European journal of emergency medicine : official journal of the European Society for Emergency Medicine
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The French population has been growing older these past decades. The French Regional Health Organization System authorizes the creation of health networks in order to improve healthcare. We have developed since 2002 in our Tertiary Hospital Cochin, a health network inside Paris and its suburbs for the elderly to improve their flow from the emergency department. Our study, based on this organization, analyses the outcome of such a system. ⋯ We observed a decreasing number of elderly persons' admission in our tertiary hospital, allowing a specific activity in the referred medical units. Our contract with the geriatric hospital in the network favoured elderly patients' flow from the emergency department. The geriatric network hospitals could refer back any patient to the emergency department for emergent events.
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The treatment of acute pain and anxiety in children undergoing therapeutic and diagnostic procedures in the emergency department has improved dramatically over the last few years. The availability of noninvasive monitoring devices and the use of short-acting sedative and analgesic medications enable physicians to conduct safe and effective sedation and analgesia treatment. In today's practice of pediatric emergency medicine, sedation and analgesia has been considered as the standard of care for procedural pain. The following article describes the basic principles of pediatric procedural sedation and analgesia in the emergency department.
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Letter Case Reports
Spanish Broom flower ingestion: a very unusual poisoning.
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Comparative Study
A cadaveric study of complications associated with the subxiphoid and transthoracic approaches to emergency pericardiocentesis.
The aim of this cadaveric study was to compare three commonly used approaches for emergency pericardiocentesis and to determine the safest approach. ⋯ The SXP1 approach appeared to be the safest, followed by anterior transthoracic intercostal pericardiocentesis. The SXP2 approach caused the highest amount of complications, resulting from the needle entering the abdominal cavity. The presence of intra-abdominal pathology and the possibility of post-mortem changes in the position of the diaphragm, however, might have been a causative factor in this finding.