Effect of an Emergency Department Care Bundle on 30-Day Hospital Discharge and Survival Among Elderly Patients With Acute Heart Failure: The ELISABETH Randomized Clinical Trial.

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Clinical guidelines for the early management of acute heart failure in the emergency department (ED) setting are based on only moderate levels of evidence, with subsequent low adherence to these […]

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Association between COVID-19 diagnosis and presenting chief complaint from New York City triage data.

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New York City (NYC) is an epicenter of the COVID-19 pandemic in the United States. Proper triage of patients with possible COVID-19 via chief complaint is critical but not fully […]

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Effect of Implementing the Out-of-Hospital Traumatic Brain Injury Treatment Guidelines: The Excellence in Prehospital Injury Care for Children Study (EPIC4Kids).

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We evaluate the effect of implementing the out-of-hospital pediatric traumatic brain injury guidelines on outcomes in children with major traumatic brain injury.The Excellence in Prehospital Injury Care for Children study […]

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Assessment of ED triage of anaphylaxis patients based on the Emergency Severity Index.

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To describe the emergency department (ED) triage of anaphylaxis patients based on the Emergency Severity Index (ESI), assess the association between ESI triage level and ED epinephrine administration, and determine […]

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Language preference does not influence stroke patients’ symptom recognition or emergency care time metrics.

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Our objective was to determine whether acute ischemic stroke (AIS) patients’ language preference is associated with differences in time from symptom discovery to hospital arrival, activation of emergency medical services, […]

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After a century, Epinephrine’s role in cardiac arrest resuscitation remains controversial.

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Epinephrine is recommended in contemporary educational efforts by the American Heart Association (AHA) as central to adult Advanced Cardiac Life Support (ACLS). However, the International Liaison Committee on Resuscitation (ILCOR) […]

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First and last authorship by gender in emergency medicine publications- a comparison of 2008 vs. 2018.

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Recently, investigators reported that there remain substantial disparities in the proportion of women within emergency medicine (EM) who have achieved promotion to higher academic rankings, received grant funding, and attained […]

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A multifaceted intervention improves antibiotic stewardship for skin and soft tissues infections.

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Assess the effectiveness of a multifaceted stewardship intervention to reduce frequency and duration of inappropriate antibiotic use for emergency department (ED) patients with skin and soft tissue infections (SSTI). We […]

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Comparison of manual and mechanical chest compression techniques using cerebral oximetry in witnessed cardiac arrests at the emergency department: A prospective, randomized clinical study.

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We aimed to compare regional cerebral oxygen saturation (rSO2) levels during cardiopulmonary resuscitation (CPR), performed either manually or using a mechanical chest compression device (MCCD), in witnessed cardiac arrest cases […]

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Surge activation by the emergency department for COVID-19.

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In March 2020, the American College of Emergency Physicians (ACEP) published a national strategic plan for COVID-19, which provides general guidelines yet leaves logistical details for institutions to determine. Key […]

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Predictors of emergency department opioid administration and prescribing: A machine learning approach.

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The opioid epidemic has altered normative clinical perceptions on addressing both acute and chronic pain, particularly within the Emergency Department (ED) setting, where providers are now confronted with balancing pain […]

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Predictors of return visits to the emergency department among different age groups of older adults.

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To identify predictors of 30-day emergency department (ED) return visits in patients age 65-79 years and age ≥ 80 years.This was a cohort study of older adults who presented to the ED over a […]

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A systematic review of the causes and prevention strategies in reducing gun violence in the United States.

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Approximately 100 lives are lost each day as a result of gun violence in the United States (US) with civilian mass shootings increasing annually. The gun violence rate in the […]

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Retrospective analysis of the hemodynamic consequences of prehospital supplemental oxygen in acute stroke.

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Hyperoxia, the delivery of high levels of supplemental oxygen (sO2) despite normoxia, may increase cerebral oxygenation to penumbral tissue and improve stroke outcomes. However, it may also alter peripheral hemodynamic […]

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Risk factors associated with hospital admission in COVID-19 patients initially admitted to an observation unit.

