Articles: emergency-department.
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Review Meta Analysis
Pulmonary embolism rule-out criteria (PERC) in pulmonary embolism--revisited: A systematic review and meta-analysis.
To perform a systematic review and meta-analysis including all the current studies to assess the accuracy of pulmonary embolism rule-out criteria (PERC) in ruling out pulmonary embolism (PE). ⋯ Because of the high sensitivity and low negative likelihood ratio, PERC rule can be used confidently in clinically low probability population settings.
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J Allergy Clin Immunol Pract · Sep 2013
Multicenter Study Observational StudyQuality of care for acute asthma in emergency departments in Japan: a multicenter observational study.
Little is known about the quality of acute asthma care in emergency departments (EDs) outside of North America. ⋯ The management of acute asthma in Japanese EDs is suboptimal. Greater concordance with guideline-recommended management might reduce unnecessary hospitalizations. Knowledge translation initiatives are warranted to increase adherence with best practice in acute asthma management.
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Rev Esp Cardiol (Engl Ed) · Sep 2013
Multicenter StudyManagement of acute heart failure in spanish emergency departments based on age.
To investigate possible age-related differences in the profile, clinical symptoms, management, and short-term outcomes of patients seen for acute heart failure in Spanish emergency departments. ⋯ The management of acute heart failure in elderly patients requires a multidimensional approach which goes beyond merely cardiological aspects of treatment.
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Geriatr Orthop Surg Rehabil · Sep 2013
Factors associated with emergency department length of stay for patients with hip fracture.
Time to surgery, which includes time in the emergency department (ED), is important for all patients with hip fracture. We hypothesized that patients with hip fracture spend significantly more time in the ED than do patients with the top 5 most common conditions. In addition, we hypothesized that there are patient, physician, and hospital factors that affect the length of time spent in the ED. ⋯ Factors significantly associated with longer ED times were a history of hypertension, history of atrial fibrillation, the number of computed tomography scans ordered, and the occupancy rate. Admission to the hip fracture service decreased working time but not overall time. Substantial multidisciplinary work among the ED, hospital admission services, and physicians is needed to dramatically decrease the boarding time and thus the overall time to surgery.
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J Obstet Gynecol Neonatal Nurs · Sep 2013
ReviewThe importance of interdepartmental collaboration and safe triage for pregnant women in the emergency department.
Pregnant women who present to the emergency department can present challenges that range from the diagnoses of unsuspected pregnancies to the determination of where evaluations should occur. In this review we identify literature associated with the triage of pregnant women in the emergency department and propose a model for triage and evaluation of pregnant women in the emergency department. Strategies are described to facilitate interdepartmental communication to optimize safe maternal/fetal care.