The American journal of emergency medicine
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Review Meta Analysis
Racial and ethnic disparities in the management of acute pain in US emergency departments: Meta-analysis and systematic review.
This review aims to quantify the effect of minority status on analgesia use for acute pain management in US Emergency Department (ED) settings. ⋯ This study demonstrates the presence of racial disparities in analgesia use for the management of acute pain in US EDs. Further research is needed to examine patient reported outcomes in addition to the presence of disparities in other groups besides Black and Hispanic.
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Meta Analysis
Efficacy and outcomes of lipid resuscitation on organophosphate poisoning patients: A systematic review and meta-analysis.
Organophosphate (OP) pesticides are still widely available in developing countries, leading to numerous accidental or suicidal poisonings every year. Lipid emulsion treatments are commonly used in resuscitating OP poisoning patients but few studies regarding their use have been reported. Our meta-analysis aimed to analyze the efficacy and outcomes of lipid resuscitation on OP poisoning patients. ⋯ Based on our meta-analysis of included RCT reports, lipid resuscitation seems likely to help improve prognosis and liver function of OP poisoning patients. However, larger multi-center RCTs are still recommended.
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Randomized Controlled Trial
Intranasal ketamine reduces pain of digital nerve block; a double blind randomized clinical trial.
Low dose ketamine can be used as analgesic in acute pain management in the emergency department (ED). ⋯ The findings of this study suggest that IN ketamine can be effective in reducing pain in patients with acute pain, without adding significant side effects.
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Observational Study
A National Dataset Analysis of older adults in emergency department observation units.
Emergency Department (ED) Observation Units (Obs Units) are prevalent in the US, but little is known regarding older adults in observation. Our objective was to describe the Obs Units nationally and observation patients with specific attention to differences in care with increasing age. ⋯ Older adults are more likely to be cared for in Obs Units. Older adults are treated for different medical conditions than younger adults.
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Multicenter Study Observational Study
A study of time saved by emergency medicine physicians through working with clinical pharmacists in the emergency department.
To describe quantitatively the impact on physician efficiency when an Emergency Medicine Clinical Pharmacist (EMCP) is available to Emergency Department (ED) physicians while working under a collaborative care agreement in a Michigan-based Health System. ⋯ EMCPs in the ED save physicians a significant amount of time per shift, and categorically the most time saved was in fielding general questions, time spent with critically ill patients, and following up on urine cultures. The time saved by physicians could translate into more patients seen per shift.