ENT cases seen at a local ‘walk-in centre’: a one year review

2008 ◽  
Vol 123 (3) ◽  
pp. 339-342 ◽  
Author(s):  
T Rourke ◽  
P Tassone ◽  
C Philpott ◽  
A Bath
Keyword(s):  
Emergency Department ◽  
Retrospective Study ◽  
General Practitioner ◽  
Emergency Departments ◽  
Foreign Bodies ◽  
Healthcare Providers ◽  
One Year

AbstractAim and method:This retrospective study reviewed the ENT-related cases seen, and the discharge or transfer outcomes, at both a local ‘walk-in centre’ and the respective emergency department, over one year in Norwich.Results:Of the 7657 ENT cases seen at the walk-in centre, the commonest conditions included tonsillitis or pharyngitis, otalgia, cough, and deafness. In comparison, 1586 patients were seen at the emergency department, and the commonest conditions were epistaxis and throat foreign bodies. Of the ENT cases seen at the walk-in centre, 85.4 per cent were treated and discharged. Of the 14.6 per cent referred to other healthcare providers, 11.1 per cent were to the general practitioner. In comparison, the emergency department discharged 41.2 per cent and referred 58.8 per cent to other healthcare providers.Conclusion:This study indicates that ENT cases may constitute a large proportion of patients seen in walk-in centres, and that the case types seen may differ from those presenting to emergency departments. It also indicates that walk-in centres may potentially be assessing, treating and discharging 85.4 per cent of ENT patients seen.

scholarly journals Delirium Assessment in Older People in Emergency Departments. A Literature Review

Diseases ◽  
2019 ◽  
Vol 7 (1) ◽  
pp. 14 ◽  
Author(s):  
Pilar Pérez-Ros ◽  
Francisco Martínez-Arnau
Keyword(s):  
Emergency Department ◽  
Older People ◽  
Sensitivity And Specificity ◽  
Emergency Departments ◽  
Rating Scales ◽  
Healthcare Providers ◽  
High Sensitivity ◽  
Delirium Assessment ◽  
Systematic Screening ◽  
Emergency Department Staff

Delirium is a neuropsychiatric syndrome often manifesting in acute disease conditions, and with a greater prevalence in the older generation. Delirium in the Emergency Department (ED) is a highly prevalent problem that typically goes unnoticed by healthcare providers. The onset of a delirium episode in the ED is associated with an increase in morbidity and mortality. Because delirium is a preventable syndrome, these statistics are unacceptable. Emergency Department staff therefore should strive to perform systematic screening in order to detect delirium. Different tools have been developed for the assessment of delirium by healthcare professionals other than psychiatrists or geriatricians. Emergency Departments require delirium assessment scales of high sensitivity and specificity, suited to the characteristics of the Department, since the time available is scarce. In addition, the presence of dementia in the assessment of delirium may induce sensitivity bias. Despite the existence of numerous delirium rating scales, scales taking less than three minutes to complete are recommended. The choice of the tool depends on the characteristics of the ED. The only scale affording high sensitivity and specificity in older people with and without dementia is the Four “A”s Test (4AT); it requires no training on the part of the rater, and can be performed in under two minutes.

scholarly journals The Prescribing Trends of Digoxin in the Outpatient Setting

2021 ◽  
pp. 34-37
Author(s):  
Nehad J. Ahmed ◽  
Menshawy A. Menshawy
Keyword(s):  
Emergency Department ◽  
Retrospective Study ◽  
Adverse Events ◽  
Healthcare Providers ◽  
Outpatient Setting ◽  
Outpatient Department ◽  
Therapeutic Window ◽  
Prescribing Pattern ◽  
Cardiology Department ◽  
Prescribing Trends

