Articles: emergency-department.
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Mobile apps are increasingly being used at the bedside as a part of clinical care. With almost 300 emergency medicine-related apps available in the Apple App Store, it can be overwhelming deciding which are most useful for emergency department providers. A Top 10 list of apps is highlighted which illustrate the many ways that quality apps can positively impact the care of emergency department patients.
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Multicenter Study
Assessment of emergency physician-performed ultrasound in evaluating nonspecific abdominal pain.
The objective of this pilot study was to lay the groundwork for future studies assessing the impact of emergency physician-performed ultrasound (EPUS) on diagnostic testing and decision making in emergency department (ED) patients with nonspecific abdominal pain (NSAP). ⋯ Emergency physician-performed ultrasound appears to positively impact decision making and diagnostic workup for patients presenting to the ED with NSAP and should be studied further.
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Acute coronary syndromes (ACS) are the leading cause of death in older adults, aged 65 years or older. The clinical presentation varies, and the absence of chest pain may occur. Our purpose was to synthesize the published literature (2000-2012) to (1) examine the initial ED presentation of older adults with confirmed ACS, (2) identify knowledge gaps, (3) determine whether gender differences exist in the presentation of ACS, and (4) describe recommendations for practice and research. ⋯ Older adults with ACS are at risk for higher mortality rates and delays in time to treatment modalities. Early recognition of symptoms suggestive of ACS by the emergency triage nurse can improve patient outcomes.
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The objective of this article is to determine the monthly variation of emergency department (ED) visits for pediatric headache. We hypothesized youth have increased headache-related ED visits in the months associated with school attendance. ⋯ In adolescents we found higher ED utilization in January and September, the same months associated with school return from vacation for a majority of children nationally. No significant reduction in the summer suggests that school itself is not the issue, but rather changes in daily lifestyle and transitions.
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Br J Clin Pharmacol · May 2014
High dose droperidol and QT prolongation: analysis of continuous 12-lead recordings.
To investigate the QT interval after high dose droperidol using continuous 12-lead Holter recordings. ⋯ QT prolongation was observed with high dose droperidol. However, there was little evidence supporting droperidol being the cause and QT prolongation was more likely due to pre-existing conditions or other drugs.