Psychiatric Emergency Services a Decade Later

1973 ◽  
Vol 4 (3) ◽  
pp. 273-290 ◽  
Author(s):  
Howard Zonana ◽  
Jerzy E. Henisz ◽  
Michael Levine
Keyword(s):  
Emergency Room ◽  
Emergency Service ◽  
Emergency Services ◽  
Mental Health Center ◽  
Primary Treatment ◽  
Hospital Emergency ◽  
Socioeconomic Groups ◽  
The Past ◽  
Lower Socioeconomic ◽  
Hospital Emergency Room

The changes in the functioning of the psychiatric component of a general hospital emergency room were assessed over the past decade. The effect of its incorporation into a community mental health center as its emergency service was seen to exert a significant increase in its utilization. Admissions increased threefold over the ten year period and the 15–21 age group increased by twice that amount. Analysis of census and social class data showed a significant effect of distance on only the lower socioeconomic groups. Diagnostic and dispositional shifts were seen as showing an increase in utilization by less disturbed patients who use the emergency room as their primary treatment resource. The rise in the drug addictions is striking and may mask other diagnoses.

scholarly journals For which reasons are newborns brought to the emergency department?

2021 ◽  
Vol 106 (106(813)) ◽  
pp. 165-176
Author(s):  
M. Heppe-Montero ◽  
E. Martínez-Sánchez ◽  
F. Olivas-Monteagudo ◽  
J.A. Quesada ◽  
F. Aleixandre-Blanquer
Keyword(s):  
Emergency Department ◽  
Emergency Room ◽  
Emergency Services ◽  
Hospital Emergency Department ◽  
Hospital Emergency ◽  
Upper Respiratory Infection ◽  
Self Employment ◽  
Younger Age ◽  
Hospital Emergency Room ◽  
Socio Demographic Factors

Objectives: Compare what sanitary and socio-demographic factors present the newborns that were attended in the hospital emergency room in regard to the newborns who don’t visit the hospital during their first month of life. Methods: A retrospective observational case-control study was performed, considering as cases those neonates who were brought to the hospital emergency department during their first month of life, matched with control of their same sex and age, born in the hospital but that hadn’t visited the emergency room. Results: 15.15% of the newborns were brought to the hospital emergency department during the year of the study. The main risk factors associated with the visits to the emergency room were: Unemployment, self-employment, and the mother’s younger age. The main reasons why the newborns were brought were: Phisiological phenomena of the newborn (17.4%), upper respiratory infection (13.4%), and colic or crying (12.8%). Conclusions: Newborns can manifest a wide variety of symptoms and signs that, due to their non-specificity, generate anxiety in their parents and can generate numerous visits to the emergency services, with a higher probability of hospitalization due to their young age and the physician’s caution, rather than due to severity of the illness.

Hospital emergency room simulation

1999 ◽  
Vol 31 (1) ◽  
pp. 92-94 ◽  
Author(s):  
Viera K. Proulx
Keyword(s):  
Emergency Room ◽  
Hospital Emergency ◽  
Hospital Emergency Room

Abstract W P359: Stroke Symptom Identification: Using a Modified ROSIER SCALE at Emergency Room Triage

Stroke ◽  
2015 ◽  
Vol 46 (suppl_1) ◽  
Author(s):  
Deborah Bergman ◽  
Keyword(s):  
Emergency Room ◽  
Team Member ◽  
Assessment Tool ◽  
Stroke Patients ◽  
Hospital Emergency ◽  
Roles And Responsibilities ◽  
Stroke Symptom ◽  
Stroke Team ◽  
Hospital Emergency Room ◽  
Stroke Center

Background and Issues: Stroke patients can arrive to the emergency room via Emergency Medical Services (EMS) or ambulatory at triage. Processes are already in place to identify stroke patients in the field such as the Cincinnati Pre-hospital Stroke Scale used by the Emergency Management Services (EMS) and early notification to the hospital emergency room staff. Data showed that approximately 68% of stroke patients at this stroke center arrived by or were brought to the hospital by self, family, or coworkers and not by EMS. Our main goal was to improve the process for recognizing stroke symptoms for patients who do not arrive by EMS and minimize delays to activating the Stroke Code Team Page in the triage area. Methods: The first step was to identify the barriers or delays that nurses had with initiating a stroke code alert. Stroke code activations were delayed because of uncertainty of who should call it and some nurses did not feel confident in their decision to activate the stroke code alert without consulting the emergency room physician. It was determined that the nurse would feel more empowered if there was more clarity to their roles and responsibilities during the assessment phase and there was an assessment tool available to guide them to the decision to activate the stroke team page. A modified version of the “Recognition of Stroke in the Emergency Room” (ROSIER) scale was implemented for the nurses to evaluate a patient that presents with stroke like symptoms. In addition to clarify their roles a workflow chart was deployed to show each team member their specific roles and responsibilities during this process. Results: Prior to the implementation of the ROSIER scale at triage the activation of stroke codes at triage were inconsistent. After education of the ED nurses and implementation of the ROSIER SCALE at triage there was a significant increase in the activations of stroke codes by ED nurses and a decrease in the time from triage to stroke team activation. Conclusions: Using an assessment tool like the ROSIER Scale in addition to clarifying the roles and responsibilities of the team can reduce delays to identifying acute stroke symptoms in patients at a busy emergency room triage area and improve opportunities for timely interventions.

Unsafe Playgrounds

PEDIATRICS ◽  
1979 ◽  
Vol 64 (6) ◽  
pp. 962-963 ◽  
Author(s):  
Thomas E. Reichelderfer ◽  
Avrin Overbach ◽  
Joseph Greensher
Keyword(s):  
Emergency Room ◽  
Surveillance System ◽  
Hazard Index ◽  
Severity Index ◽  
Product Safety ◽  
Injury Surveillance ◽  
Consumer Product ◽  
Hospital Emergency ◽  
Injury Surveillance System ◽  
Hospital Emergency Room

Pediatricians generally may not be aware that playgrounds and playground equipment present an unsuspected hazard to children. Swings, slides, and playground equipment are ranked fifth in the Consumer Product Hazard Index based on data from the National Electronic Injury Surveillance System (NEISS) of the Consumer Product Safety Commision (CPSC), with an Age Adjusted Frequency-Severity Index of 12,498,000 for 1976 to 1977.1 Last year the CPSC's NEISS estimated that 167,000 persons were administered hospital emergency room treatment on a nationwide basis for injuries associated with public (75,000), home (41,000), and unspecified (51,000) playground equipment. The majority of those injured were between 5 and 10 years of age.

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