Articles: emergency-department.
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Randomized Controlled Trial
Effectiveness of granisetron in controlling pediatric gastroenteritis-related vomiting after discharge from the ED.
The objective of the study is to determine the efficacy of oral granisetron (a long-acting 5-HT3 receptor antagonist) in stopping vomiting subsequent to discharge from emergency department (ED), in 6-month-old to 8-year-old patients with gastroenteritis-related vomiting and dehydration, who had failed an initial trial of oral rehydration (ORT). ⋯ Granisetron was not effective in controlling gastroenteritis-related vomiting subsequent to discharge from ED. It did not change the expected course of the illness.
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Can J Public Health · Sep 2014
Emergency department visits for asthma in relation to the Air Quality Health Index: a case-crossover study in Windsor, Canada.
In this study, associations of short-term changes in ambient air pollution with emergency department (ED) visits for asthma were examined in hospitals in the area of Windsor, Ontario. Ambient air pollution quality was represented by the Air Quality Health Index(AQHI), calculated using a formula that combines the concentrations and the relative health impacts of three ambient air pollutants: ozone , nitrogen dioxide and fine particulate matter. ⋯ Exposure to ambient air pollution in Windsor increases the risk of ED visits for asthma. When the adverse effects of air pollutants are increased, patient visits to the ED depend on the patient's age.
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Law enforcement restraint-related death is frequently associated with excited delirium syndrome (ExDS). Because such deaths are rare, the pathophysiology underlying ExDS deaths remains unknown, making identification of high-risk situations challenging. This study describes the medical conditions and situations surrounding restraint of individuals identified by law enforcement to be experiencing ExDS. ⋯ Officer-identified cases of ExDS infrequently involved individuals requiring extensive restraint or with medical conditions that objectively placed them at high risk for sudden death. The low specificity of this syndrome in predicting risk of sudden death may present a challenge to law enforcement and emergency physicians.
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Emergency department (ED) visits increase during the influenza seasons. It is essential to identify statistically significant correlates in order to develop an accurate forecasting model for ED visits. Forecasting influenza-like-illness (ILI)-related ED visits can significantly help in developing robust resource management strategies at the EDs. ⋯ Google Flu Trends data statistically improve the performance of predicting ILI-related ED visits in Douglas County, and this result can be generalized to other communities. Timely and accurate estimates of ED volume during the influenza season, as well as during pandemic outbreaks, can help hospitals plan their ED resources accordingly and lower their costs by optimizing supplies and staffing and can improve service quality by decreasing ED wait times and overcrowding.
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Australian dental journal · Sep 2014
Dental emergencies presenting to a general hospital emergency department in Hobart, Australia.
Dental problems presenting to general hospital emergency departments (GHEDs) may create difficulties as there may not be appropriate facilities or personnel to manage them. The incidence and demographics of dental presentations to GHEDs in Tasmania are currently unexamined. This knowledge may be relevant in shaping dental service delivery. ⋯ Dental infections contribute a significant burden of ED dental presentations. Encouraging and facilitating patients to seek timely and appropriate primary care from dentists may decrease the number of presentations to ED, and the drain on time and resources. Additionally, this may spare patients from the unpleasant experience of an acute dental infection episode.