Objective: The aim of this study was to determine digoxin prescribing pattern in the outpatient setting in Alkharj. Methods: This retrospective study included a review of outpatient records between in 2017 and 2018. It included the entire outpatient who received digoxin during the study period. Results: Only 38 patients received digoxin during 2017 and in 2018, 31 patients received digoxin. More than half of the patients receiving digoxin in 2018 were males (58.06%) and about 54.84% of them aged more than 59 years. Most of the prescribers were residents (77.42%). More than 61 % of the prescriptions were written by cardiology department followed by emergency department (22.58%). Conclusion: The use of digoxin is uncommon in the outpatient department in Alkharj nonetheless it has a narrow therapeutic window and it should be prescribed carefully because of its adverse events. It is also important to increase the awareness of healthcare providers and patients about digoxin use.

scholarly journals Characteristics of the Admissions of Old-old Patients to the Emergency Department

2020 ◽  
pp. 39-47
Author(s):  
Serkan Dogan ◽  
Busra Bildik ◽  
Melis Dorter ◽  
Utku Murat Kalafat ◽  
Doganay Can ◽  
...  
Keyword(s):  
Emergency Department ◽  
Quality Of Care ◽  
Emergency Departments ◽  
Discharge Rate ◽  
Study Data ◽  
Time Zone ◽  
Old Patients ◽  
The Hours ◽  
One Year

Aim: Through advances in technology and medicine, life expectancy is longer than before. The area covered by elderly people in the population pyramid has been changing over the years. Emergency departments are often used by elderly patients. It increases the density and fullness in already-crowded departments. In this study, we aimed to examine characteristics of the admissions of old-old people through the EDs and we wanted to discuss the precautions and regulations that might be taken in order to improve the quality of care and management. Methodology: This study was carried out cross-sectionally and retrospectively in the one-year period between 01.01.2017-31.12.2017 in a department of emergency medicine. Patients' age, gender, the hours of admissions to the emergency department, the month of admissions, reasons for admissions, diagnoses, consultations, final status, the place of hospitalization, the name of the hospitalization department and the number of readmissions in a one-year period were recorded in the study form. The study data were analyzed with SPSS for Windows 22.0. P < 0.05 was considered statistically significant. Results: 4331 of these patients were included in the study. The mean age of the patients was 85.25 ± 3.90 and 60.5% of them were female. According to the months, the first three of the admission months were December, November and October (9.7%, 9.6%, 9.2% respectively). The most common admission was in the 08: 00-15: 59 time zone with 47%, followed by 41.8% with the 16: 00-23: 59 time zone.4331 patients included in the study admitted to the emergency department 12.988 times during the study period. 46.2% of the patients admitted to the department once, 53.8% of them admitted 2 times and more. The discharge rate of patients who were admitted only once was 84.2% and the rate was 88.4% for twice and more admissions. Conclusion: The existence and increasing number of this population should not be forgotten in changes to be made in emergency departments and other parts of the health system. Efforts should be made to improve the quality of care and to train staff to manage these patients more quickly and safely.

scholarly journals Brief Research Note: A Comparison of the Provision of Counselling and Advice to Primary Care Patients in Emergency Departments and a General Practice Casualty Department

2002 ◽  
Vol 8 (1) ◽  
pp. 91 ◽  
Author(s):  
Patrick Bolton ◽  
Michael Mira
Keyword(s):  
Primary Care ◽  
Emergency Department ◽  
General Practice ◽  
General Practitioner ◽  
Emergency Departments ◽  
Adverse Outcome ◽  
Triage Nurse ◽  
Ambulatory Patients ◽  
Primary Care Patients ◽  
Research Officer

Data were collected from clinicians at the time of consultation about the care that they provided in 12,813 encounters in a general practitioner (GP) staffed casualty department and 719 primary care encounters in two emergency departments (Bolton, 1999). Data were collected by the GPs themselves in general practice, and by a research officer located in the emergency departments. Patients seen in the emergency department were ambulatory patients whom the triage nurse assessed would not suffer an adverse outcome if they had to wait an hour or longer for care. Comparison of these two patient populations established that they were similar in terms of age, gender, ethnicity, and reason for encounter.

