• Emerg Med J · May 2010

    Early goal-directed therapy: can the emergency department deliver?

    • Richard M Lyon, Stephen J McNally, Martin Hawkins, and Marian MacKinnon.
    • Emergency Department, Royal Infirmary of Edinburgh, Edinburgh, UK. richardlyon@doctors.org.uk
    • Emerg Med J. 2010 May 1;27(5):355-8.

    BackgroundEarly goal-directed therapy (EGDT) has been shown to improve outcome in patients presenting to the emergency department (ED). Uptake of EGDT in EDs in the UK has been slow.ObjectiveTo establish the level of awareness and skills necessary for EGDT to be implemented by emergency medicine (EM) specialist registrars (SpR) working in Scottish EDs.MethodA cross-sectional web-based survey of all 49 Scottish EM SpRs was performed.Results42 responses were obtained (86%). Only 19 (45%) EM SpRs possessed the full complement of skills and knowledge necessary to fully implement EGDT independently within the ED. The 4 h target for time to admission was seen by 78% of SpRs as a barrier to the implementation of EGDT in the ED. The preference of most respondents was for initiation of EGDT delivery in the ED and referral to critical care for full implementation.ConclusionFull delivery of EGDT by ED staff would require significant consultant support, improved training of juniors and flexibility in the 4 h target. This study suggests that it may be practical for EGDT to be initiated in the ED and that early referral to critical care will remain essential if patients are to receive the full benefit of this intervention.

      Pubmed     Full text   Copy Citation     Plaintext  

      Add institutional full text...

    Notes

     
    Knowledge, pearl, summary or comment to share?
    300 characters remaining
    help        
    You can also include formatting, links, images and footnotes in your notes
    • Simple formatting can be added to notes, such as *italics*, _underline_ or **bold**.
    • Superscript can be denoted by <sup>text</sup> and subscript <sub>text</sub>.
    • Numbered or bulleted lists can be created using either numbered lines 1. 2. 3., hyphens - or asterisks *.
    • Links can be included with: [my link to pubmed](http://pubmed.com)
    • Images can be included with: ![alt text](https://bestmedicaljournal.com/study_graph.jpg "Image Title Text")
    • For footnotes use [^1](This is a footnote.) inline.
    • Or use an inline reference [^1] to refer to a longer footnote elseweher in the document [^1]: This is a long footnote..

    hide…