Continued Impact of a Chest Pain Center Strategy on the Incidence of Missed Diagnosis of Acute Myocardial Infarction (AMI) in a Community Hospital Emergency Department

2002 ◽  
Vol 1 (4) ◽  
pp. 248
Author(s):  
Frank Kaeberlein ◽  
Ahmed Sabe ◽  
Allyson Kelly ◽  
Christine Harrington
Keyword(s):  
Myocardial Infarction ◽  
Acute Myocardial Infarction ◽  
Emergency Department ◽  
Chest Pain ◽  
Community Hospital ◽  
Hospital Emergency Department ◽  
Hospital Emergency ◽  
Pain Center ◽  
Missed Diagnosis

Utilization of chest pain decision aids in a community hospital emergency department

2021 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Glenn Bean ◽  
Uma Krishnan ◽  
Jason R. Stone ◽  
Madiha Khan ◽  
Angela Silva
Keyword(s):  
Emergency Department ◽  
Chest Pain ◽  
Community Hospital ◽  
Decision Aids ◽  
Hospital Emergency Department ◽  
Hospital Emergency

Hazardous Handover

2020 ◽  
pp. 225-230
Author(s):  
Pat Croskerry
Keyword(s):  
Decision Making ◽  
Emergency Department ◽  
Chest Pain ◽  
Sleep Deprivation ◽  
Acetylsalicylic Acid ◽  
Unstable Angina ◽  
Community Hospital ◽  
Hospital Emergency Department ◽  
Middle Aged ◽  
Hospital Emergency

In this case, a middle-aged male presents to a community hospital emergency department at approximately midnight with chest pain. He is seen and diagnosed quickly with unstable angina. He receives acetylsalicylic acid, is anticoagulated, and is kept overnight pending a consult to cardiology in the morning. At 07:00 hours, he is transferred to an oncoming physician who takes further history and determines that the diagnosis is wrong. Several aspects of decision making are discussed, including overconfidence, dysphoria, fatigue, and sleep deprivation.

scholarly journals Effect of the SARS outbreak on visits to a community hospital emergency department

CJEM ◽  
2006 ◽  
Vol 8 (05) ◽  
pp. 323-328 ◽  
Author(s):  
Michael Heiber ◽  
W.Y. Wendy Lou
Keyword(s):  
Emergency Department ◽  
Community Hospital ◽  
Early Stage ◽  
Age Groups ◽  
Respiratory Illness ◽  
Hospital Emergency Department ◽  
Infants And Toddlers ◽  
Hospital Emergency ◽  
Ed Visits ◽  
Number Of Visits

ABSTRACTObjectives:To examine the effect of severe acute respiratory syndrome (SARS) on visits to a community hospital emergency department (ED) during the early stage of the Toronto outbreak in 2003 and for the same period in 2004. We focused on visits for respiratory illness (SARS-like symptoms) and different age groups.Methods:This study is a retrospective review of ED discharge diagnoses obtained from a computerized database, examining the 4-week period starting March 28 for the years 2001-2004. We obtained the discharge diagnosis, age and visit date for each ED patient during the relevant time intervals, then compared visit data from 2003 and 2004 with a baseline derived from the average number of visits during 2001 and 2002. We constructed groupings based on age and respiratory-illness symptoms.Results:During the SARS outbreak in 2003, ED visits declined by 21% (95% confidence interval [CI], 18%–24%) over the 4-week study period. The greatest reduction was for combined infant and toddler visits (69%; 95% CI, 58%–79%); these did not recover the following year. However, during the SARS outbreak there was a large increase in the number of visits for respiratory illnesses in adults (61%; 95% CI, 46%–75%) and in teenagers (132%; 95% CI, 82%–182%).Conclusions:During the SARS outbreak, total ED visits fell. The relative decline was most notable for infants and toddlers. By contrast, there was an increase in respiratory illness–related visits for adults and teenagers. In 2004, the year following the SARS outbreak, visit patterns shifted toward baseline levels, but ED visits by infants and toddlers remained depressed.

5G-Enabled intelligent construction of a chest pain center with up-conversion lateral flow immunoassay

The Analyst ◽  
2021 ◽  
Author(s):  
Lei Huang ◽  
Shulin Tian ◽  
Wenhao Zhao ◽  
Ke Liu ◽  
Xing Ma ◽  
...  
Keyword(s):  
Myocardial Infarction ◽  
Acute Myocardial Infarction ◽  
Chest Pain ◽  
High Mortality ◽  
Health Problem ◽  
Rapid Onset ◽  
Lateral Flow ◽  
Lateral Flow Immunoassay ◽  
Pain Center

Acute myocardial infarction (AMI) has become a worldwide health problem because of its rapid onset and high mortality.

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