Articles: emergency-department.
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Emerg Med Australas · Aug 2014
Randomized Controlled TrialSenior work-up assessment and treatment team in an emergency department: A randomised control trial.
To evaluate the impact of a senior early assessment model of care on performance measures in a single ED. ⋯ A senior early assessment model of care was not associated with improved overall NEAT performance and ED length of stay. However, there is evidence that improvements were made in the subgroup of discharged patients. There was no difference in overall NEAT performance among the three study groups.
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Randomized Controlled Trial Multicenter Study
Impact of initial blood pressure on antihypertensive response in patients with acute hypertension.
The effect profile of differing antihypertensive agents is well studied, but minimal data regarding the interaction between hemodynamic response and presenting blood pressure (BP) exist. ⋯ Initial SBP is not a predictor of the ability to achieve a prespecified target range SBP within 30 minutes.
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Bilateral chemical eye injuries are a common and important problem in the Emergency Department. Irrigation of both eyes can be time-consuming, so we present a novel, simple and cost-effective technique for hands-free bilateral eye irrigation. Modifications of a generic dual-lumen cannula adapter and fixation about the glabella allow sterile irrigation fluid to be delivered directly to the medial canthi of the contaminated eyes in a hands-free fashion. ⋯ Patients regain autonomy of movement to reposition themselves for comfort or to manipulate the eyelids for more effective irrigation. Clinicians are freed to tend to other tasks. By sharing this technique we hope to stimulate discussion on the safest and most effective method of irrigating chemically injured eyes and prompt the generation of comparable outcome data for the benefit of patients.
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JACC. Heart failure · Aug 2014
Physician continuity improves outcomes for heart failure patients treated and released from the emergency department.
The goal of this study was to evaluate the effect of physician continuity for patients with heart failure (HF) treated and released from the emergency department (ED). ⋯ Early follow-up after an ED visit is associated with better outcomes, particularly if conducted with a familiar physician.