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1. Screening and brief interventions for adolescent alcohol use disorders presenting through emergency departments: a research programme including two RCTs Full Text available with Trip Pro

Screening and brief interventions for adolescent alcohol use disorders presenting through emergency departments: a research programme including two RCTs Screening and brief interventions for adolescent alcohol use disorders presenting through emergency departments: a research programme including two RCTs Journals Library An error occurred retrieving content to display, please try again. >> >> >> Page Not Found Page not found (404) Sorry - the page you requested could not be found. Please choose (...) Centre for Health Services Studies, University of Kent, Canterbury, UK 3 Department of Public Health, College of Health Sciences, Qatar University, , Qatar 4 Northumberland Tyne and Wear NHS Foundation Trust, Newcastle upon Tyne, UK 5 Institute of Health and Society, Newcastle University, Newcastle upon Tyne, UK 6 Paediatric Emergency Medicine, Imperial College London, London, UK 7 School of Health and Social Care, Teesside University, Middlesbrough, UK 8 School of Psychology, University of Surrey

2020 NIHR HTA programme

2. Seizure first aid training for people with epilepsy attending emergency departments and their significant others: the SAFE intervention and feasibility RCT Full Text available with Trip Pro

Seizure first aid training for people with epilepsy attending emergency departments and their significant others: the SAFE intervention and feasibility RCT Seizure first aid training for people with epilepsy attending emergency departments and their significant others: the SAFE intervention and feasibility RCT Journals Library An error occurred retrieving content to display, please try again. >> >> >> Page Not Found Page not found (404) Sorry - the page you requested could not be found. Please (...) Morgan 5 , Catrin Tudur-Smith 2 , Dyfrig Hughes 3 , Steve Goodacre 6 , Tony Marson 7 , Darlene Snape 1 1 Department of Health Services Research, University of Liverpool, Liverpool, UK 2 Department of Biostatistics, University of Liverpool, Liverpool, UK 3 Centre for Health Economics and Medicine Evaluation, Bangor University, Bangor, UK 4 Department of Basic and Clinical Neuroscience, King’s College London, London, UK 5 Institute of Pharmaceutical Science, King’s College London, London, UK 6 School

2020 NIHR HTA programme

3. The effect of triage systems for patients in emergency and accident departments

The effect of triage systems for patients in emergency and accident departments The effect of triage systems for patients in emergency and accident departments - NIPH Search for: Søk Menu To top level Close Infectious diseases & Vaccines Mental & Physical health Environment & Lifestyle Health in Norway Quality & Knowledge Research & Access to data About NIPH Close The effect of triage systems for patients in emergency and accident departments Subscribe me! You have subscribed to alerts about (...) : The effect of triage systems for patients in emergency and accident departments Oops, something went wrong... ... contact nettredaksjon@fhi.no. ... reload the page and try again- Systematic review The effect of triage systems for patients in emergency and accident departments: An overview of systematic reviews Published 22.12.2020 The purpose of this overview of systematic reviews was to examine the effects of different triage systems, with or without subsequent monitoring options, in A&E departments

2021 Norwegian Institute of Public Health

4. Laboratory (non-rapid) HIV testing in the emergency department: Methods, outcomes, and effectiveness

Laboratory (non-rapid) HIV testing in the emergency department: Methods, outcomes, and effectiveness Laboratory (non-rapid) HIV testing in the emergency department: Methods, outcomes, and effectiveness | The Ontario HIV Treatment Network The Ontario HIV Treatment Network Laboratory (non-rapid) HIV testing in the emergency department: Methods, outcomes, and effectiveness Laboratory (non-rapid) HIV testing in the emergency department: Methods, outcomes, and effectiveness , , , , , , , Questions (...) What does the literature state regarding the methodology, outcome measures, and effectiveness of interventions that provide blood-based laboratory (non-rapid) HIV testing in emergency departments? Key take-home messages There is a large body of evidence examining best practices, outcomes, impact, and other aspects of laboratory (non-rapid) HIV testing in emergency departments (EDs). Many studies have identified missed opportunities for HIV testing in the ED (1-5). The literature recognizes a need

