Academic emergency medicine : official journal of the Society for Academic Emergency Medicine
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Older adults in emergency departments (EDs) can have complicated health problems that defy straightforward diagnosis and management. Implementation of the 11 core principles in the geriatric emergency care model requires changes in care processes. The Domain Management Model (DMM) is one solution to organize care efficiently using a standard language. ⋯ Financial). Specific geriatric cases illustrate improved communication using these standard domains. This model can educate health care staff, facilitate team care, improve flow of relevant information, improve decision making, and facilitate more meaningful interactions with patients.
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Comparative Study
An emergency department guideline for the diagnosis of pulmonary embolism: an outcome study.
To assess the clinical outcome of patients suspected of pulmonary embolism (PE) following implementation of an emergency department (ED) diagnostic guideline. ⋯ Implementation of a PE diagnostic guideline in a community ED setting is safe and has improved the specificity of the enzyme-linked immunosorbent assay D-dimer test when compared with previous studies.
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Comparative Study
Intraoral ultrasound in the diagnosis and treatment of suspected peritonsillar abscess in the emergency department.
Peritonsillar abscess (PTA) can be a life-threatening disease and may lead to significant complications without drainage. ⋯ These data suggest that intraoral US of suspected PTA allows for reliable diagnosis and safe and accurate abscess drainage.
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Editorial Comparative Study
Level 1 cardiac arrest centers: learning from the trauma surgeons.