Academic emergency medicine : official journal of the Society for Academic Emergency Medicine
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The authors examined the ability of emergency physicians (EPs) to recognize adverse drug-related events (ADREs) in elder patients presenting to the emergency department (ED). ⋯ EP performance was superior at identifying severe ADREs relating to the patients' chief complaints. However, EP performance was suboptimal with respect to identifying ADREs of lower severity, having missed a significant number of ADREs of moderate severity as well as ones unrelated to the patients' chief complaints. ADRE detection methods need to be developed for the ED to aid EPs in detecting those ADREs that are most likely to be missed.
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Randomized Controlled Trial Comparative Study
The utility of the bispectral index in procedural sedation with propofol in the emergency department.
The bispectral index (BIS) may be a useful monitor to predict the level of awareness in patients undergoing procedural sedation in the emergency department (ED). ⋯ There was a lower rate of RD when physicians had access to the BIS during procedural sedations. This difference was greater in sedations requiring multiple doses of propofol. There was no difference in the rate of RD when only a single dose was given.
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To examine factors associated with motivation to quit smoking and interest in an emergency department (ED)-based intervention. ⋯ Approximately 50% of smokers reported at least moderate interest in an ED-based intervention and a willingness to stay 15 extra minutes, but only 8% reported receiving counseling during their ED visit. Considering time and resource constraints, counseling/referral may be best suited for patients characterized by a strong desire to quit, multiple previous quit attempts, high self-efficacy, a smoking-related ED visit, and strong interest in ED-based counseling.
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Randomized Controlled Trial
Development and implementation of an emergency practitioner-performed brief intervention for hazardous and harmful drinkers in the emergency department.
1) To develop and teach a brief intervention (BI) for "hazardous and harmful" (HH) drinkers in the emergency department (ED); 2) to determine whether emergency practitioners (EPs) (faculty, residents, and physician associates) can demonstrate proficiency in the intervention; and 3) to determine whether it is feasible for EPs to perform the BI during routine clinical care. ⋯ A BNI for HH drinkers can be successfully developed for EPs. EPs can demonstrate proficiency in performing the BNI in routine ED clinical practice.