Emergency department

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    the other emergency agencies. Captain Ward mentioned that face-to-face is their primary way of communication within the fire department, and with the other emergency agencies. In other emergency circumstances, radio will be another common communication system to use. It caught my attention on how does the communication system work during emergency circumstances? How long does it take to communicate the emergency plan within the fire department and with the other agencies during an emergency…

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    The day was spent shadowing the doctors and medical students in the pediatric emergency department. Last year, I recalled the first year SEP students observed the adult wing of the emergency department. The similarities between the two sets of populations were interesting. Both sets of patients included individuals with aliments suited for a visit with a primary care physician. This introduces a question about why the ED receives such a high quantity of these cases. One outlook includes the…

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    One of the issues that emergency nurses will run in to will be overcrowding in the emergency department. In 2013, there was a study done on the relationship between emergency department (ED) crowding and patient outcomes (Bernstein et al., 2008). More and more individuals are using ED services. From 1999 to 2009 there was a 32% increase in visits to the ED. With this increase there was also a substantial increase in hospital admissions and ICU admissions, indicating that there was an increase in…

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    Ginde, Savaser, and Camargo (2009) conducted a study to evaluate the communication and early management of emergency department hyperglycemia. A retrospective cohort study design was used and Institutional Review Board’s (IRB) approval was obtained. The population was emergency department (ED) patients at an urban, academic institution with approximately 50,000 annual visits. Using electronic records, they identified patients with a first serum glucose value of > 140 mg/dL. Researchers then…

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    1. Introduction This paper tends to critically look at the topic “Dilemma of Psychiatric Extend Lengths of Stay in the Emergency Department”. The critique highlights the reasons, the effects of the delayed stay of Psychiatric patients in the emergency rooms as well as the solutions. Psychiatry is a branch of science which deals with diagnostics, and treatments as well as prevention of illnesses concerned with mental, emotions and changes in behavior. A take home from such stay is that is majorly…

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    Emergency departments provide twenty-four hour care for life threatening, chronic and acute conditions. However, the increase utilization of emergency departments lead to overcrowding and an increase in the number of individuals that leave without being seen (LWBS) by a physician. “According to a Center for Disease Control and Prevention report on ED use in the United States in 2000, at least 1.8 million patients left emergency departments without being seen” (Johnson et al., 2009). This is a…

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    Emergency Department (ED) overcrowding is a problem affecting emergency departments all over the country. The author of this paper currently is employed in an ED that suffers from overcrowding and the subsequent long wait times (WT), increased length of stays (LOS), dissatisfied patients and staff, and patients who leave without being seen (LWBS). The author proposes the implementation of a fast-track (FTA) area at St. Anthony North Health Campus (SANHC) to improve the current situation. She…

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    Point Of Care Testing

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    Prevention (2015) estimate that 735,000 Americans suffer heart attacks each year. Although chest pain does not always signify a person is having a heart attack, the most reliable way to rule out this frightening possibility is a visit to the nearest emergency room for appropriate testing. Contrary to popular belief, the overwhelming majority of myocardial infarctions are diagnosed by carrying out cardiac troponin blood tests to detect myocardial (heart) cell death, not from a 12-lead…

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    worker is required in the emergency room at all times. Even though, Z. Byrd and R. Sai have been advocating for this, for many years; but it has been to no avail. The emergency room is self-sustaining when it comes to social service needs. On a rare occasion, emergency room staff may call a social worker on one of the other floors, if they are having major issues. According to R. Sai and Z. Byrd, there is a consensus that a permanent social worker is needed in the emergency room at all times,…

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    EMLA Cream: A Case Study

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    EMLA and Intravenous Access This study was completed by Schreiber et al (2013) to see if the alleged vasoconstrictive effects of EMLA cream make it more difficult for healthcare workers to initiate intravenous access in children. The article begins by discussing pain from venipuncture and venous cannulation and how local anaesthetic cream such as EMLA can be used to reduce the pain; however, 16 out of 58 clinicians interviewed believed that using EMLA cream on young children made achieving…

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