Articles Archives - Page 22 of 40 - The Western Journal of Emergency Medicine

Emergency Department Access

A Geospatial Analysis of Freestanding and Hospital Emergency Department Accessibility via Public Transit

Carlson, MD, et al.

In order to explore the effect of freestanding emergency departments (FSED) on access to care for urban underserved populations, we performed a geospatial analysis comparing the proximity of FSEDs and hospital EDs to public transit lines in three United States (U.S.) metropolitan areas: Houston, Denver, and Cleveland.

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Are Rural and Urban Emergency Departments Equally Prepared to Reduce Avoidable Hospitalizations?

Greenwood-Ericksen, MD, et al.

A cross-sectional, web-based survey was emailed to medical directors and/or nurse managers of the 135 hospital-based EDs in Michigan. Questions included presence of clinical pathways, services to reduce admissions, and barriers to connecting patients to outpatient services.

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Provider Workforce

Burnout, Drop Out, Suicide: Physician Loss in Emergency Medicine, Part I

Stehman, MD, et al.

Burned-out physicians are unlikely to seek professional treatment and may attempt to deal with substance abuse, depression and suicidal thoughts alone. This paper reviews the scope of burnout, contributors, and consequences both for medicine in general and for EM in particular.

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Provider Workforce

Response to: “Emergency Medicine Physician Assistant Postgraduate Training Programs: Program Characteristics and Training Curricula”

Kraus, DO, et al.

We thank Mr. Wu, PA-C, MHS (President, the Society of Emergency Medicine Physician Assistants [SEMPA]) for his insightful letter in response to our paper, “Emergency Medicine Physician Assistant (EMPA) Postgraduate Training Programs: Program Characteristics and Curricula.”

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Antivenom Treatment Is Associated with Fewer Patients using Opioids after Copperhead Envenomation

Freiermuth, MD, et al.

There is rising concern that an initial opioid prescription from the emergency department (ED) can lead to long-term addiction. This analysis sought to determine whether use of Fab antivenom (FabAV) for copperhead envenomation affected opioid use.

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Availability of Bedside and Laboratory Testing for Carbon Monoxide Poisoning in the Upper Midwestern United States

Masters, MD, et al.

The objective of this study was to assess the ability to test patients for carbon monoxide (CO) exposure in all hospitals in three United States (U.S.) Midwestern states.

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Feasibility of Telesimulation and Google Glass for Mass Casualty Triage Education and Training

McCoy, MD, et al.

Our goal was to evaluate the feasibility and effectiveness of using telesimulation to deliver an emergency medical services (EMS) course on mass casualty incident (MCI) training to healthcare providers overseas.

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Targeted Simulation-based Leadership Training for Trauma Team Leaders

Rosenman, MD, et al.

Traditionally, healthcare curricula have included leadership as a small component of broader teamwork training, with very few examples of leadership-focused curricula. The objective of this work is to describe a novel simulation-based team leadership curriculum that easily adapts to individual learners.

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The Flipped Classroom: A Critical Appraisal

Kraut, MD, et al.

The objective of this study was to review and critically appraise the medical education literature pertaining to a flipped-classroom (FC) education model, and to highlight influential papers that inform our current understanding of the role of the FC in medical education.

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This Article Corrects: “Best Practices for Evaluation and Treatment of Agitated Children and Adolescents (BETA) in the Emergency Department: Consensus Statement of the American Association for Emergency Psychiatry”

Gerson, MD, et al.

West J Emerg Med. 2019 May;20(3):537. Pediatric BETA Consensus Guideline Working Group members should not be included in full author list. The author list has now been corrected on this erratum.

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Endemic Infections

Challenging the One-hour Sepsis Bundle

Kalantari, DO, et al.

Our purpose here is to highlight the areas where evidence is only as strong as the methodological constructs of the research used. This article is a narrative review of the available, limited evidence on which the one-hour bundle was based.

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Pertussis: The Identify, Isolate, Inform Tool Applied to a Re-emerging Respiratory Illness

Koenig, MD, et al.

Pertussis, commonly referred to as “whooping cough,” is a highly contagious acute respiratory infection that has exhibited cyclical outbreaks throughout the last century. Although vaccines have provided some immunity, many populations, including infants and pregnant women, remain at risk for serious illness.

