J Emerg Med
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Editorial Biography Historical Article
In Memoriam: To Ron Krome, My Hero and My Friend.
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Patients with possible acute coronary syndrome (ACS) are typically instructed to return to the emergency department (ED) if their condition worsens. Little is known about the relationship between patient satisfaction in the ED and subsequent return visits. ⋯ Although diagnostic workup and risk stratification are the primary focus in evaluating patients with possible ACS, greater attention to the patient's experience of care may have the positive impact of reducing ED return visits and increasing the likelihood that patients will return to the same ED for re-evaluation.
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Boarding of admitted patients in the emergency department (ED) is a major cause of crowding. One alternative to boarding in the ED, a full-capacity protocol where boarded patients are redeployed to inpatient units, can reduce crowding and improve overall flow. ⋯ Patients overwhelmingly preferred the inpatient hallway rather than the ED hallway when admitted to the hospital.
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Case Reports
Sacrococcygeal Foreign Body Progressing with Pilonidal Sinus Clinical Picture: Report of a Case.
Pilonidal sinus is a benign anorectal disease that is frequently seen in the sacrococcygeal area when a foreign body reaction develops after the invasion of hair follicles. ⋯ The presence of a foreign body in cases progressing with a single and wide inlet and frequently recurring abscess formation is a condition of which to be aware.