Article
Emergency Medicine
Kelly McKinley, Patricia Panakos, Daniel Yousef
Summary: This study observed the widespread use of ketamine in a large tertiary-care emergency department, with major indications including agitation and procedural sedation. Ketamine was commonly used as first-line therapy in agitated patients, with a majority not requiring additional sedatives after ketamine administration.
AMERICAN JOURNAL OF EMERGENCY MEDICINE
(2021)
Article
Emergency Medicine
Justin Lin, Yelena Figuerado, Adrienne Montgomery, Jonathan Lee, Mark Cannis, Valerie C. Norton, Richard Calvo, Harminder Sikand
Summary: In the treatment of acute agitation, ketamine was found to be more effective in achieving sedation in a shorter time compared to haloperidol plus lorazepam, with no significant adverse effects.
AMERICAN JOURNAL OF EMERGENCY MEDICINE
(2021)
Article
Gastroenterology & Hepatology
Montri Gururatsakul, Richard Lee, Sureshkumar Kallippatti Ponnuswamy, Rajit Gilhotra, Cathal McGowan, Debra Whittaker, John Ombiga, Peter Boyd
Summary: The study results demonstrate that endoscopist directed nurse administered propofol sedation is a safe method for performing endoscopic sedation in low-risk patients in a hospital setting.
JOURNAL OF GASTROENTEROLOGY AND HEPATOLOGY
(2021)
Article
Emergency Medicine
Max M. Feinstein, Janet Adegboye, Joshua D. Niforatos, Richard M. Pescatore
Summary: Informed consent for procedures in the emergency department presents challenges due to ethical and medical ambiguities. Studies have shown that key themes include medical education, surrogate decision-making, and patient understanding. However, community notification remains the least addressed theme in the literature.
AMERICAN JOURNAL OF EMERGENCY MEDICINE
(2021)
Article
Emergency Medicine
Charles Gregoire, Marc De Kock, Julie Henrie, Rosen Cren, Patricia Lavand'homme, Andrea Penaloza, Franck Verschuren
Summary: The combination of dexmedetomidine and ketamine provides conscious sedation for patients undergoing painful procedures in the emergency department, bringing comfort and pain relief in optimal conditions for respiratory and hemodynamic safety.
JOURNAL OF EMERGENCY MEDICINE
(2022)
Article
Emergency Medicine
Charles Gregoire, Marc De Kock, Julie Henrie, Rosen Cren, Patricia Lavand'homme, Andrea Penaloza, Franck Verschuren
Summary: The study evaluated the quality and safety of procedural sedation using the combination of dexmedetomidine and ketamine in the emergency department, showing that this combination provides conscious sedation with comfort and pain relief for patients while ensuring respiratory and hemodynamic safety. However, sedation and recovery times are longer compared to conventional drug combinations.
JOURNAL OF EMERGENCY MEDICINE
(2022)
Article
Emergency Medicine
David Barbic, Gary Andolfatto, Brian Grunau, Frank X. Scheuermeyer, Bill Macewan, Hong Qian, Hubert Wong, Skye P. Barbic, William G. Honer
Summary: This study compared the use of intramuscular ketamine with a combination of midazolam and haloperidol for sedating emergency department patients with severe agitation. The results showed that ketamine led to significantly shorter time to adequate sedation compared to the midazolam and haloperidol combination, although the ketamine group had a slightly higher rate of serious adverse events.
ANNALS OF EMERGENCY MEDICINE
(2021)
Article
Emergency Medicine
Anne Marie Guthrie, Regan A. Baum, Craig Carter, Adam Dugan, Landon Jones, Trei Tackett, Abby M. Bailey
Summary: The study showed that IN Ketamine can provide safe and successful analgesia and anxiolysis in pediatric patients in the ED, with high provider satisfaction and patient comfort levels. Patients felt most comfortable when doses between 3 and 5 mg/kg were used. Some patients experienced treatment failure, but the rate of adverse events was low.
PEDIATRIC EMERGENCY CARE
(2021)
Article
Nursing
Aaron Conway, Kristina Chang, Mohammad Goudarzi Rad, Sebastian Mafeld, Matteo Parotto
Summary: This study aims to evaluate the effectiveness of smart alarm-guided treatment using the Integrated Pulmonary Index in managing respiratory depression during nurse-administered sedation. The results suggest that the Integrated Pulmonary Index holds promise for optimizing respiratory monitoring. The findings from this study have significant implications for the broader use of smart alarm strategies in respiratory monitoring.