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No set guidelines to guide disposition decisions from the emergency department (ED) in patients with COVID-19 exist. Our goal was to determine characteristics that identify patients at high risk for […]

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Strategies to prevent COVID-19 transmission in the emergency department of a regional base hospital in Korea: From index patient until pandemic declaration.

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This study aimed to describe the timely strategies used to prevent the spread of the emerging coronavirus disease 2019 (COVID-19) and present the activities performed in a regional base hospital […]

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Timing of thromboprophylaxis in patients with blunt abdominal solid organ injuries undergoing nonoperative management.

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Decision-making regarding the optimal timing for initiating thromboprophylaxis in patients with blunt abdominal solid organ injuries (BSOIs) remains ill-defined, with no guidelines defining optimal timing. In this study, we aimed […]

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Assessing the impact of CKD on outcomes in septic shock patients receiving standard Vs reduced initial fluid volume.

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To determine if following fluid resuscitation recommendations in the Surviving Sepsis Campaign guidelines affects hospital length of stay (LOS) in chronic kidney disease (CKD) patients who present to the emergency […]

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Utilization of a multidisciplinary emergency department sepsis huddle to reduce time to antibiotics and improve SEP-1 compliance.

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Sepsis is a significant public health crisis in the United States, contributing to 50% of inpatient hospital deaths. Given its dramatic health effects and implications in the setting of new […]

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Intravenous insulin for the management of non-emergent hyperglycemia in the emergency department.

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There is currently no consensus regarding the necessity of emergency department (ED) glucose reduction to manage hyperglycemia in patients presenting without a hyperglycemic emergency. Known consequences of intravenous (IV) insulin […]

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Complication of vasopressor infusion through peripheral venous catheter: A systematic review and meta-analysis.

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Vasopressors are mainstay treatment for patients in shock and are usually infused through central venous catheters (CVCs). However, CVCs are associated with risk of infection or delay from the needs […]

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Nationwide analysis of resuscitative thoracotomy in pediatric trauma: Time to differentiate from adult guidelines?

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Emergency department thoracotomy (EDT) for pediatric patients is uncommon, and practice patterns have not been evaluated. We examined the indications and outcomes for EDT by trauma center designation using a […]

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AAST – WSES Guidelines on Diagnosis and Management of Peripheral Vascular Injuries.

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The peripheral arteries and veins of the extremities are among the most commonly injured vessels in both civilian and military vascular trauma. Blunt causes are more frequent than penetrating except […]

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AAST – WSES Guidelines on Diagnosis and Management of Abdominal Vascular Injuries.

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Abdominal vascular trauma accounts for a small percentage of military and a moderate percentage of civilian trauma, affecting all age ranges and impacting young adult males most frequently. Penetrating causes […]

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Does routine repeat imaging for blunt high-grade renal trauma lead to unnecessary interventions?

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Most high-grade renal injuries with urinary extravasation (UE) may be managed conservatively without intervention. For such patients, the American Urological Association Urotrauma guidelines recommend repeat imaging within 48-72h of injury. […]

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Urinary cell cycle arrest proteins urinary tissue inhibitor of metalloprotease 2 and insulin-like growth factor binding protein 7 predict acute kidney injury after severe trauma: A prospective observational study.

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Recognition and clinical diagnosis of acute kidney injury (AKI) after trauma is difficult. The majority of trauma patients do not have a known true baseline creatinine, which makes application of […]

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MEAN ARTERIAL PRESSURE MAINTENANCE FOLLOWING SPINAL CORD INJURY: DOES MEETING THE TARGET MATTER?

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Neurosurgical guidelines recommend maintaining mean arterial pressure (MAP) between 85-90 mmHg following acute spinal cord injury (SCI). In our hospital, SCI patients receive orders for MAP targeting for 72 hours […]

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A Multicenter Study on Definitive Surgery for Isolated Hip Fracture within 24 Hours.

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Isolated hip fractures (IHFs) in the elderly are high frequency, life-altering events. Definitive surgery ≤ 24 hours of admission is associated with improved outcomes. An IHF process management guideline (IHF-PMG) […]

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