Emergency Department

Systematic Cross-Checking May Reduce Medical Errors in Emergency Departments

Systematic Cross-Checking May Reduce Medical Errors in Emergency Departments

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The implementation of systematic cross-checking between emergency physicians was associated with a significant reduction in adverse events, which was primarily the result of a reduction in near misses.

NP and PA Scope of Practice Vary Greatly in US Emergency Departments

NP and PA Scope of Practice Vary Greatly in US Emergency Departments

Stark differences exist in EDs across the United States with regard to scope of practice, expectations, team dynamics, and training requirements for PAs and NPs.

PTSD Symptoms and the Acute Pain Response in Low-Income Women

PTSD Symptoms and the Acute Pain Response in Low-Income Women

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Posttraumatic stress disorder symptoms may be associated with higher levels of acute pain and pain interference in low-income inner city women.

Measuring Serum Lactate to Facilitate Clinical Decision-Making for Drug Overdose in the ED

Measuring Serum Lactate to Facilitate Clinical Decision-Making for Drug Overdose in the ED

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Clinical decision-making for patients admitted to the emergency department for acute drug overdose may be facilitated by measuring initial lactate concentration.

Parenteral Hydromorphone for Migraine and ED Revisits

Parenteral Hydromorphone for Migraine and ED Revisits

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Hydromorphone-related "likeability" and "feeling good" may not be associated with return visits to the emergency department in patients treated with the drug for migraine.

Acute Pain Treatment in the ED: Consensus Guidelines

Acute Pain Treatment in the ED: Consensus Guidelines

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A panel of emergency medicine and pharmacology experts formulated guidelines for safely and effectively treating patients presenting to the emergency department with acute pain.

Many Patients Receive Inappropriate Tests, Treatments for Low Back Pain

Many Patients Receive Inappropriate Tests, Treatments for Low Back Pain

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More emphasis should be placed on self-management, physical and psychological therapies for treating low back pain, rather than pharmacological or surgical treatments.

Non-Opioid Therapies for Pain Management in the ED

Non-Opioid Therapies for Pain Management in the ED

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The use of non-opioid analgesic therapies is increasing among ED physicians.

Electronic Medical Record "Nudge" May Shape Opioid Prescribing Behavior in the ED

Electronic Medical Record "Nudge" May Shape Opioid Prescribing Behavior in the ED

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Implementation of electronic medical record default opioid prescriptions of 10 tablets of 5 mg oxycodone/325 mg acetaminophen at discharge from the ED may be associated with an increased percentage of prescriptions for 10 tablets, compared with no default.

Twenty-Four Hour Primary Care Clinics Can Improve Patient Care

Twenty-Four Hour Primary Care Clinics Can Improve Patient Care

A 24-hour primary care clinic with multiple doctors offering round-the-clock care would actualize better and more sustainable care.

Expert Shares Insights on Compassion Fatigue and Physician Burnout

Expert Shares Insights on Compassion Fatigue and Physician Burnout

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Dike Drummond, MD, and CEO of The Happy MD, an organization focused on physician burnout prevention and leadership, shares his insights on how to tackle compassion fatigue and burnout in the emergency department.

Low-Dose Ketamine Provides Comparable Acute Pain Relief, More Adverse Events Than Morphine

Low-Dose Ketamine Provides Comparable Acute Pain Relief, More Adverse Events Than Morphine

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Acute pain management in the emergency department with low-dose ketamine may provide pain relief comparable with morphine at 30 minutes.

Prochlorperazine More Effective Than Ketamine for Treating Headaches in the Emergency Department

Prochlorperazine More Effective Than Ketamine for Treating Headaches in the Emergency Department

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Investigators found that patients receiving prochlorperazine had a greater reduction in headache-related pain compared with patients receiving ketamine.

Patients With Migraine Frequently Revisit the Emergency Department for Headache

Patients With Migraine Frequently Revisit the Emergency Department for Headache

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More than 25% of patients presenting to the emergency department (ED) for migraine typically require subsequent ED revisits for headache within a 6-month period.

