Emergency
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Management of Problem Wounds in the Emergency Department
Most acute wounds will heal with good topical care. However, some wounds, especially chronic ones occurring in impaired hosts, are more problematic. To properly manage these types of wounds and optimize healing, there should be an evidence-based approach to wound care in the emergency department.
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Protecting At-Risk Patients from Self-Harm in the ED
Researchers try to create a safer environment to keep patients and staff alike safe.
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HHS Eases Standards Regarding Opioid Addiction Care
Regulatory changes make it easier for more physicians to prescribe medication-assisted treatment.
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COVID-19 Patients Can Be Managed Safely with Noninvasive Respiratory Strategies
In this retrospective chart review of adult patients hospitalized with COVID-19 over a one-month period, the implementation of a noninvasive respiratory protocol that encouraged high-flow nasal cannula, noninvasive mechanical ventilation, and self-proning did not result in any significant increase in mortality.
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In the Setting of Non-COVID ARDS, Improvement in Oxygenation with Proning Predicts Survival
In this retrospective cohort study, improvement in the PaO2/FiO2 (P/F) ratio by 54% was the optimal cutoff to predict those more likely to be alive at 28 days.
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Prone Positioning in Acute Respiratory Distress Syndrome
A review of the potential benefits and uses of prone positioning in patients with acute respiratory distress syndrome
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Thorough Screening Might Cut Repeat ED Visits, Prevent Readmission
Asking patients about social determinants of health leads to more complete care.
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Alleviate Risks if Patients Leave Without Being Seen
There is a tendency to assume that if someone left the ED, he or she probably was not that sick. That is a dangerous assumption. For all patients who leave without being seen, the nurse manager should follow up with a call within 24 hours.
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Some Psychiatric Patients Can Bypass ED Altogether
Researchers considered protocols that bypass the ED by allowing EMS to directly transport patients to a specialized regional center for evaluation of psychiatric emergencies. The protocols are somewhat controversial.
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Discharge of Psychiatric Patients Is Legal Landmine for EDs
If a patient with psychiatric symptoms experiences a poor outcome shortly after discharge from an ED, allegations of inadequate medical screening are possible. Good documentation is the best protection against these allegations.