Articles: emergency-department.
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Letter Randomized Controlled Trial
Pilot prospective study of therapeutic hypothermia for treatment of post-cardiac arrest patients.
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Abstract Aboriginal and Torres Strait Islander people experience challenges when accessing health care from the Emergency Department. The aim of this project was to identify the perceived barriers and enablers to accessing health care at one Victorian Emergency Department for the local Aboriginal and Torres Strait Islander community. ⋯ Three themes emerged organisational process, staff interactions and strategies for improvement. Information from this study will assist hospital and Emergency Department executives and practitioners to collaborate with the Aboriginal and Torres Strait Islander community in developing and implementing policy and practice changes that enable Aboriginal patients to be identified and receive culturally appropriate care.
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Multicenter Study
A Simple Clinical Decision Rule To Rule Out Appendicitis In Patients With Nondiagnostic Ultrasound Results.
The objective was to identify a set of clinical features that can rule out appendicitis in patients with suspected acute appendicitis and nondiagnostic ultrasound (US) results, allowing safe discharge and next-day reevaluation without initial computed tomography (CT) or magnetic resonance imaging (MRI). ⋯ This newly developed CDR significantly reduces the probability of appendicitis in a large subgroup of patients with negative or inconclusive US results. These patients can be safely discharged for outpatient reevaluation without further initial imaging if proper follow-up is available. This could assist in lowering the number of ED imaging investigations in patients with suspected appendicitis.
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In 2001, "The Model of the Clinical Practice of Emergency Medicine" was first published. This document, the first of its kind, was the result of an extensive practice analysis of emergency department (ED) visits and several expert panels, overseen by representatives from six collaborating professional organizations (the American Board of Emergency Medicine, the American College of Emergency Physicians, the Society for Academic Emergency Medicine, the Residency Review Committee for Emergency Medicine, the Council of Emergency Medicine Residency Directors, and the Emergency Medicine Residents' Association). Every 2 years, the document is reviewed by these organizations to identify practice changes, incorporate new evidence, and identify perceived deficiencies. For this revision, a seventh organization was included, the American Academy of Emergency Medicine.