2021 Ontario HIV Treatment Network

5. Chest ultrasonography versus supine chest radiography for diagnosis of pneumothorax in trauma patients in the emergency department. (Abstract)

Chest ultrasonography versus supine chest radiography for diagnosis of pneumothorax in trauma patients in the emergency department. Chest X-ray (CXR) is a longstanding method for the diagnosis of pneumothorax but chest ultrasonography (CUS) may be a safer, more rapid, and more accurate modality in trauma patients at the bedside that does not expose the patient to ionizing radiation. This may lead to improved and expedited management of traumatic pneumothorax and improved patient safety (...) and clinical outcomes.To compare the diagnostic accuracy of chest ultrasonography (CUS) by frontline non-radiologist physicians versus chest X-ray (CXR) for diagnosis of pneumothorax in trauma patients in the emergency department (ED). To investigate the effects of potential sources of heterogeneity such as type of CUS operator (frontline non-radiologist physicians), type of trauma (blunt vs penetrating), and type of US probe on test accuracy.We conducted a comprehensive search of the following electronic

2020 Cochrane

6. Management of Investigation Results in the Emergency Department

Management of Investigation Results in the Emergency Department The Royal College of Emergency Medicine Best Practice Guideline Management of Investigation Results in the Emergency Department July 2017 Summary of recommendations 1. All results of non-radiological investigations performed in the Emergency Department must be reviewed and acted upon by a clinician, in the context of the relevant clinical scenario. 2. All Emergency Departments should have a ‘Standard Operating Procedure (...) be programmed activity (as Direct Clinical Care) available within Consultant job plans for reviewing investigation results (radiological and non- radiological). 8. Patients should be kept informed in a sensitive and appropriate manner of the findings of investigation results, and the actions taken as a result and in a manner that is in keeping with the Duty of Candour. Scope This guideline covers the responsibilities of Emergency Department clinicians for the review of and actions resulting from non

2020 Royal College of Emergency Medicine

7. Sepsis and the Emergency Department

Sepsis and the Emergency Department Patron: HRH Princess Royal 7-9 Bream’s Buildings Tel +44 (0)20 7404 1999 London Fax +44 (0)20 7067 1267 EC4A 1DT www.rcem.ac.uk Position statement Sepsis and the Emergency Department November 2019 Sepsis is defined as life-threatening organ dysfunction caused by a dysregulated host response to infection [1] . Sepsis is a life-threatening condition that arises when the response to an infection injures tissues and organs . Septic shock is a subset of sepsis (...) in which underlying circulatory and cellular/metabolic abnormalities are profound enough to substantially increase mortality [2]. An article recently published in the Lancet has provoked some interest with regards to how sepsis may be presented in the media [3]. Patients attending the Emergency Department as a result of infection represent a significantly larger group than those attending with sepsis or septic shock. Whilst recognizing that the incidence of ‘true sepsis’ or septic shock is relatively

2020 Royal College of Emergency Medicine

8. Covid-19: Management of emergency department patients

Covid-19: Management of emergency department patients Publications approval reference: 001559 Specialty guides for patient management during the coronavirus pandemic Clinical guide for the management of emergency department patients during the coronavirus pandemic 17 March 2020 Version 1 As doctors we all have general responsibilities in relation to coronavirus and for these we should seek and act upon national and local guidelines. These are constantly evolving and we should adhere (...) of our specific areas of training and expertise and the GMC has already indicated its support for this in the exceptional circumstances we may face: www.gmc- uk.org/news/news-archive/how-we-will-continue-to-regulate-in-light-of-novel-coronavirus 2 | Clinical guide for the management of emergency department patients during the coronavirus pandemic Categories of acute patients to consider 1. Obligatory inpatient emergency admissions: Continue to require admission and may require emergency management

