Article
Emergency Medicine
Meng-Che Wu, Tsung-Chien Lu, Ming-Tai Cheng, Yun-Chang Chen, Edward Che-Wei Liao, Chih-Wei Sung, Joyce Tay, Chia-Hsin Ko, Cheng-Chung Fang, Chien-Hua Huang, Chu-Lin Tsai
Summary: This study identified three distinct pain subphenotypes in the emergency department, including no pain, moderate-to-severe pain fast resolvers, and moderate pain slow resolvers. Fast resolvers showed a good response to treatment and had a lower risk of hospitalization, while slow resolvers experienced lingering pain in the emergency department and had a higher risk of revisiting. In addition, compared to slow resolvers, fast resolvers had lower levels of inflammatory markers.
AMERICAN JOURNAL OF EMERGENCY MEDICINE
(2022)
Article
Medicine, General & Internal
Anna S. Messmer, Annina Elmer, Roger Ludwig, Carmen A. Pfortmueller, Luca Cioccari, Joerg C. Schefold
Summary: The aim of this study was to describe the reasons for medical emergency team (MET) activation, analyze the outcomes, and examine the circadian distribution of MET calls and Intensive Care Unit (ICU) admissions. The findings showed that staff concern and low peripheral oxygen saturation were the most common reasons for MET calls, while abnormal respiratory rate was less frequent but increased after the introduction of qSOFA. Most MET calls occurred during non-working hours, with the highest rate during the evening shift. The in-hospital mortality rate after a MET call was 22%.
SWISS MEDICAL WEEKLY
(2022)
Article
Public, Environmental & Occupational Health
Rachel Garg, Joseph T. Steensma, Alina A. Luke, Kristine Huang, Balaji Golla, Regina Greer, Karen E. Joynt Maddox
Summary: The study found a strong association between 2-1-1 service requests and preventable emergency department visits, even after controlling for other factors. This information may help hospitals and policymakers target social needs interventions to neighborhoods with the greatest need.
AMERICAN JOURNAL OF PREVENTIVE MEDICINE
(2021)
Article
Medicine, General & Internal
Ithan D. Peltan, Sierra R. McLean, Emily Murnin, Allison M. Butler, Emily L. Wilson, Matthew H. Samore, Catherine L. Hough, Nathan C. Dean, Joseph R. Bledsoe, Samuel M. Brown
Summary: This cohort study found that outpatient treatment for patients meeting sepsis criteria in the emergency department was more common than previously recognized, with significant variation between ED physicians, but was not associated with higher mortality compared with hospital admission. Systematic, evidence-based strategies are needed to optimize the triage of ED patients with sepsis.
Article
Public, Environmental & Occupational Health
Tissa Wijeratne, Win Sen Kuan, Anne Maree Kelly, Kevin H. Chu, Frances B. Kinnear, Gerben Keijzers, Richard Body, Mehmet A. Karamercan, Sharon Klim, Sinan Kamona, Colin A. Graham, Tom Roberts, Daniel Horner, Said Laribi
Summary: This study investigated the assessment and management patterns of acute migraine presentations in emergency departments and found that therapeutic practices are not in line with current guidelines, especially for patients with severe symptoms.
Article
Medicine, General & Internal
Aiham Qdaisat, Sai-Ching J. Yeung, Cristhiam H. Rojas Hernandez, Pavani Samudrala, Mona Kamal, Ziyi Li, Adriana H. Wechsler
Summary: Intracranial hemorrhage (ICH) is a serious complication of cancer and its treatment. This study found that hypertension, low platelet count, and radiologic findings were useful predictors of outcomes in cancer patients with ICH. Understanding these factors can guide the diagnosis and treatment of ICH in cancer patients.
JOURNAL OF CLINICAL MEDICINE
(2022)
Article
Medicine, General & Internal
Dea Degabriel, Roberta Petrino, Eleonora Dafne Frau, Laura Uccella
Summary: This study explores patients' experience of communication with the medical team in the Emergency Department (ED) and finds that objective factors such as age, hospital size, and way of conveyance may influence patients' perception and satisfaction. The lowest scored item in communication was the medical team encouraging patients to ask questions.
INTERNAL AND EMERGENCY MEDICINE
(2023)
Article
Critical Care Medicine
R. Zhang, B. Maher, J. G. R. Ramos, A. Hardidge, L. Olenko, L. Weinberg, R. Robbins, L. Churilov, P. Peyton, D. Jones
Summary: Approximately 10% of orthopedic patients received a MET call, most strongly associated with major hip and knee arthroplasty. Such patients are at increased risk of morbidity and in-hospital mortality, requiring further strategies for more proactive management.
Letter
Medicine, General & Internal
Tadahiro Goto, Shojiro Oka, Hiroshi Okamoto, Yusuke Hagiwara, Hiroko Watase, Kohei Hasegawa
Summary: This cohort study investigates the relationship between the number of years physicians have completed in postgraduate education and intubation outcomes in patients undergoing airway management in the emergency department.
Article
Emergency Medicine
Huiyin Ouyang, Junyan Wang, Zhankun Sun, Eddy Lang
Summary: This study evaluated the impact of emergency department (ED) crowding levels on patient admission decisions and outcomes. The findings showed a positive correlation between patient admission probability and ED census, as well as physician workload census, but an inverse correlation with boarder census. The results also revealed that the 7-day revisit probability of discharged patients was positively associated with boarder census. Insufficient physician staffing may lead to unnecessary patient admissions, and excessive boarding patients in the ED could result in unsafe discharges and increased 7-day revisit probability.
