Articles: emergency-department.
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Pediatric emergency care · Apr 2023
Observational StudyThe Fate of the Cervical Collar: An Observational Pilot Study Investigating Follow-up Care After Emergency Department Discharge in Children With Mild Traumatic Neck Injuries.
After evaluation and treatment of minor traumatic cervical spine injury (CSI), many children are discharged home in a rigid cervical orthosis (RCO). This study investigated their adherence to RCO treatment recommendations. The feasibility of telehealth cervical spine clearance was also explored. ⋯ In this pilot study, a substantial portion of children with mild CSIs discharged from the emergency department with an RCO did not adhere to compliance or follow-up recommendations. Persistent pain requires further evaluation.
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Use of acute care telemedicine is growing, but data on quality, utilization, and cost are limited. We evaluated a Veterans Affairs (VA) tele-emergency care (tele-EC) pilot aimed at reducing reliance on out-of-network (OON) emergency department (ED) care, a growing portion of VA spending. With this service, an emergency physician virtually evaluated selected Veterans calling a nurse triage line. ⋯ Among Veterans initially advised to seek care within 24 h, use of tele-EC compared to standard phone triage led to decreased ED visits, hospitalizations, and OON spending within 7 days.
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Observational Study
Epidemiology of geriatric patients presenting to emergency departments in Europe: EGERS study.
Patients aged 65 and above constitute a large and growing part of emergency department (ED) visits in western countries. ⋯ The characteristics of ED elderly patients and their subsequent hospital stay are reported in this prospective study.
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Observational Study
Association of delirium with increased short-term mortality among older emergency department patients: A cohort study.
To evaluate the association between delirium and subsequent short-term mortality in geriatric patients presenting to the emergency department (ED). ⋯ Delirium is an important prognostic factor that ED clinicians and nurses must be aware of to optimize delirium prevention, management, disposition, and communication with patients and families.
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Pediatric emergency care · Apr 2023
The Use of Ketamine Sedation for the Treatment of Nail Bed Repairs in the Pediatric Emergency Department.
This study aimed to determine if sedation with ketamine is safe and effective for the treatment of nail bed injuries in the pediatric emergency department (PED). ⋯ We have demonstrated nail bed injury repair facilitated by sedation with ketamine to be safe, effective, and cost efficient in the PED. This management strategy, brought to the fore during the COVID-19 pandemic, should be adopted widely in PEDs.