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Stewarding Recovery from the Opioid Crisis Through Health System Initiatives

Perrone, MD, et al.

We describe a group of adoptable efforts that have been utilized successfully at our institutions and may be adapted and optimized to the needs and resources of other hospitals and health care systems.

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Approach to the Diagnosis and Management of Subarachnoid Hemorrhage

Marcolini, MD, et al.

Headache is one of the most common reasons for presentation to the emergency department (ED), seen in up to 2% of patients.1 Most are benign, but it is imperative to understand and discern the life-threatening causes of headache when they present.

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Push Notifications Reduce Emergency Department Response Times to Prehospital ST-segment Elevation Myocardial Infarction

Goebel, MAS, NRP, et al.

This study evaluates the use of a push notification system to reduce delays in cardiac catheterization lab (CCL) activation for prehospital STEMI.

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Emergency Department Operations

Machine Learning in Relation to Emergency Medicine Clinical and Operational Scenarios: An Overview

Lee, MD, MS, et al.

We cover two powerful tools from health informatics for EM clinicians and researchers by describing the previous successes and challenges and conclude with their implications to emergency care.

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Development of a Video Recording and Review Process for Trauma Resuscitation Quality and Education

Williams, MD, et al.

By working with our institutional legal counsel and risk management team, we have been able to create a video review process that complies with legal requirements. Literature on this subject has not described the process of obtaining video recordings.

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End-tidal CO2 Monitoring is Available in Most Community Hospitals in a Rural State: A Health System Survey

Ilko, BA, et al.

Procedural sedation and analgesia (PSA) provides safe and effective relief for pain, anxiety and discomfort during procedures performed in the emergency department (ED). Our objective was to identify hospital-level factors associated with routine PSA capnography use in the ED.

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Critical Care

Barriers to Prompt Presentation to Emergency Departments in Colorado after Onset of Stroke Symptoms

Trent, MD, MPH, et al.

Our objective was to identify patient and environmental factors associated with delayed presentations to the ED after onset of stroke symptoms.

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Critical Care

Rethinking Intravenous Catheter Size and Location for Computed Tomography Pulmonary Angiography

Marshall, MD, et al.

The objective of this study was to determine if a certain size or location of IV catheter used for contrast for CTPA is associated with an increased chance of suboptimal CTPA.

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Healthcare Utilization

Using the Boston Syncope Observation Management Pathway to Reduce Hospital Admission and Adverse Outcomes

Mechanic, MD, MPH, et al.

The objective of this study was to evaluate the safety of EDOU for the management of patients presenting to the ED with syncope and its efficacy in reducing hospital admissions.

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Healthcare Utilization

Latent Class Analysis of Barriers to Care Among Emergency Department Patients

Abar, PhD, et al.

By identifying the patterns of barriers experienced by subsets of the ED patient population, future researchers might effectively design interventions to circumvent these barriers and improve care. This study sought to identify classes of individuals with regard to perceived barriers to care.

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Reconsidering the “Classic” Clinical History Associated with Subluxations of the Radial Head

Pirruccio, BA, et al.

The purpose of this study is to report historical national estimates and demographic characteristics of patients presenting to U.S. emergency departments (ED) with subluxations of the radial head.

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The Prevalence of Modifiable Parental Behaviors Associated with Inadvertent Pediatric Medication Ingestions

Salzman, MD, et al.

Our aim was to examine potential risk factors and modifiable behaviors that could lead to pediatric poisonings. Our secondary objectives were to explore socioeconomic factors associated with caregiver (parent/guardian) safe medication storage and knowledge of poison control contact information.

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Provider Workforce

Assessment of Physician Well-being, Part One: Burnout and Other Negative States

Lall, MD, MHS, et al.

This two-article series provides a review of relevant tools and offers guidance to clinical mentors and researchers in choosing the appropriate instrument to suit their needs, whether assessing mentees or testing interventions in the research setting.

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Provider Workforce

Assessment of Physician Well-being, Part Two: Beyond Burnout

Lall, MD, MHS, et al.

In this second part of the series, we identify and describe assessment tools related to wellness, quality of life, resilience, coping skills, and other positive states.

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