Nonopioid Analgesic Combination and Opioid Combinations Provide Similar Analgesic Effects for Acute Extremity Pain

Nonopioid Analgesic Combination and Opioid Combinations Provide Similar Analgesic Effects for Acute Extremity Pain

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Nonopioid analgesic combinations may be noninferior to opioid/acetaminophen combinations for reducing acute extremity pain.

Strategies to Fix a Broken Emergency Department System

Strategies to Fix a Broken Emergency Department System

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Serving an estimated 141.4 million patients a year and providing an average of 47.7% of all medical care in the United States, our emergency departments reflect all the good and bad about our nation's healthcare system.

Emergency Departments Major Source of US Medical Care

Emergency Departments Major Source of US Medical Care

Emergency departments contributed to an average of 47.7% of the medical care delivered in the United States, and the percentage rose steadily over the 14-year study period.

Hydromorphone vs Prochlorperazine/Diphenhydramine for Acute Migraine Pain Relief

Hydromorphone vs Prochlorperazine/Diphenhydramine for Acute Migraine Pain Relief

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A treatment of intravenous hydromorphone was found to provide less pain relief for acute migraine than IV prochlorperazine in patients admitted to the emergency department.

Pain Management in the ED: Expert Insights

Pain Management in the ED: Expert Insights

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Pain is 1 the most frequent reasons for ED visits. See what an ED physician has to say about opioid prescribing and general pain management approaches in the ED.

Emergency Department Opioid Prescriptions Align With CDC Guideline

Emergency Department Opioid Prescriptions Align With CDC Guideline

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Opioids prescriptions to opioid-naive patients in the ED setting were shown to be more in line with the CDC recommendations and less likely to lead to long-term opioid use compared with non-ED prescriptions.

Acupuncture Safe, Effective Alternative to Pain Drugs in ED

Acupuncture Safe, Effective Alternative to Pain Drugs in ED

Acupuncture is a safe and effective alternative to pain medications for some emergency department patients.

Patient-Controlled Analgesia More Costly Than Standard Care

Patient-Controlled Analgesia More Costly Than Standard Care

For patients presenting to the emergency department in pain, who are subsequently admitted to the hospital, the cost per hour in moderate or severe pain averted is higher for patient-controlled analgesia vs standard care.

Acetaminophen, Ibuprofen Often Under-Dosed in Children in the ED

Acetaminophen, Ibuprofen Often Under-Dosed in Children in the ED

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Acetaminophen and ibuprofen are frequently under-dosed in children in the emergency department.

Acute Pain Management in the Emergency Department With SoluMatrix Indomethacin

Acute Pain Management in the Emergency Department With SoluMatrix Indomethacin

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SoluMatrix indomethacin may represent a treatment option for the management of moderate acute pain, including patients in emergency room settings.

Working With Multiple Attending Physicians in the ED

Working With Multiple Attending Physicians in the ED

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Physicians develop their own practice styles, and if you work repeatedly with them you begin to anticipate their next moves and think like they do.

How to Protect Yourself From Lawsuits Under EMTALA

How to Protect Yourself From Lawsuits Under EMTALA

Under the law, hospitals with EDs must provide for "an appropriate medical screening examination within the capability of the hospital's ED" to determine if an emergency medical condition exists.

ED Physicians' Role In Opioid Misuse

ED Physicians' Role In Opioid Misuse

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Researchers reviewed studies that examined the role of emergency department doctors in the US opioid epidemic.

Pain Center Crisis: How the Healthcare Community Coped

Pain Center Crisis: How the Healthcare Community Coped

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Dr Stacey sought to highlight how the healthcare community reacted to and coped in the aftermath of the closing of the Seattle Pain Center, by coming together as a team and mobilizing state resources.

Emergency Department-Initiated Buprenorphine/Naloxone Beneficial When Prolonged

Emergency Department-Initiated Buprenorphine/Naloxone Beneficial When Prolonged

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Buprenorphine/naloxone treatment initiated in the emergency department and prolonged for 10 weeks in primary care improved treatment engagement and reduced opioid use compared with referral or brief intervention.

Buprenorphine Effective in ER Patients With Opioid Addiction

Buprenorphine Effective in ER Patients With Opioid Addiction

Patients addicted to opioids treated in a hospital emergency department do better when they receive medication to reduce opioid cravings.

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