JOURNAL OF ADVANCED NURSING
(2022)
Article
Multidisciplinary Sciences
Ashley E. Pickering, Heather M. Dreifuss, Charles Ndyamwijuka, Mark Nichter, Bradley A. Dreifuss
Summary: This study aims to understand the emergency care seeking behavior of community members utilizing an emergency department in Uganda's rural Rukungiri District. The results suggest that delayed patient presentations are caused by cultural factors, limited knowledge of emergency signs and initial actions to take, use of local health facilities, lack of resources to cover the cost of obtaining emergency care, and inadequate transportation options. Interventions are needed to address these four major reasons for treatment delay.
Article
Multidisciplinary Sciences
Martin Mueller, Clyde B. Schechter, Wolf E. Hautz, Thomas C. Sauter, Aristomenis K. Exadaktylos, Stephanie Stock, Tanja Birrenbach
Summary: This study analyzed and predicted factors influencing emergency department (ED) resource consumption, with chief complaint, resuscitation bay use, and admission by ambulance being the key factors. A scoring system was developed from the model to help leaders in emergency care evaluate resource decisions and estimate effects of organizational changes. Further studies are needed for external validation of the model.
Article
Emergency Medicine
Jacob Bauer, Lauren Beauchamp, Emily Pavich
Summary: This study compared the use of methohexital, propofol, and etomidate for procedural sedation for electrical cardioversions in the emergency department. The results showed that methohexital had similar efficacy and safety profiles to propofol and etomidate in terms of sedation time, discharge time, and safety outcomes.
AMERICAN JOURNAL OF EMERGENCY MEDICINE
(2022)
Article
Emergency Medicine
Spencer Kruggel, Aimee Mishler, Louisa Sullivan
Summary: This study retrospectively analyzed the safety of ketamine, propofol, and methohexital for procedural sedation in musculoskeletal procedures in the emergency department. The results showed that methohexital had similar success rate and adverse event occurrence compared to the other two agents, with no observed cases of respiratory depression.
JOURNAL OF EMERGENCY MEDICINE
(2022)
Article
Medicine, General & Internal
Stephen Charles Resch, Sebastian Suarez, Moshood Olanrewaju Omotayo, Jennifer Griffin, Daniel Sessler, Thomas Burke
Summary: In areas of Kenya with limited availability of anesthesia services, scaling up the ESM-Ketamine program can enable a significant number of life-saving emergency caesarean deliveries at a reasonable cost.
Review
Emergency Medicine
Linda J. De Vries, Nic J. G. M. Veeger, Eric N. Van Roon, Heleen Lameijer
Summary: This systematic review compared low-dose ketamine and propofol with opioids and propofol for procedural sedation in the emergency department. The results showed differences in analgesic efficacy, sedation depth, and recovery time between the two combinations. However, due to limited studies, there is insufficient evidence to support the superiority of low-dose ketamine and propofol combination therapy in emergency procedural sedation.
EUROPEAN JOURNAL OF EMERGENCY MEDICINE
(2023)
Article
Ethnic Studies
Furqan B. Irfan, Maaret Castren, Zain A. Bhutta, Pooja George, Isma Qureshi, Stephen H. Thomas, Sameer A. Pathan, Guillaume Alinier, Loua A. Shaikh, Jassim A. Suwaidi, Rajvir Singh, Ashfaq Shuaib, Tooba Tariq, William J. McKenna, Peter A. Cameron, Therese Djarv
Summary: This study compared the epidemiology, clinical presentation, and outcomes of out-of-hospital cardiac arrest (OHCA) between local Middle Eastern GCC Arabs and migrant North African populations in Qatar. The results showed that North African migrant OHCA patients were younger, had fewer risk factors, favorable OHCA rhythm, received greater ACLS interventions, shorter pre-hospital response times, and longer scene times leading to better survival outcomes.
ETHNICITY & HEALTH
(2021)
Article
Toxicology
Steve Offerman, Jasmin Gosen, Stephen H. Thomas, Angie Padilla-Jones, Anne-Michelle Ruha, Michael Levine
CLINICAL TOXICOLOGY
(2020)
Letter
Toxicology
Michael Levine, Alicia Minns, Sam Ontiveros, Stephen H. Thomas, F. Lee Cantrell
CLINICAL TOXICOLOGY
(2021)
Article
Emergency Medicine
Dominic Jenkins, Sarah A. Thomas, Sameer A. Pathan, Stephen H. Thomas
Summary: The study found that increasing the number of on-duty Consultants in the Emergency Department is associated with a significant reduction in the length of stay, indicating a benefit in terms of operational efficiency and patient flow.
