Emergency Department Imaging: Current Practice

2008 ◽  
Vol 5 (7) ◽  
pp. 811-816.e2 ◽  
Author(s):  
John Thomas ◽  
Alecia M. Rideau ◽  
Erik K. Paulson ◽  
George S. Bisset
Author(s):  
Mohamed Mahmoud ◽  
Robert S. Holzman ◽  
Keira P. Mason

This textbook provides an important tool to cover major aspects of anesthesia care in non–operating room anesthesia (NORA) locations. It outlines perioperative concerns for the most commonly performed procedures in NORA settings. An overview of various anesthesia delivery techniques and tools required to optimize the patient before endoscopy, cardiac, and neuroradiology procedures are provided. The text also covers specialized situations, including a pediatric update on anesthesia/sedation strategies for dental procedures, electroconvulsive therapy, cosmetic procedures, ophthalmologic surgery, procedures in the emergency department, and infertility treatment. Practical recommendations based on current literature and author experience are presented, and current practice guidelines are reviewed.


2019 ◽  
Vol 73 (4) ◽  
pp. e13342 ◽  
Author(s):  
Kirstie McClatchey ◽  
Jennifer Murray ◽  
Zoë Chouliara ◽  
Anne Rowat ◽  
Samantha R. Hauge

2020 ◽  
Vol 29 (2) ◽  
pp. 108-112
Author(s):  
Siew Ming Tan ◽  
Yong-Kwang Gene Ong ◽  
Jen Heng Pek

Background: Extremity fractures are an important and common presentation at the Paediatric Emergency Department (PED). Provision of analgesia is a key management principle, but it is often suboptimal. Although there is an increase in awareness of this issue, the impact on current practice is not known. We aimed to review the current practice of providing analgesia for extremity fractures in the PED. Objective: Our objective was to determine the utilisation, adequacy and timeliness of analgesia provided for these patients. Methods: A retrospective study was carried out from November to December 2017. Patients with a diagnosis of extremity fracture involving the upper or lower limb were included. Information about patient demographics, diagnosis, pain score, analgesia use and clinical progress were collected for analysis. Results: There were 101 cases. The mean age was 8.5±4.2 years old, and 62 (61.4%) patients were male. There were 76 (75.3%) cases of fractures involving the upper limb, and 25 (24.7%) cases of fractures involving the lower limb. The mean pain score at presentation was 3.3±2.3. Analgesia was administered to only 10 (9.9%) patients, with oral paracetamol ( n=5; 5.0%) being the most common medication administered. The median time between arrival in the PED to analgesia administration was 69 minutes (range 25–328 minutes). Conclusions: Despite the increase in awareness, analgesia for these patients remains underutilised, inadequate and delayed. Further efforts at pain assessment, analgesia selection and administration are necessary to improve the provision of analgesia for these patients.


2014 ◽  
Vol 24 (4) ◽  
pp. e407-e412 ◽  
Author(s):  
Kathleen H. Krause ◽  
Annie Lewis-O'Connor ◽  
Amanda Berger ◽  
Teress Votto ◽  
Sigal Yawetz ◽  
...  

2014 ◽  
Vol 6 (4) ◽  
pp. 770-773 ◽  
Author(s):  
Taketo Watase ◽  
Lalena M. Yarris ◽  
Rongwei Fu ◽  
Daniel A. Handel

Abstract Background Emergency medicine (EM) residents are expected to develop competence in emergency department (ED) administration and operations. Objectives We assessed current needs and educational practices related to preparing EM residents for their role in ED operations, and explored whether there was an association between program characteristics and the presence of ED operations education in US EM residency programs. Methods We conducted a cross-sectional needs assessment, using a web-based survey sent to all US EM residency programs to assess program characteristics, provision of ED operations-related lectures, availability of an ED administrative fellowship, and presence of a formal ED operations curriculum. Logistic regression was used to determine if any program characteristics were associated with the presence of lectures and a formal operations curriculum. Results Of the 158 Accreditation Council for Graduate Medical Education–accredited EM programs, 117 (74%) responded. Of these, 109 (93%) respondents had at least 1 lecture on ED operational topics. Sixty programs (54%) measured resident productivity. Knowledge of Centers for Medicaid & Medicare Services reimbursement guidelines was significantly positively associated with presence of an ED operations curriculum (OR, 3.52, P  =  .009) and with lectures on patient satisfaction (OR, 3.99, P  =  .006). Measuring resident productivity was positively associated with having lectures on productivity (OR, 2.50, P  =  .02) and with ED throughput (OR, 2.32, P  =  .03). No 2 variables were simultaneously significant in the model. Conclusions Most EM programs had at least 1 lecture on ED operations topics. Roughly half of the programs measured resident productivity and half had a formal ED operations curriculum.


Sign in / Sign up

Export Citation Format

Share Document