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.
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.
Posttraumatic stress disorder symptoms may be associated with higher levels of acute pain and pain interference in low-income inner city women.
Clinical decision-making for patients admitted to the emergency department for acute drug overdose may be facilitated by measuring initial lactate concentration.
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.
A panel of emergency medicine and pharmacology experts formulated guidelines for safely and effectively treating patients presenting to the emergency department with acute pain.
More emphasis should be placed on self-management, physical and psychological therapies for treating low back pain, rather than pharmacological or surgical treatments.
The use of non-opioid analgesic therapies is increasing among ED physicians.
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.
A 24-hour primary care clinic with multiple doctors offering round-the-clock care would actualize better and more sustainable care.
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.
Acute pain management in the emergency department with low-dose ketamine may provide pain relief comparable with morphine at 30 minutes.
Investigators found that patients receiving prochlorperazine had a greater reduction in headache-related pain compared with patients receiving ketamine.
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 PainDecember 04, 2017
Nonopioid analgesic combinations may be noninferior to opioid/acetaminophen combinations for reducing acute extremity pain.
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 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.
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 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.
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 is a safe and effective alternative to pain medications for some emergency department patients.
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 and ibuprofen are frequently under-dosed in children in the emergency department.
SoluMatrix indomethacin may represent a treatment option for the management of moderate acute pain, including patients in emergency room settings.
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.
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.
Researchers reviewed studies that examined the role of emergency department doctors in the US opioid epidemic.
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.
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.
Patients addicted to opioids treated in a hospital emergency department do better when they receive medication to reduce opioid cravings.
Clinical Pain Advisor Articles
- Cannabis Use High in Migraine
- Sustained-Release Sodium Nitrite for Diabetic Neuropathic Pain Not Associated With Headaches
- Percutaneous Electrolysis May Be Useful Adjunct for Subacromial Pain Syndrome
- Treatment for Opioid Use Disorder Associated With Reduced Risk for Opioid-Related Deaths
- Clonidine May Not Improve Post-Cesarean Delivery Analgesia
- Recommendations for Perioperative Pain Management in Patients With Opioid Tolerance
- Vertebroplasty Comparable With Placebo for Acute Vertebral Compression Fractures
- Capsaicin 8% Patch May Be Effective in Neuropathic Pain
- Detox vs Medication-Assisted Treatment for Opioid Use Disorder in Pregnancy: Expert Roundtable
- Prior Authorization Policy May Help Reduce Long-Acting Opioid Use
- Deaths After Nonfatal Opioid Overdose: Causes and Risk Factors
- Targeted Educational Intervention Helped Reduce Opioid Exposure in Adult Inpatients
- Systematic Cross-Checking May Reduce Medical Errors in Emergency Departments
- Corticosteroid Plus Lidocaine Injections Do Not Alleviate Pain in Central Lumbar Spinal Stenosis
- Tofacitinib May Effectively Alleviate Pain in RA, Psoriatic Arthritis, and Ankylosing Spondylitis