2020 Covid-19 Ad hoc guidelines

9. JBI Evidence Summary: Moral Distress (Nurses): Strategies in Emergency Department Settings

JBI Evidence Summary: Moral Distress (Nurses): Strategies in Emergency Department Settings MORAL DISTRESS (NURSES): STRATEGIES IN EMERGENCY DEPARTMENT SETTINGS 04/03/2020 Author Lucylynn Lizarondo, PhD, MPhysio, MPsych Question What is the best available evidence regarding the strategies used by nurses in emergency departments to cope with moral distress? Clinical Bottom Line Moral distress is widely reported in the nursing literature, specifically for nurses working in critical care settings (...) . 1 Emerging evidence suggests that nurses in an emergency department (ED) can also experience moral distress due to the fast-paced environment, high acuity, overcrowding and the complexity and unpredictability of patient presentations that require very quick decisions. 1 Moral distress can lead to physical and psychological problems that can ultimately impact on patient care and the healthcare organization in general. 1,2 It is therefore important that ED nurses are equipped with coping

2020 Covid-19 Ad hoc papers

10. Which patients with suspected/confirmed COVID-19 should be assessed in the Emergency Department?: A Rapid Response Report

Which patients with suspected/confirmed COVID-19 should be assessed in the Emergency Department?: A Rapid Response Report COVID-19 Scientific Advisory Group Rapid Response Report June 15, 2020 © 2020, Alberta Health Services, COVID-19 Scientific Advisory Group Key Research Question: For patients with suspected/confirmed COVID-19 in the community, are there predictive risk tools or tests (e.g., Roth test; oxygen saturation where possible) that can assist in deciding who is at risk of clinical (...) deterioration and should be assessed in the emergency department? (Updated June 15, 2020) Key Messages from the Evidence Summary • In patients with suspected or confirmed COVID-19, the presence of dyspnea (i.e., shortness of breath) appears to be the most common and prevalent symptom for assessing potential decompensation in mild-to-moderate cases in primary care settings. Decompensating patients with increasing dyspnea need to be assessed for a rapid decrease in oxygen saturation and should present

2020 Covid-19 Ad hoc papers

11. The Utility of Midline Intravenous Catheters in Critically Ill Emergency Department Patients.

The Utility of Midline Intravenous Catheters in Critically Ill Emergency Department Patients. application/vnd.openxmlformats-officedocument.wordprocessingml.document

2020 Emergency Medicine Journal Club

12. Multicenter Emergency Department Validation of the Canadian Syncope Risk Score

Multicenter Emergency Department Validation of the Canadian Syncope Risk Score CRITICAL REVIEW FORM FOR A CLINICAL PREDICTION RULE Resident: Brian Ahearn Date: 7/27/20 Study Objective: To validate the Canadian Syncope Risk Score (CSRS) in a new cohort of patients with syncope to determine its ability to predict 30-day serious outcomes not evident during index ED evaluation. Study Methodology: This is a prospective multicenter cohort study conducted at 9 EDs across Canada, which included (...) patients 16 years and older who presented to EDs within 24 hours of syncope. Citation: Thiruganasambandamoorthy V, Sivilotti MLA, Le Sage N, et al. Multicenter Emergency Department Validation of the Canadian Syncope Risk Score. JAMA Intern Med. 2020;180(5):737–744. doi:10.1001/jamainternmed.2020.0288 GUIDE COMMENTS 1. Is this a newly derived prediction rule? (Level IV) 1a. Was validation restricted to the retrospective use of statistical techniques on the original database? (If so, this is a Level IV

2020 Emergency Medicine Journal Club

13. Ondansetron Prescription Is Associated With Reduced Return Visits to the Pediatric Emergency Department for Children With Gastroenteritis

