Articles: emergency-department.
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People who use substances increasingly access healthcare primarily through emergency medical services (EMS) and emergency departments (EDs). To meet the needs of these patients, EMS and EDs have become access points for medications for opioid use disorder (OUD), specifically buprenorphine. This systematic review aimed to quantify the efficacy of these programs, examining retention in treatment for OUD, rates of re-presentation to ED or EMS, and rates of precipitated withdrawal, as well as summarise clinician and patient perspectives on buprenorphine initiation in these settings. ⋯ The initiation of buprenorphine in the ED setting is associated with higher odds of short and medium-term treatment engagement. Further research is required into EMS-initiated buprenorphine, as well as patient perspectives of ED- and EMS-initiated buprenorphine.
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Case Reports
Superficial parasternal intercostal plane block for sternal fractures in the emergency department.
In uncomplicated sternal fractures, one of the first priorities is to treat pain in order to avoid secondary complications due to hospital admission or reduced mobility. We wanted to study the safety and the efficacy of ultrasound-guided superficial parasternal intercostal plane (SPIP) block in pain control in these kinds of patients in the emergency department (ED). ⋯ Here we present two cases in which SPIP block was effectively and safely used to treat pain secondary to sternal fractures, allowing a rapid discharge from ED (case 2) or an easier pain control in an admitted patient (case 1). We think that SPIP block should be taken into consideration in case of sternal fractures non responsive to conventional analgesia.
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The family members of patients are an important part of a patient's social support system. The needs of the family members of patients are critical factors that medical staff need to consider when formulating treatment plans. This study aimed to culturally adjust the traditional Chinese version of the Critical Care Family Needs Inventory in the Emergency Department to the simplified Chinese version for use with families in the emergency department of mainland China, test its reliability and validity, understand the needs and factors influencing scores, and to provide a reference for promoting patient and family-centered care. ⋯ Our findings suggested that the Simplified Chinese version of Critical Care Family Needs Inventory in the Emergency Department is a valid and reliable scale for use within mainland China. The needs of family members are at a high level. Hence, emergency nurses need to acquire more knowledge about family needs to better consider and address their needs.