How to Trip Rapid Review

Step 1: Select articles relevant to your search (remember the system is only optimised for single intervention studies)

Step 2: press

Step 3: review the result, and maybe amend the or if you know better! If we're unsure of the overall sentiment of the trial we will display the conclusion under the article title. We then require you to tell us what the correct sentiment is.

995 results for

Emergency Department Active Labor Presentation

by
...
Alerts

Export results

Use check boxes to select individual results below

SmartSearch available

Trip's SmartSearch engine has discovered connected searches & results. Click to show

1. Emergency Department Active Labor Presentation

Emergency Department Active Labor Presentation Emergency Department Active Labor Presentation Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer (...) Administration 4 Emergency Department Active Labor Presentation Emergency Department Active Labor Presentation Aka: Emergency Department Active Labor Presentation , Labor Phone Triage From Related Chapters II. History Demographics (if phone triage) Patient name and age Distance from hospital Primary obstetrics provider Pregnancy History Parity and estimated delivery date Prenatal Course and past obstetrics history Prior cesarean (planned repeat cesarean or ) GBS Positive status (36 week culture result

2018 FP Notebook

2. Emergency Department Active Labor Presentation

Emergency Department Active Labor Presentation Emergency Department Active Labor Presentation Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer (...) Administration 4 Emergency Department Active Labor Presentation Emergency Department Active Labor Presentation Aka: Emergency Department Active Labor Presentation , Labor Phone Triage From Related Chapters II. History Demographics (if phone triage) Patient name and age Distance from hospital Primary obstetrics provider Pregnancy History Parity and estimated delivery date Prenatal Course and past obstetrics history Prior cesarean (planned repeat cesarean or ) GBS Positive status (36 week culture result

2016 FP Notebook

3. Interfacility neurosurgical transfers: an analysis of nontraumatic inpatient and emergency department transfers with implications for improvements in care. (PubMed)

facilities may lack necessary resources or expertise, and the Emergency Medical Treatment and Active Labor Act (EMTALA) obligates tertiary care centers to accept these patients under those circumstances. Telemedicine and integration of electronic medical records may help guide referring hospitals to pursue additional workup, which may eliminate the need for unnecessary transfer and provide additional cost savings. (...) Interfacility neurosurgical transfers: an analysis of nontraumatic inpatient and emergency department transfers with implications for improvements in care. OBJECTIVEInterfacility neurosurgical transfers to tertiary care centers are driven by a number of variables, including lack of on-site coverage, limited available technology, insurance factors, and patient preference. The authors sought to assess the timing and necessity of surgery and compared transfers to their institution from emergency

2018 Journal of Neurosurgery

4. On the Threshold of Safety: A Qualitative Exploration of Nurses' Perceptions of Factors Involved in Safe Staffing Levels in Emergency Departments. (PubMed)

On the Threshold of Safety: A Qualitative Exploration of Nurses' Perceptions of Factors Involved in Safe Staffing Levels in Emergency Departments. The emergency department is a unique practice environment in that the Emergency Medical Treatment and Active Labor Act (EMTALA), which mandates a medical screening examination for all presenting patients, effectively precludes any sort of patient volume control; staffing needs are therefore fluid and unpredictable. The purpose of this study (...) is to explore emergency nurses' perceptions of factors involved in safe staffing levels and to identify factors that negatively and positively influence staffing levels and might lend themselves to more effective interventions and evaluations.We used a qualitative exploratory design with focus group data from a sample of 26 emergency nurses. Themes were identified using a constructivist perspective and an inductive approach to content analysis.Five themes were identified: (1) unsafe environment of care, (2

2016 Journal of Emergency Nursing

5. The effectiveness and efficiency of cash-based approaches in emergencies

emergency is defined as “aid to a stricken population that complies with the basic principles of humanity, impartiality and neutrality” (WHO, 2014). Such assistance can be divided into three categories, based on the way in which it is provided to the affected population. Direct assistance is the face-to-face distribution of goods, services or cash to affected populations; indirect assistance is one step removed from the affected population and involves activities such as transporting relief 12 supplies (...) or personnel; the third type of assistance is support that facilitates the relief effort but is not necessarily visible or solely for the benefit of the affected population. The response to an emergency can be divided into phases, including the ‘emergency response phase’ in which time initial response activities are implemented, operational capacities and systems are established, assessments are conducted, and long-term planning takes place; this phase can last from several weeks to several months

