Academic emergency medicine : official journal of the Society for Academic Emergency Medicine
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The goal was to develop a classification of emergency departments (EDs) based on their organization of services for seniors discharged to the community. ⋯ This classification of EDs with respect to their organization of services for community-dwelling seniors may be helpful to those planning services, to decision-makers, and to researchers. The three groups of EDs identified in this study represent three types of organizations with differing assets and limitations. The generalizability of these groups to other settings and the implications for patient outcomes should be investigated.
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Children victimized by violence are often treated in the emergency department (ED). However, our understanding of the magnitude and financial costs of this patient population is inadequate. The authors examined the scope, risk factors for, and financial cost of ED visits for intentional injury in children in the United States over time. ⋯ ED visits among children for violent injury still represent an important clinical, public health, and economic challenge. The ED could be considered as a potential venue for prevention and intervention efforts.
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Comparative Study
The association between insurance status and emergency department disposition of injured California children.
This study examined the relationship between insurance status and emergency department (ED) disposition of injured California children. ⋯ Privately insured, publicly insured, and uninsured injured children have disparate patterns of ED disposition. Policy and clinical efforts are needed to ensure that all injured children receive equitable emergency care.
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Randomized Controlled Trial
A medical simulation-based educational intervention for emergency medicine residents in neonatal resuscitation.
The objective was to determine if a medical simulation-based neonatal resuscitation educational intervention is a more effective teaching method than the current emergency medicine (EM) curriculum at one 4-year EM residency program. ⋯ Medical simulation can be an effective tool to assess the knowledge and skills of EM residents in neonatal resuscitation. Our simulation-based educational intervention significantly improved EM residents' knowledge and performance of the critical initial steps in neonatal resuscitation. A medical simulation-based educational intervention may be used to improve EM residents' knowledge and performance with neonatal resuscitation.