Ondansetron Prescription Is Associated With Reduced Return Visits to the Pediatric Emergency Department for Children With Gastroenteritis Journal Club Eastern Virginia Medical School Therapy Article Presenter: Drexel Proctor Date: 8/31/20 Citation: Benary D et al, Ondansetron Prescription Is Associated With Reduced Return Visits to the Pediatric Emergency Department for Children With Gastroenteritis, Annals of Emergency Medicine, Ann Emerg Med. 2020 May 26:S0196-0644(20)30262-6. 2020, I. WHAT (...) that received prescription, or 16% decreased odds of 72 hour return with ondansetron prescription. Overall 72 hr return visit rates were within the national average (2.7-8%). 13.3% of all patients were given Rx for ondansetron (“Any prescription at discharge”) After adjustment, younger age, black race, receiving an intravenous fluid bolus, being treated by a pediatric emergency medicine– trained physician, ondansetron given during index visit, a radiologic study obtained during visit, and being treated

2020 Emergency Medicine Journal Club

14. High Sensitivity Cardiac Troponin in the Emergency Department

High Sensitivity Cardiac Troponin in the Emergency Department High Sensitivity Cardiac Troponin in the Emergency Department - Emergency Medicine Open Menu Back Close Menu Search for: Search Close Search Welcome Our Team Sections Education Alumni Research ECRC Journal Club Events Jermyn Lectures Open Search , with no prior tracing for comparison. You teach the intern about the and the two of you calculate a score of 3 for this patient. As you begin to discuss the plan with the intern, which (...) Line Evaluation of chest pain in the emergency department has traditionally involved measurement of cardiac troponin I or T in order to evaluate for possible acute myocardial infarction (MI). Over time, the sensitivity of these assays has increased, allowing for detection of lower and lower concentrations of circulating troponin. In the last several years, so-called “high sensitivity” assays have become available, potentially allowing earlier detection of acute MI with a decrease in the necessary

2020 Washington University Emergency Medicine Journal Club

15. Management of emergency department patients (Covid-19)

Management of emergency department patients (Covid-19) Publications approval reference: 001559 1 | Clinical guide for the management of emergency department patients during the coronavirus pandemic (Nov 2020) Specialty guides for patient management during the coronavirus pandemic Clinical guide for the management of emergency department patients during the coronavirus pandemic November 2020 As doctors we all have general responsibilities in relation to coronavirus and for these we should seek (...) . Any clinician assessing patients suspected or confirmed to be infected with coronavirus should wear appropriate PPE. Please check the latest PHE guidance. This is currently a fluid-resistant surgical mask, single-use disposable apron and gloves and eye protection if blood and/or body fluid contamination to the eyes or face is anticipated. 2 | Clinical guide for the management of emergency department patients during the coronavirus pandemic (Nov 2020) Currently, filtering facepiece respirators

2021 NHS England

16. Governance responsibilities for patients who do not attend booked appointments in Emergency Departments

Governance responsibilities for patients who do not attend booked appointments in Emergency Departments Governance responsibilities for patients who do not attend booked appointments in Emergency Departments October 2020 Patron: HRH Princess Royal 7-9 Bream’s Buildings Tel +44 (0)20 7404 1999 London Fax +44 (0)20 7067 1267 EC4A 1DT www.rcem.ac.uk RCEM Position Statement Governance responsibilities for patients who do not attend booked appointments in Emergency Departments October 2020 (...) There is uncertainty where the governance responsibilities belong where a patient is advised to attend an emergency department by NHS 111, is given a booked appointment at the emergency department, but does not subsequently attend. RCEM has considered this problem as this is an area where guidance is currently lacking. A person or guardian who has used the NHS 111 call handling service, like all adults, is assumed to have capacity until proven otherwise. Prior to booked appointments, many patients were advised

2020 Royal College of Emergency Medicine

17. EM Advanced Clinical Practitioners providing safe sedation in the adult Emergency Department

EM Advanced Clinical Practitioners providing safe sedation in the adult Emergency Department Emergency Medicine Advanced Clinical Practitioners (EM-ACPs) providing safe sedation in the adult Emergency Department (30 November 2020) Patron: HRH Princess Royal 7-9 Bream’s Buildings Tel +44 (0)20 7404 1999 London Fax +44 (0)20 7067 1267 EC4A 1DT www.rcem.ac.uk Position Statement Emergency Medicine Advanced Clinical Practitioners (EM-ACPs) providing safe sedation in the adult Emergency Department (...) . 30 November 2020 Scope This document explains the reasoning behind EM-ACPs being supported to provide safe sedation of adult patients within Emergency Departments (EDs), including regarding how to develop and maintain safe sedation practice by their EM-ACP workforce. Reason for Development The EM-ACP role is an essential component of the Emergency Medicine workforce * . A qualified ACP will be expected to work at Tier 3 level ** and will provide care to patients in all areas of the ED. An EM-ACP