2017 Campbell Collaboration

6. Emergent Therapy for Acute-Onset, Severe Hypertension During Pregnancy and the Postpartum Period

is outlined in the order sets in this document (see Box 1, Box 2, Box 3), which describe time intervals for repeat vital sign assessment and escalation of therapy. In addition, personnel in all hospital settings, including labor and delivery, antepartum, postpartum, and emergency department units, should be able to provide these initial medications without transferring patients to another unit. Protocols that include additional requirements in order to provide urgent IV hypertension therapy lead (...) for the management of patients with preeclampsia and eclampsia has been demonstrated to reduce the incidence of adverse maternal outcomes. Individuals and institutions should have mechanisms in place to initiate the prompt administration of medication when a patient presents with a hypertensive emergency. Treatment with first-line agents should be expeditious and occur as soon as possible within 30–60 minutes of confirmed severe hypertension to reduce the risk of maternal stroke. Intravenous labetalol

2017 American College of Obstetricians and Gynecologists

7. Organisation and payment of emergency care services in Belgium: current situation and options for reform

? 6 1.2 SCOPE AND OBJECTIVES 7 1.2.1 Objective and scope of the study 8 1.3 METHODS 8 2 CURRENT ORGANISATION AND ACTIVITY PROFILE OF EMERGENCY DEPARTMENTS IN BELGIUM 10 2.1 ACCESS TO EMERGENCY DEPARTMENTS: (SELF-)REFERRALS OR EMERGENCY CALLS ... 10 2.2 ROLE AND TYPES OF EMERGENCY DEPARTMENTS 11 2.3 VAST MAJORITY OF HOSPITAL SITES HAVE SPECIALISED EMERGENCY DEPARTMENTS ... 12 2.4 ACTIVITY PROFILE OF BELGIAN EMERGENCY DEPARTMENTS 14 2.4.1 A high and increasing number of ED visits, especially (...) ambulatory and self-referred ED visits 14 2.4.2 Activity on EDs peaks during office hours 15 2.4.3 EDs have a highly variable caseload 16 2.4.4 Not all emergency department visits are emergencies, but are they inappropriate? 17 2.5 WORKFORCE 18 3 ORGANISATION AND ACTIVITY OF OUT-OF-HOURS PRIMARY CARE SERVICES 20 3.1 THE CONTEXT OF PRIMARY CARE IN BELGIUM 20 3.2 ORGANISATION OF OUT-OF-HOURS PRIMARY CARE SERVICES 20 3.2.1 Shift from local rotation systems to larger GP cooperatives 20 3.2.2 ODCs are bottom

2016 Belgian Health Care Knowledge Centre

8. Ultrasound Guidelines: Emergency, Point-of-care, and Clinical Ultrasound Guidelines in Medicine

states and as an adjunct to therapy. EUS examinations are typically performed, interpreted, and integrated into care by emergency physicians or those under the supervision of emergency physicians in the setting of the emergency department (ED) or a non-ED emergency setting such as hospital unit, out-of-hospital, battlefield, space, urgent care, clinic, or remote or other settings. It may be performed as a single Ultrasound Guidelines: Emergency, Point-of -care, and Clinical Ultrasound Guidelines (...) by clinicians at the point-of-care. 2 Table 1 summarizes relevant US definitions in EUS. Other medical specialties may wish to use this document if they perform EUS in the manner described above. However, guidelines which apply to US examinations or procedures performed by consultants, especially consultative imaging in US laboratories or departments, or in a different setting may not be applicable to emergency physicians. Emergency US is an emergency medicine procedure, and should not be considered

2016 American College of Emergency Physicians

9. Scope of Practice and Autonomy of Physician Assistants in Rural Versus Urban Emergency Departments. (PubMed)

%), active labor (44% vs. 23%), and critically ill children (82% vs. 65%) in the past year. They were more likely to have performed intubation (65% vs. 44%), needle thoracostomy (21% vs. 8%), and tube thoracostomy (46% vs. 26%). Rural PAs more often reported never having a physician present in the ED (38% vs. 0%) and less often reported always having a physician present (50% vs. 98%). Rural PAs were also less likely to report that a physician evaluates more than 75% of their patients (8% vs. 18 (...) Scope of Practice and Autonomy of Physician Assistants in Rural Versus Urban Emergency Departments. This was a study of the scope of practice and autonomy of emergency medicine (EM) physician assistants (PAs) practicing in rural versus urban emergency departments (EDs).Using the American Academy of Physician Assistants (AAPA) Masterfile, a random sample of 200 U.S. EM PAs were surveyed, with oversampling of an additional 200 rural PAs. Location was classified by zip code-based rural-urban

Full Text available with Trip Pro

2014 Academic Emergency Medicine

10. Screen-based activities and children and young people’s mental health and psychosocial wellbeing: a systematic map of reviews