scholarly journals Non-urgent visits to emergency departments: a qualitative study in Iran exploring causes, consequences and solutions

BMJ Open ◽  
2020 ◽  
Vol 10 (2) ◽  
pp. e028257 ◽  
Author(s):  
Mohammadkarim Bahadori ◽  
Seyyed Meysam Mousavi ◽  
Ehsan Teymourzadeh ◽  
Ramin Ravangard
Keyword(s):  
Emergency Department ◽  
Emergency Medicine ◽  
Emergency Departments ◽  
Qualitative Content Analysis ◽  
Healthcare Providers ◽  
Military Hospital ◽  
Complex Nature ◽  
Negative Consequences ◽  
Middle Income ◽  
Emergency Medicine Resident

ObjectiveTo explore the causes and consequences of non-urgent visits to emergency departments in Iran and then suggest solutions from the healthcare providers’ viewpoint.DesignQualitative descriptive study with in-depth, open-ended, and semistructured interviews, which were inductively analysed using qualitative content analysis.SettingA territorial, educational and military hospital in Iran.ParticipantsEleven healthcare providers including eight nurses, two emergency medicine specialists and one emergency medicine resident.ResultsThree overarching themes of causes and consequences of non-urgent visits to the emergency department in addition to four suggested solutions were identified. The causes have encompassed the specialised services in emergency department, demand-side factors, and supply-side factors. The consequences have been categorised into three overarching themes including the negative consequences on patients, healthcare providers and emergency departments as well as the health system in general. The possible solutions for limiting and controlling non-urgent visits also involved regulatory plans, awareness-raising plans, reforms in payment mechanisms, and organisational arrangements.ConclusionWe highlighted the need for special attention to the appropriate use of emergency departments in Iran as a middle-income country. According to the complex nature of emergency departments and in order to control and prevent non-urgent visits, it can be suggested that policy-makers should design and implement a combination of the possible solutions.

scholarly journals Psychosocial and Clinical Profiles of the Cases Visiting the Emergency Department Due to Accidental Self-harm and Suicide Attempts in Doha, Qatar: A Retrospective Study

2020 ◽  
Author(s):  
Hassen Al-Amin ◽  
Rajvir Singh ◽  
Mohamad Abdulrazzak ◽  
Suhaila Ghuloum
Keyword(s):  
Emergency Department ◽  
Retrospective Study ◽  
Suicide Attempts ◽  
Comprehensive System ◽  
Completed Suicide ◽  
Suicide Intent ◽  
Self Harm ◽  
Clinical Profiles ◽  
The Common ◽  
One Year

Abstract The aims of this study were to retrospectively assess the profiles of subjects with suicide attempts and self-harm in Doha, Qatar; and whether the available data were complete. We reviewed all the records of fatal and non-fatal suicides together with accidental self-ham cases seen in the major Emergency Department in Doha, over a one-year period. There was 37 completed suicide, mostly male expatriates in mid 30 s who died by hanging. In cases with suicide intent (N = 270), more males were admitted to Psychiatry than women. Overdose was the common method and the majority had mood disorders. In self-harm cases with no suicide intent (N = 150) the majority were not seen by Psychiatry. The profiles of suicide cases in Qatar are similar to those reported internationally. However, there is a major need to establish a comprehensive system to register and assess all self-harm patients in Qatar.

scholarly journals Pattern of Visits in a Metropolitan Emergency Department in Lombardia (Italy): January 2019–December 2020

Healthcare ◽  
2021 ◽  
Vol 9 (7) ◽  
pp. 791
Author(s):  
Simone Gambazza ◽  
Alessandro Galazzi ◽  
Filippo Binda ◽  
Onorina Passeri ◽  
Paola Bosco ◽  
...  
Keyword(s):  
Emergency Department ◽  
Retrospective Study ◽  
Emergency Departments ◽  
Lower Number ◽  
University Hospital ◽  
Tertiary Level ◽  
Significant Drop ◽  
General Decrease ◽  
Ed Visits