BMC EMERGENCY MEDICINE
(2021)
Review
Critical Care Medicine
Elizabeth Lalande, Talia Burwash-Brennan, Katharine Burns, Tim Harris, Stephen Thomas, Michael Y. Woo, Paul Atkinson
Summary: The study evaluated the performance of POCUS in predicting outcomes in traumatic cardiac arrest patients, indicating that patients without cardiac activity on POCUS have a high likelihood of death and negligible chance of survival. However, due to limited sample sizes, further research is needed to support recommendations for termination of resuscitation based solely on the absence of cardiac activity on POCUS.
Article
Emergency Medicine
Arvin Radfar Akhavan, Tania D. Strout, Carl A. Germann, Sara W. Nelson, Joshua Jauregui, Dave W. Lu
Summary: This qualitative study explores how burnout affects the way EM residents provide patient care. The findings reveal that burnout has negative impacts on residents' motivation to care for patients, communication with patients and colleagues, and decision-making in clinical care.
AEM EDUCATION AND TRAINING
(2022)
Article
Emergency Medicine
Dave W. Lu, Carl A. Germann, Sara W. Nelson, Joshua Jauregui, Tania D. Strout
Summary: The study found that the misalignment of individual versus institutional priorities and a lack of agency were significant contributors to burnout among resident physicians. Burnout had a negative impact on residents' educational experiences, affecting their motivation, curiosity, engagement in scholarly activities, and teaching of others. Residents identified building a sense of community as the most effective way to mitigate experiences with burnout.
AEM EDUCATION AND TRAINING
(2021)
Article
Emergency Medicine
Dave W. Lu, Carl A. Germann, Sara W. Nelson, Joshua Jauregui, Tania D. Strout
Summary: Burnout has significant impact on residents' career decisions, influencing factors such as current burnout status, prevention of future burnout, views on clinical work, and consideration of long-term burnout concerns.Educators, program directors, and organization leaders can address burnout's influence on residents' career decisions by focusing on identified target areas.
AEM EDUCATION AND TRAINING
(2021)
Article
Health Policy & Services
Sameer A. Pathan, Omar Al Baroudi, Zahra H. Rahman, Warda Ali H. Saleh, Stephen W. Thomas, Dominic Jenkins, Stephen H. Thomas
Summary: The study aimed to evaluate the accuracy of electronic medical record reporting related to patients' length-of-stay in an emergency department. The research found substantial errors in discharge time reported in the electronic medical record-sourced database, with around 57% of cases having more than 5 minutes' error towards overestimation of the length of stay, showing a significant bias towards EMR lagging behind TODRA.
INTERNATIONAL JOURNAL OF HEALTHCARE MANAGEMENT
(2021)
Article
Health Policy & Services
Dominic Jenkins, Ashad Hannan, Raheel Qureshi, Landric Benjamin Dsouza, Stephen Hodges Thomas
INTERNATIONAL JOURNAL OF HEALTHCARE MANAGEMENT
(2020)
Article
Health Policy & Services
Raheel Sharfeen Qureshi, Isma Qureshi, Mohamed Abbasy, Waseem Ahmad Malik, Benny Ponnapan, Amjad Gauhar, Sohaib Chaudhry, Sameer Pathan, Dominic Jenkins, Stephen H. Thomas
INTERNATIONAL JOURNAL OF HEALTHCARE MANAGEMENT
(2020)
Article
Medicine, General & Internal
Ali S. Omrani, Sameer A. Pathan, Sarah A. Thomas, Tim R. E. Harris, Peter Coyle, Caroline E. Thomas, Isma Qureshi, Zain A. Bhutta, Naema Al Mawlawi, Reham Al Kahlout, Ashraf Elmalik, Aftab M. Azad, Joanne Daghfal, Mulham Mustafa, Andrew Jeremijenko, Hussam Al Soub, Mohammed Abu Khattab, Muna Al Maslamani, Stephen H. Thomas
Review
Toxicology
Amr Elmoheen, Waleed Awad Salem, Mahmoud Haddad, Khalid Bashir, Stephen H. Thomas
JOURNAL OF TOXICOLOGY
(2020)
Article
Medicine, General & Internal
Amr Elmoheen, Waleed Awad Salem, Galal Al Essai, Dharmesh Shukla, Ankush Pathare, Stephen H. Thomas
AMERICAN JOURNAL OF CASE REPORTS
(2020)
Article
Health Policy & Services
Tinsy George, Mona A. Elgharbawy, Ahmed A. Fathi, Zain A. Bhutta, Sameer A. Pathan, Dominic Jenkins, Stephen H. Thomas
INTERNATIONAL JOURNAL OF HEALTHCARE MANAGEMENT
(2020)