Screen-based activities and children and young people’s mental health and psychosocial wellbeing: a systematic map of reviews Screen-based activities and children and young people’s mental health and psychosocial wellbeing: a systematic map of reviews Department of Health Reviews Facility To support national policy development and implementation The Department of Health Reviews Facility is a collaboration between the following centres of excellence Dickson K, Richardson M, Kwan I, MacDowall W (...) of Reviews 3 1.4 Review aims and questions The primary aim of this research, commissioned by the Department of Health and Social Care (DHSC) in England, is to map and critically appraise existing review literature systematically, examining the relationship between screen-based activities and CYP’s mental health and psychosocial wellbeing. To achieve this, we located and described the key characteristics of systematic reviews, with a view to answering the following research questions: - What is the nature

2018 EPPI Centre

11. Acute Myocardial Infarction in patients presenting with ST-segment elevation

which justi?es continuous efforts to improve quality of care, adherence to guidelines and research. 3. Emergency care 3.1 Initial diagnosis Management—including both diagnosis and treatment—of AMI starts at the point of ?rst medical contact (FMC), de?ned as the point at which the patient is either initially assessed by a paramedic or physician or other medical personnel in the pre-hospital setting, or the patient arrives at the hospital emergency department— and therefore often in the outpatient (...) - ticular value for the diagnosis of other causes of chest pain, such as pericardial effusion, massive pulmonary embolism or dissection of the ascending aorta (Table 4). The absence of wall-motion ab- normalities excludes major myocardial infarction. In the emergency setting, the role of computed tomography (CT) scan should be Table 5 Atypical ECG presentations that deserve prompt management in patients with signs and symptoms of ongoing myocardial ischaemia • LBBB • Ventricular paced rhythm • Patients

2012 European Society of Cardiology

12. The Febrile Infant – University of Cincinnati Emergency Medicine Collaboration

The Febrile Infant – University of Cincinnati Emergency Medicine Collaboration The Febrile Infant – University of Cincinnati Emergency Medicine Collaboration – PEMBlog Search for: Search for: The Febrile Infant – University of Cincinnati Emergency Medicine Collaboration In conjunction with and the I am proud to present this article on the febrile infant. The case discussion was authored by fourth year University of Cincinnati Emergency Medicine Resident Benjamin Ostro. Current Pediatric (...) Emergency Medicine Fellow at Cincinnati Children’s Hospital Medical Center Adam Vukovic and yours truly provided the discussion. Imagine it’s your first moonlighting shift as a 4th year resident at a small rural community hospital. The nearest refer- ral center for both adults and children is 90-minutes away by ground. The annual census of the emergency department is 15,000 patients per year, of which only 5% is pediatric. There are 2 hours left in your 12-hour shift and your energy is all but spent

2016 PEM Blog

13. Normal Labor and Delivery (Overview)

contractions and ends with complete cervical dilatation at 10 cm Divided into a latent phase and an active phase The latent phase begins with mild, irregular uterine contractions that soften and shorten the cervix Contractions become progressively more rhythmic and stronger The active phase usually begins at about 3-4 cm of cervical dilation and is characterized by rapid cervical dilation and descent of the presenting fetal part Second stage of labor Begins with complete cervical dilatation and ends (...) . The contractions become progressively more rhythmic and stronger. This is followed by the active phase of labor, which usually begins at about 3-4 cm of cervical dilation and is characterized by rapid cervical dilation and descent of the presenting fetal part. The first stage of labor ends with complete cervical dilation at 10 cm. According to Friedman, the active phase is further divided into an acceleration phase, a phase of maximum slope, and a deceleration phase. Characteristics of the average cervical

2014 eMedicine.com

14. Management of the Third Stage of Labor (Diagnosis)

and size at least every 15 minutes. The duration of close observation and the presence and/or length of any uterotonic administration depends on the risk factors present and the clinical course. Previous Next: Complications Postpartum hemorrhage The most common complication of the third stage of labor is PPH. Active management of the third stage has clearly been shown to reduce the frequency of this complication and therefore most likely has a positive impact on maternal mortality and longer-term (...) Management of the Third Stage of Labor (Diagnosis) Management of the Third Stage of Labor: Overview, Clinical Presentation, Management Edition: No Results No Results Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit. https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache=aHR0cHM6Ly9lbWVkaWNpbmUubWVkc2NhcGUuY29tL2FydGljbGUvMjc1MzA0LW92ZXJ2aWV3 processing

2014 eMedicine.com

15. Preterm Labor (Treatment)

infections, rubella, cytomegalovirus infection, herpes simplex), immunoglobulin G, and immunoglobulin M screening whenever the historical or clinical suspicion is present. Diagnosis Contractions of sufficient frequency and intensity to effect progressive effacement and dilation of the cervix at 24-37 weeks’ gestation are indicative of active preterm labor. If the diagnosis of preterm labor is suspected, but not confirmed, it may be prudent to first obtain a vaginal fetal fibronectin (FFN) sample before (...) cervical length < 25 mm, >50% cervical effacement, or cervical dilation ≥20 mm). If contractions are present without cervical change, management options include continued observation or therapeutic sleep for the patient (eg, morphine sulphate 10-15 mg subcutaneous). The most common tocolytic agents used to treat preterm labor include the following: Magnesium sulfate (MgSO4): Widely used as the primary tocolytic agent because it has similar efficacy to terbutaline (one of the previous agents of choice

