Trauma
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Care transitions: Geriatric medicine offers a roadmap to follow
While an increasing number of hospital systems are creating senior-friendly EDs, one new study suggests that many of the tenets of geriatric medicine are also applicable to the care of patients with complex health problems, especially with respect to care transitions. -
New guidelines for geriatric EDs: Guidance focused on boosting environment, care processes
A cadre of prominent medical groups, including the ACEP, ENA, AGS, and SAEM, has unveiled a comprehensive set of Geriatric Emergency Department Guidelines to aid hospitals that are either in the process of opening senior-focused EDs or revamping their policies and procedures to better meet the needs of an aging population. The guidelines offer recommendations related to staffing, infrastructure, education, and transition-of-care strategies. In addition, they outline a host of screenings that studies have shown are beneficial for older adults. -
Senior-focused EDs: Plenty of buzz, but outcomes/costs TBD
One indication that senior-focused emergency care settings are catching on: For the first time, geriatric EDs have appeared on the Plymouth Meeting, PA-based Emergency Care Research Institutes (ECRI) Top 10 Hospital C-Suite Watch List, an annual list of new technologies and health system developments that providers and policy makers should think carefully about, according to ECRI. -
Abdominal Pain in Nonpregnant Female Patients
The history and physical exam are the cornerstones of diagnosis, but some serious pelvic conditions can have a nondescript history and minimal physical findings. -
Anorectal Emergencies
- Anorectal conditions are commonly misdiagnosed on initial evaluation.
- Assistance with patient positioning, good lighting, and analgesia are often necessary for adequate examination.
- Imaging is often required in anorectal abscesses to determine their full extent.
- Anorectal manifestations of STIs may occur in the absence of anal sex.
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Fractures in Older Adults
MONOGRAPH: As the population ages and continues to retain an increasingly high level of function, a unique pattern of injuries is emerging in older patients.
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To Improve Outcomes in AECOPD, Go Easy on the Steroids!
In this examination of outcomes among 17,239 patients admitted to the ICU for an acute exacerbation of COPD, most of them received higher than recommended doses of corticosteroids (> 240 mg/d methylprednisolone equivalent). -
Weaning with Noninvasive Ventilation in COPD
Managing COPD with noninvasive ventilation following early extubation resulted in significant improvements in several patient-centered outcomes compared to current weaning practices. -
Questions Asked During Handovers Provide Insights into Ways to Improve Communication Skills
Interactive questioning, defined as how communication occurs during handovers, differed in ways that influenced message clarity when comparisons were made between those with more training (attending physicians, nurse practitioners) and less training (residents, staff nurses). -
Tissue Plasminogen Activator and Acute Ischemic Stroke Reviewed
The authors present an updated review of the use of tissue plasminogen activator in patients with acute ischemic stroke.