Academic emergency medicine : official journal of the Society for Academic Emergency Medicine
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Case Reports
Bioimpedance cardiac output measurements in patients with presumed congestive heart failure.
To describe preliminary ED experience with thoracic electrical bioimpedance (TEB) for evaluation of patients with complaints suggestive of congestive heart failure (CHF). ⋯ Significant differences in TEB variables exist between patients who appear similar on initial examination in the ED. Changes noted on TEB may help to further elucidate physiologic differences. The clinical use of TEB-based hemodynamic measurements to guide presumed CHF patient management remains speculative.
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Randomized Controlled Trial Clinical Trial
Frequent users of the emergency department: can we intervene?
To determine whether the use of individualized patient care plans and multidisciplinary case management would decrease ED utilization by frequent ED users. ⋯ The use of individualized care plans and case management did not significantly decrease ED utilization by frequent ED users. However, the impact of individualized care plans and case management on other quality-of-care measures (e.g., patient satisfaction, ED length of stay, hospitalizations, primary care visits, and health care costs) remains to be determined.