2014 eMedicine.com

16. Abnormal Labor (Treatment)

& Management Updated: May 08, 2017 Author: Nina S Olsen, MD; Chief Editor: Ronald M Ramus, MD Share Email Print Feedback Close Sections Sections Abnormal Labor Treatment Medical Care A prolonged latent phase (see Table in Background) is not indicative of dystocia in itself because this diagnosis cannot be made in the latent phase. Gabbe and colleagues state the following: [ ] For those in the latent phase, the treatment of choice is rest for several hours. During this interval, uterine activity, fetal (...) status, and cervical effacement must be evaluated to determine if progress to the active phase has occurred. Approximately 85% of patients so treated progress to the active phase. Approximately 10% will cease to have contractions, and the diagnosis of false labor may be made. For the approximately 5% of patients in whom therapeutic rest fails and in patients for whom expeditious delivery is indicated, oxytocin infusion may be used. Use of oxytocin for active management of labor is described

2014 eMedicine.com

17. Normal Labor and Delivery (Treatment)

contractions and ends with complete cervical dilatation at 10 cm Divided into a latent phase and an active phase The latent phase begins with mild, irregular uterine contractions that soften and shorten the cervix Contractions become progressively more rhythmic and stronger The active phase usually begins at about 3-4 cm of cervical dilation and is characterized by rapid cervical dilation and descent of the presenting fetal part Second stage of labor Begins with complete cervical dilatation and ends (...) . The contractions become progressively more rhythmic and stronger. This is followed by the active phase of labor, which usually begins at about 3-4 cm of cervical dilation and is characterized by rapid cervical dilation and descent of the presenting fetal part. The first stage of labor ends with complete cervical dilation at 10 cm. According to Friedman, the active phase is further divided into an acceleration phase, a phase of maximum slope, and a deceleration phase. Characteristics of the average cervical

2014 eMedicine.com

18. Preterm Labor (Overview)

infections, rubella, cytomegalovirus infection, herpes simplex), immunoglobulin G, and immunoglobulin M screening whenever the historical or clinical suspicion is present. Diagnosis Contractions of sufficient frequency and intensity to effect progressive effacement and dilation of the cervix at 24-37 weeks’ gestation are indicative of active preterm labor. If the diagnosis of preterm labor is suspected, but not confirmed, it may be prudent to first obtain a vaginal fetal fibronectin (FFN) sample before (...) cervical length < 25 mm, >50% cervical effacement, or cervical dilation ≥20 mm). If contractions are present without cervical change, management options include continued observation or therapeutic sleep for the patient (eg, morphine sulphate 10-15 mg subcutaneous). The most common tocolytic agents used to treat preterm labor include the following: Magnesium sulfate (MgSO4): Widely used as the primary tocolytic agent because it has similar efficacy to terbutaline (one of the previous agents of choice

2014 eMedicine.com

19. Management of the Third Stage of Labor (Overview)

and size at least every 15 minutes. The duration of close observation and the presence and/or length of any uterotonic administration depends on the risk factors present and the clinical course. Previous Next: Complications Postpartum hemorrhage The most common complication of the third stage of labor is PPH. Active management of the third stage has clearly been shown to reduce the frequency of this complication and therefore most likely has a positive impact on maternal mortality and longer-term (...) Management of the Third Stage of Labor (Overview) Management of the Third Stage of Labor: Overview, Clinical Presentation, Management Edition: No Results No Results Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit. https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache=aHR0cHM6Ly9lbWVkaWNpbmUubWVkc2NhcGUuY29tL2FydGljbGUvMjc1MzA0LW92ZXJ2aWV3 processing

2014 eMedicine.com

20. Management of the Third Stage of Labor (Treatment)

and size at least every 15 minutes. The duration of close observation and the presence and/or length of any uterotonic administration depends on the risk factors present and the clinical course. Previous Next: Complications Postpartum hemorrhage The most common complication of the third stage of labor is PPH. Active management of the third stage has clearly been shown to reduce the frequency of this complication and therefore most likely has a positive impact on maternal mortality and longer-term (...) Management of the Third Stage of Labor (Treatment) Management of the Third Stage of Labor: Overview, Clinical Presentation, Management Edition: No Results No Results Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit. https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache=aHR0cHM6Ly9lbWVkaWNpbmUubWVkc2NhcGUuY29tL2FydGljbGUvMjc1MzA0LW92ZXJ2aWV3 processing

2014 eMedicine.com

To help you find the content you need quickly, you can filter your results via the categories on the right-hand side >>>>