Academic emergency medicine : official journal of the Society for Academic Emergency Medicine
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Editorial Comment
Commentary: Physician well-being: the seventh competency?
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Randomized Controlled Trial Multicenter Study Comparative Study
A multicenter comparison of tap water versus sterile saline for wound irrigation.
To compare wound infection rates for irrigation with tap water versus sterile saline before closure of wounds in the emergency department. ⋯ Equivalent rates of wound infection were found using either irrigant. The results of this multicenter trial evaluating tap water as an irrigant agree with those from previous single institution trials.
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Multicenter Study
Estimated risk for undiagnosed diabetes in the emergency department: a multicenter survey.
One third of the 21 million Americans with diabetes remain undiagnosed. The emergency department (ED) is a novel setting for diabetes screening. ⋯ Many ED patients in the study had risk factors for undiagnosed diabetes. Patient attitudes toward ED-based diabetes screening support further exploration of this important and currently underutilized opportunity for public health intervention.
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To characterize older adult emergency department (ED) visits arriving by emergency medical services (EMS) and to identify factors associated with those patient visits. ⋯ Older adults account for a large proportion of EMS responses and use EMS at a disproportionately high rate. As the older adult population grows, EMS systems must prepare for the increased volume of older adults by making changes in training, operations, and equipment.
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To explore hospital characteristics and indicators of emergency department (ED) care of older patients associated with return visits to the ED. ⋯ In general, more limited ED resources and indicators of ED care (weekend visits, fewer available hospital beds) are associated with return ED visits in seniors, although the magnitude of the effects is generally small.