Articles: emergency-services.
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Gen Hosp Psychiatry · May 2008
Randomized Controlled Trial Multicenter Study Comparative StudyFactors associated with the use of physical restraints for agitated patients in psychiatric emergency rooms.
To examine factors associated with physical restraint in psychiatric emergency rooms. ⋯ Restraint practices in Rio are predictable and based on a limited clinical assessment. Predictive factors for physical restraint may vary worldwide, but should be monitored and studied to assist training, and to establish programs to evaluate and refine this controversial practice.
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Multicenter Study
Do emergency department patients with possible acute coronary syndrome have better outcomes when admitted to cardiology versus other services?
Emergency physicians need to consider potential differences in quality of care across admitting services in their triage decisions. For emergency department (ED) patients with possible acute coronary syndrome who require hospitalization, there are relatively few data to guide emergency physicians in deciding whether admission to a cardiology service bed yields better outcomes than admission to a noncardiology service. ⋯ ED patients admitted for evaluation of possible acute coronary syndrome do not experience worsened short-term outcomes if admitted to a noncardiology service bed.
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Randomized Controlled Trial Multicenter Study Comparative Study
Comparison of nebulized epinephrine to albuterol in bronchiolitis.
To compare the effect of nebulized racemic epinephrine to nebulized racemic albuterol on successful discharge from the emergency department (ED). ⋯ In children up to the 18th month of life, ED treatment of bronchiolitis with nebulized racemic albuterol led to more successful discharges than nebulized epinephrine.
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Multicenter Study Comparative Study
Psychosocial assessment following self-harm: results from the multi-centre monitoring of self-harm project.
Psychosocial assessment is central to the management of self-harm, but not all individuals receive an assessment following presentation to hospital. Research exploring the factors associated with assessment and non-assessment is sparse. It is unclear how assessment relates to subsequent outcome. ⋯ Many people who harm themselves, including potentially vulnerable individuals, do not receive an adequate assessment while at hospital. Staff should be aware of the organizational and clinical factors associated with non-assessment. Identifying the active components of psychosocial assessment may help to inform future interventions for self-harm.
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Multicenter Study
A repeat audit of spinal board usage in the emergency department.
An audit of spinal board usage in 2002 was repeated [Malik MHA, Lovell ME. Current spinal board usage in emergency departments across the UK. Int J Care Injured 2003;34:327-9]. ⋯ In 2006, 21% (43% previously) are still leaving patients on spinal boards routinely until radiological evidence provides clearance, 45% will place patients on boards after their arrival even if they were not on one in pre-hospital management (48% previously) and the number of boards the department owns, remained similar. In house audits of usage remained largely unchanged at 22%. We recommend ongoing departmental review of practice.