The American journal of emergency medicine
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A great deal of literature has recently evaluated the prevention and management of ovarian hyperstimulation syndrome (OHSS) in the outpatient setting, but there remains a dearth of research evaluating OHSS in the emergency department (ED) and its management. ⋯ OHSS occurs in up to 30% of IVF cycles and carries a high morbidity. Effective care of the OHSS patient begins with early diagnosis while evaluating for other diseases and complications. Understanding these complications and an approach to the management of OHSS is essential to optimizing patient care.
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Multicenter Study
Clinical prediction rule to predict pneumonia in adult presented with acute febrile respiratory illness.
To derive a clinical prediction rule to predict pneumonia in patients with acute febrile respiratory illness to emergency departments. ⋯ AFRI score could assist emergency physicians in identifying pneumonia patients among all adult patients presented to ED for acute febrile respiratory illness.
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The Surviving Sepsis Campaign implemented a 3-hour bundle including blood cultures, lactate, intravenous fluids, and antibiotics to improve mortality in sepsis. Though difficult to achieve, bundle compliance is associated with decreased hospital mortality. We predict that the implementation of an Emergency Medical Services (EMS) sepsis screening tool will improve 3-hour bundle compliance. ⋯ Implementation of an EMS sepsis screening tool resulted in improved 3-hour bundle compliance compared to retrospective control.
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Observational Study
Predicting hospital admission at the emergency department triage: A novel prediction model.
Emergency department (ED) overcrowding is a growing international patient safety issue. A major contributor to overcrowding is long wait times for inpatient hospital admission. The objective of this study is to create a model that can predict a patient's need for hospital admission at the time of triage. ⋯ We developed a model that accurately predicts admission for patients presenting to the ED using demographic, administrative, and clinical data routinely collected at triage. Implementation of the model into the electronic health record could help reduce the burden of overcrowding.
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End stage heart failure is associated with high mortality. However, recent developments such as the ventricular assist device (VAD) have improved patient outcomes, with left ventricular assist devices (LVAD) most commonly implanted. ⋯ Emergency clinician knowledge of LVAD function, components, and complications is integral in optimizing care of these patients.