2020 Royal College of Emergency Medicine

18. Triaging COVID-19 in the Emergency Department

Triaging COVID-19 in the Emergency Department TRIAGING COVID-19 IN THE EMERGENCY DEPARTMENT An Evidence Review from Penn Medicine’s Center for Evidence-based Practice February 2021 Project director: Nikhil K. Mull, MD (CEP) Lead analyst: Matthew D. Mitchell, PhD (CEP) Clinical review: Eric Bressman, MD (Medicine); S. Ryan Greysen, MD, MHS, MA, FHM (CEP); Kathleen Lee, MD (PPMC); Anna U. Morgan, MD (Medicine) Keywords: COVID-19, Emergency Department, triage EVIDENCE SUMMARY Several published (...) algorithms for appraising disease severity in patients with COVID-19 disease or determining whether they can be safely discharged from the Emergency Department (or both) were identified. None of these algorithms have been validated in clinical studies measuring their impact on patient outcomes. Among those algorithms, there is consensus that patients with low oxygen saturation should not be discharged (thresholds range from oxygen saturation of 91% to 94% without supplemental oxygen). Some

2021 Centre for Evidence-Based Practice, Penn Medicine

19. Effect of Barthel Index on the Risk of Thirty-Day Mortality in Patients With Acute Heart Failure Attending the Emergency Department: A Cohort Study of Nine Thousand Ninety-Eight Patients From the Epidemiology of Acute Heart Failure in Emergency Department (Abstract)

Effect of Barthel Index on the Risk of Thirty-Day Mortality in Patients With Acute Heart Failure Attending the Emergency Department: A Cohort Study of Nine Thousand Ninety-Eight Patients From the Epidemiology of Acute Heart Failure in Emergency Department We assess the value of the Barthel Index (BI) in predicting 30-day mortality risk among patients with acute heart failure who are attending the emergency department (ED).We selected 9,098 acute heart failure patients from the Acute Heart (...) Failure in Emergency Departments registry who had BI score available both at baseline and the ED visit. Patients' data were collected from 41 Spanish hospitals during four 1- to 2-month periods between 2009 and 2016. Unadjusted and adjusted logistic regression models were used to assess the association between 30-day mortality and BI score. c Statistics were used to estimate their prognostic value.The mean baseline BI score was 79.4 (SD 24.6) and the mean ED BI score was 65.3 (SD 29.1). Acute

2019 EvidenceUpdates

20. Do volunteers in the Emergency Department Improve Satisfaction? A Rapid Review

Do volunteers in the Emergency Department Improve Satisfaction? A Rapid Review Volunteers and satisfaction in the ED. A Rapid Review 1 Do volunteers in the Emergency Department Improve Satisfaction? A Rapid Review Citation Corey Joseph, Gillian Yap, Fiona Clay, Angela Melder. September 2018. Do volunteers in the Emergency Department Improve Satisfaction? A Rapid Review. Centre for Clinical Effectiveness, Monash Health, Melbourne, Australia. Executive Summary Background The Emergency Department (...) (ED) Workforce Working Party, has requested that the Centre for Clinical Effectiveness conduct a review of literature on the use of volunteers in the Emergency Department. The review will inform the improvement work which the Working Party currently drives, that involves the use of volunteers in the ED. Objective The objective of the review is to provide evidence about the impact of using volunteers in the Emergency Department to improve staff and patient experience. Findings ? There is a paucity

2019 Monash Health Evidence Reviews

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