.
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Hemorrhage Control: Advances in Trauma Care
Massive hemorrhage is a devastating scenario. Early identification is essential to allow for prompt, potentially lifesaving interventions with the goal of rapid control of exsanguination.