Articles: emergency-department.
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This study aimed to determine the factors associated with successful endotracheal intubation (ETI) on the first-attempt in an emergency department. ⋯ The predicted airway difficulty was the major factor associated with FAS in emergency department ETI on adults regardless of intubator's specialty. Especially in EM physician group, level of training and using of RSI also affecting on first-attempt success. The overall ETI success rate on first attempt was 80.1%, but EM physicians had success rate of 87.3%. Systematic technical and non-technical airway skill training focused on RSI and continuous quality control and ETI recording could help non-EM physicians increase their FAS rate.
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Australas Emerg Nurs J · Nov 2013
Factors associated with delayed treatment onset for acute myocardial infarction in Victorian emergency departments: a regression tree analysis.
Minimising time to treatment onset for acute myocardial infarction (AMI) in the emergency department (ED) is essential, yet little is understood about the interactions between variables affecting it. The aim of this study was to develop a regression tree model explicating the influence of patient and non-patient factors on the time taken to commence treatment for patients with AMI in Victorian EDs. ⋯ Interactions between specific variables influenced whether patients with AMI were treated with equity in Victorian EDs, resulting in previously unidentified evidence-practice gaps and an improved understanding of which patient groups were vulnerable to delayed treatment for AMI.
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Comparative Study
Emergency department (ED) utilization by HIV-infected ED patients in the United States in 2009 and 2010 - a national estimation.
The aim of the study was to describe the emergency department (ED) resource utilization patterns of ED visits by patients reported to be HIV-infected in the USA in 2009 and 2010 and to compare them with those of the general ED patient population. ⋯ ED visits by HIV-infected individuals occur at rates higher than those of visits by the general population, and consume significantly more ED resources than visits by the general population. These national findings represent baseline prior to full implementation of the 2010 Patient Protection and Affordable Care Act.
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Previous research indicates that patients have difficulty understanding ED discharge instructions; these findings have important implications for adherence and outcomes. The objective of this study was to obtain direct patient input to inform specific revisions to discharge documents created through a literacy-guided approach and to identify common themes within patient feedback that can serve as a framework for the creation of discharge documents in the future. ⋯ Patient input provides meaningful guidance in the development of diagnosis-specific discharge instructions. Several themes and patterns were identified, with broad significance for the design of ED discharge instructions.