During the Coronavirus disease 2019 (COVID-19), a general decrease in the presentations to emergency departments (ED) was reported. However, we suspect that there was a lower number but an unchanged pattern of ED visits for urgent conditions in 2020 compared to 2019. This retrospective study assessed the change in the number of presentations in the ED of a tertiary level university hospital in Milano (Lombardia, Italy). Compared to 2019, a significant drop in ED presentations occurred (−46.4%), and we recorded a −15.7% difference in the proportion of patients admitted with white codes. The pattern of hourly presentations to the ED was unchanged, with overcrowding during the working daytime. COVID-19 changed ED flows, likely causing an overall reduction in the number of deferrable conditions. However, the pattern associated with urgent conditions did not change abruptly in 2020.

scholarly journals The impact of COVID-19 on paediatric emergency department visits. A one-year retrospective study

2021 ◽  
Author(s):  
Eirini Kostopoulou ◽  
Despoina Gkentzi ◽  
Marios Papasotiriou ◽  
Sotirios Fouzas ◽  
Anastasia Tagalaki ◽  
...  
Keyword(s):  
Emergency Department ◽  
Retrospective Study ◽  
Emergency Department Visits ◽  
Paediatric Emergency Department ◽  
Paediatric Emergency ◽  
One Year ◽  
The Impact

An assessment of Chemical, Biological, Radiologic, Nuclear, and Explosive preparedness among emergency department healthcare providers in an inner city emergency department

2015 ◽  
Vol 13 (5) ◽  
pp. 431 ◽  
Author(s):  
Joseph G. Kotora, DO, MPH
Keyword(s):  
Emergency Department ◽  
Emergency Departments ◽  
Online Survey ◽  
Tertiary Care ◽  
Healthcare Providers ◽  
Survey Study ◽  
Care Providers ◽  
Adequate Knowledge ◽  
Practice Experience ◽  
Midlevel Providers

Introduction: Emergency healthcare providers are required to care for victims of Chemical, Biological, Radiologic, Nuclear, and Explosive (CBRNE) agents. However, US emergency departments are often ill prepared to manage CBRNE casualties. Most providers lack adequate knowledge or experience in the areas of patient decontamination, hospital-specific disaster protocols, interagency familiarization, and available supply of necessary medical equipment and medications. This study evaluated the CBRNE preparedness of physicians, nurses, and midlevel providers in an urban tertiary care emergency department.Methods: This retrospective observational survey study used a previously constructed questionnaire instrument. A total of 205 e-mail invitations were sent to 191 eligible providers through an online survey distribution tool (Survey Monkey®). Respondents were enrolled from February 1, 2014 to March 15, 2014. Simple frequencies of correct answers were used to determine the level of preparedness of each group. Cronbach’s coefficient á was used to validate the precision of the study instrument. Finally, validity coefficients and analysis of variance ANOVA were used to determine the strength of correlation between demographic variables, as well as the variation betweenindividual responses. Results: Fifty-nine providers responded to the questionnaire (31.14 percent response rate). The overall frequency of correct answers was 66.26 percent, indicating a relatively poor level of CBRNE preparedness. The study instrument lacked precision and reliability (coefficient á 0.4050). Significant correlations were found between the frequency of correct answers and the respondents’ gender, practice experience, and previous experience with a CBRNE incident. Significant variance exists between how providers believe casualties should be decontaminated, which drugs should be administered, and the interpretation of facility-specific protocols.Conclusions: Emergency care providers are inadequately prepared to manage CBRNE incidents. Furthermore, a valid and precise instrument capable of measuring preparedness needs to be developed. Standardized educational curriculums that consider healthcare providers’ genders, occupations, and experience levels may assist in closing the knowledge gaps between providers and reinforce emergency departments’ CBRNE preparedness.

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