Articles: emergency-services.
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Multicenter Study
Racial and ethnic differences in emergency care for acute exacerbation of chronic obstructive pulmonary disease.
The objective was to investigate racial and ethnic differences in emergency care for patients with acute exacerbations of chronic obstructive pulmonary disease (AECOPD). ⋯ Despite pronounced racial and ethnic differences in stable COPD, all racial and ethnic groups received comparable quality of emergency care for AECOPD and had similar short-term outcomes.
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Bmc Health Serv Res · Jan 2009
Randomized Controlled Trial Multicenter Study Comparative StudyScreening and brief interventions for hazardous alcohol use in accident and emergency departments: a randomised controlled trial protocol.
There is a wealth of evidence regarding the detrimental impact of excessive alcohol consumption on the physical, psychological and social health of the population. There also exists a substantial evidence base for the efficacy of brief interventions aimed at reducing alcohol consumption across a range of healthcare settings. Primary research conducted in emergency departments has reinforced the current evidence regarding the potential effectiveness and cost-effectiveness. Within this body of evidence there is marked variation in the intensity of brief intervention delivered, from very minimal interventions to more intensive behavioural or lifestyle counselling approaches. Further the majority of primary research has been conducted in single centre and there is little evidence of the wider issues of generalisability and implementation of brief interventions across emergency departments. ⋯ This paper presents a protocol for a large multi-centre pragmatic factorial cluster randomised trial to evaluate the effectiveness and cost-effectiveness of screening and brief interventions for hazardous alcohol users attending emergency departments.
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Multicenter Study
A multifaceted strategy for implementation of the Ottawa ankle rules in two emergency departments.
Despite widespread acceptance of the Ottawa ankle rules for assessment of acute ankle injuries, their application varies considerably. ⋯ Assessment of case note documentation has limitations. Clinician groups seem to differ in their capacity and willingness to change their practice. A multifaceted change strategy including a problem specific radiography request form can improve the selection of patients for radiography.
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Multicenter Study Comparative Study
Door to relocation time for dislocated hip prosthesis: multicentre comparison of emergency department procedural sedation versus theatre-based general anaesthesia.
Dislocation of a hip prosthesis is a painful event which has an incidence of 4% for primary total hip arthroplasty. Relocation is traditionally performed under general anaesthesia in the operating theatre, but relocation using sedation in the emergency department (ED) has been reported, with a limited success rate of 62%. A study was undertaken to compare door to relocation times for ED sedation and theatre general anaesthesia. ⋯ Reduction of dislocated hip prostheses in the ED saves nearly 6 h compared with theatre-based general anaesthesia and is therefore advocated.
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Int J Occup Med Environ Health · Jan 2009
Multicenter StudyEmergency department visits for migraine and headache: a multi-city study.
We set out to examine associations between ambient air pollution concentrations and emergency department (ED) visits for migraine/headache in a multi-city study. ⋯ Our findings support the associations between air pollutants and the number of ED visits for headache.