AMERICAN JOURNAL OF EMERGENCY MEDICINE
(2022)
Article
Health Care Sciences & Services
Jakub Furmaga, Samuel A. McDonald
Summary: The study evaluated the impact of Rapid Medical Evaluation (RME) on patient flow in the Emergency Department (ED) and found that implementing RME helped reduce the time patients spend in the ED Treatment Room, improved patient throughput, and decreased Door-to-Provider time during busy periods in the ED.
JOURNAL OF MEDICAL SYSTEMS
(2021)
Article
Public, Environmental & Occupational Health
Xinyan Fu, Chunyi Wang, Wen Wen, Jiake Tang, Chen Chen, Yongran Cheng, Mengyun Zhou, Qi Wu, Xingwei Zhang, Zhanhui Feng, Mingwei Wang, Ping Yu
Summary: This study found that the total number of medical emergency calls and the number of emergency calls for central nervous system symptoms decreased significantly during the COVID-19 epidemic in Hangzhou, China.
FRONTIERS IN PUBLIC HEALTH
(2022)
Article
Medicine, General & Internal
Haley Zarrin, Carmen Vargas-Torres, Teresa Janevic, Toni Stern, Michelle P. Lin
Summary: This cohort study examines patient and hospital characteristics associated with postpartum emergency department visits in New York State. The study found that younger patients, racial and ethnic minorities, publicly insured patients, and those with more comorbid medical conditions had higher odds of postpartum ED visits. Postpartum ED visits were more likely at hospitals serving racial and ethnic minority groups, safety net hospitals, and hospitals with fewer obstetric discharges. These findings highlight the need for structural changes to reduce maternal health disparities.
Article
Medicine, General & Internal
Klara Torlen Wennlund, Lisa Kurland, Knut Olanders, Amanda Khoshegir, Hussein Al Kamil, Maaret Castren, Katarina Bohm
Summary: This study explored the experiences of emergency medical dispatchers (EMDs) in managing emergency medical calls. The findings revealed that EMDs need to attentively manage a multifaceted and interactive task. The core aspects include utilizing creativity to gather information, continuously processing and assessing complex information, and engaging in the professional role. These results could be valuable for emergency care managers in designing training programs and organizing EMD work and the work environment, as well as improving dispatch protocols and implementing regular feedback sessions. Furthermore, the study suggests that aspects such as self-awareness and emotional challenges during EMD work should be important considerations during staff evaluations.
Article
Radiology, Nuclear Medicine & Medical Imaging
Tarek N. Hanna, Eric Friedberg, Ivan M. Dequesada, Laura Chaves, Robert Pyatt, Richard Duszak, Danny R. Hughes
Summary: This study assessed potential disparities in the utilization of advanced imaging during emergency department visits and found significant differences based on hospital type and race, with Black patients and individuals in rural areas less likely to undergo advanced imaging examinations.
AMERICAN JOURNAL OF ROENTGENOLOGY
(2021)
Article
Nursing
Christine Duffield, Michael Roche, Di Twigg, Anne Williams, Sean Clarke
JOURNAL OF ADVANCED NURSING
(2016)
Article
Nursing
Joyce K. Edmonds, Michele O'Hara, Sean P. Clarke, Neel T. Shah
JOGNN-JOURNAL OF OBSTETRIC GYNECOLOGIC AND NEONATAL NURSING
(2017)
Article
Nursing
Johanne Dery, Sean P. Clarke, Danielle D'Amour, Regis Blais
JOURNAL OF NURSING SCHOLARSHIP
(2018)
Article
Nursing
Catherine M. DesRoches, Sean Clarke, Jennifer Perloff, Monica O'Reilly-Jacob, Peter Buerhaus
Review
Nursing
Pamela B. Linzer, Sean P. Clarke
Letter
Nursing
Joyce K. Edmonds, Michele O'Hara, Sean P. Clarke, Neel T. Shah
JOGNN-JOURNAL OF OBSTETRIC GYNECOLOGIC AND NEONATAL NURSING
(2018)
Article
Health Care Sciences & Services
Peter Buerhaus, Jennifer Perloff, Sean Clarke, Monica O'Reilly-Jacob, Galina Zolotusky, Catherine M. DesRoches
Article
Nursing
Sheila A. Boamah, Heather K. Spence Laschinger, Carol Wong, Sean Clarke
Article
Nursing
Christine Duffield, Michael Roche, Di Twigg, Anne Williams, Samantha Rowbotham, Sean Clarke
JOURNAL OF CLINICAL NURSING
(2018)
Editorial Material
Nursing
Sean Clarke
AMERICAN JOURNAL OF NURSING
(2018)
Article
Nursing
Patrick Lavoie, Jacinthe Pepin, Sylvie Cossette, Sean P. Clarke
Article
Nursing
Patrick Lavoie, Sean P. Clarke, Christina Clausen, Margaret Purden, Jessica Emed, Lidia Cosencova, Valerie Frunchak
JOURNAL OF CLINICAL NURSING
(2020)
Article
Nursing
Catherine Crawford Cohen, Hilary Barnes, Peter Buerhaus, Grant R. Martsolf, Sean P. Clarke, Karen Donelan, Heather L. Tubbs-Cooley
Summary: A team of researchers held a meeting to define the agenda for Nursing Health Services Research (NHSR) in the 2020s, focusing on key challenges and cross-cutting themes in health care delivery. It emphasized the importance of this agenda in the current decade more than ever before.
Article
Nursing
Johanne Dery, Sean P. Clarke, Danielle D'Amour, Regis Blais
JOURNAL OF NURSING ADMINISTRATION
(2016)
Article
Nursing
Farah Ismail, Sean P. Clarke
JOURNAL OF NURSING REGULATION
(2016)