Imaging appropriateness in an academic emergency medicine program
Radiology and imaging have substantial roles in assessment of patients in emergency situations [1 –3]. The growing body of public awareness concerning potential risks of ionizing radiation as well as financial concerns, however, have bolded the importance of correct initial imaging evaluation more than before [4–9]. On the other hand, the diversity and variety of available imaging modalities and ongoing development of new techniques, each with different specific features, makes the initial decision on asking for proper imaging more intriguing. (Source: International Emergency Nursing)
Source: International Emergency Nursing - July 11, 2017 Category: Nursing Authors: Ali Arhami Dolatabadi, Majid Shojaee, Hamid Kariman, Ali Shahrami, Sarah Abolmaali Source Type: research
A qualitative systematic review of the reasons for parental attendance at the emergency department with children presenting with minor illness
The demand for urgent healthcare services is increasing, and the pressure on Emergency Department (ED) is of significant concern globally (Amiel et al., 2014). EDs are visited annually by almost 5 million children in England, United Kingdom (UK) Health and Social Care Information Centre (2016). There are diverse rates of non-urgent ED visits internationally ranging from 39.9% in Belgium among 3117 children (Benahmed et al., 2012), 40% in England (Ismail et al., 2013), 52.8% in Australia (Unwin et al., 2016), 57% in Italy (Vedovetto et al., 2014) and 58% in the United States of America (USA) (Kubicek et al., 2012) suggestin...
Source: International Emergency Nursing - July 4, 2017 Category: Nursing Authors: Ahmet Butun, Pippa Hemingway Tags: Review Source Type: research
Spiritual perspectives of emergency medicine doctors and nurses in caring for end-of-life patients: A mixed-method study
Due to decreasing birth rates and increasing life expectancies, ageing population is currently a global issue [1]. This results in an increased number of terminally ill elderly patients being sent to Emergency Departments (EDs) [2,3]. Apart from elderly patients, other patients with terminally illness, such as those with oncological diseases, neurological disorders or advanced organ failures are also presented to the ED [4]. Some of their ED visits aimed to seek symptomatic management of their end-stage illness [5]. (Source: International Emergency Nursing)
Source: International Emergency Nursing - July 3, 2017 Category: Nursing Authors: Yingting Zhang, Rakhee Yash Pal, Wai San Wilson Tam, Alice Lee, Mabel Ong, Lay Hwa Tiew Source Type: research
“A call for a clear assignment” – A focus group study of the ambulance service in Sweden, as experienced by present and former employees
A more or less universal definition of the Ambulance Service (AS) is an organization that provides advanced medical care to out-of-hospital patients [1,2]. The rationale behind this study is that the Swedish context and legislation contain three somewhat poorly developed definitions; An ambulance is “a means of transportation designed and equipped for ambulance care and transport of sick and injured individuals/persons”, the AS delivers “Health care provided by health and medical personnel in or adjacent to the ambulance” and finally, prehospital emergency care is defined as “Immediat e medical interventions of h...
Source: International Emergency Nursing - July 3, 2017 Category: Nursing Authors: Helena Ros én, Johan Persson, Andreas Rantala, Lina Behm Source Type: research
Spiritual Perspectives of Emergency Medicine Doctors and Nurses in Caring for End-of-life Patients: A Mixed-Method Study
Due to decreasing birth rates and increasing life expectancies, ageing population is currently a global issue (United Nations, n.d.). This results in an increased number of terminally ill elderly patients being sent to Emergency Departments (EDs) (Boh, 2015; Quest et al., 2011). Apart from elderly patients, other patients with terminally illness, such as those with oncological diseases, neurological disorders or advanced organ failures are also presented to the ED (Cornillon et al., 2016). Some of their ED visits aimed to seek symptomatic management of their end-stage illness (Grudzen et al., 2011). (Source: International Emergency Nursing)
Source: International Emergency Nursing - July 3, 2017 Category: Nursing Authors: Yingting Zhang, Rakhee Yash Pal, Wai San Wilson Tam, Alice Lee, Mabel Ong, Tiew Lay Hwa Source Type: research
“A call for a clear assignment” - A focus group study of the ambulance service in Sweden, as experienced by present and former employees
A more or less universal definition of the Ambulance Service (AS) is an organisation that provides advanced medical care to out-of-hospital patients [1 –2]. The rationale behind this study is that the Swedish context and legislation contain three somewhat poorly developed definitions; An ambulance is “a means of transportation designed and equipped for ambulance care and transport of sick and injured individuals/persons”, the AS delivers “H ealth care provided by health and medical personnel in or adjacent to the ambulance” and finally, prehospital emergency care is defined as “Immediate medical interventions o...
Source: International Emergency Nursing - July 3, 2017 Category: Nursing Authors: Helena Ros én, Johan Persson, Andreas Rantala, Lina Behm Source Type: research
Editorial board
(Source: International Emergency Nursing)
Source: International Emergency Nursing - July 1, 2017 Category: Nursing Source Type: research
Convenience, quality and choice: Patient and service-provider perspectives for treating primary care complaints in urgent care settings
Choice is typically considered to be an intrinsically worthwhile activity since it is closely linked to the notion of individual autonomy. This view is reinforced at a political and cultural level in the UK (and elsewhere) and consumerist notions of personal choice and expediency influence an increasing variety of social and personal behaviors including healthcare decision-making. Since the 1980 ’s, successive UK Governments have implemented an increasingly consumer-orientated model of healthcare where patients are encouraged to choose when, where and by whom their healthcare is delivered [1]. (Source: International Emergency Nursing)
Source: International Emergency Nursing - June 26, 2017 Category: Nursing Authors: David Sturgeon Source Type: research
Responsibility and compassion in prehospital support to survivors of suicide victim – Professionals’ experiences
Over 800,000 people throughout the world commit suicide every year.1 It is estimated that for each person who commits suicide, six or more survivors are affected.2 As Shneidman pointed out: “A person’s death is not only an ending: it is also a beginning – for the survivors”.3 There is a difference for survivors between losing someone by sudden death caused by an accident or disease and the deliberate actions of a person who has committed suicide.4 The survivors often blame them selves for not preventing the suicide. (Source: International Emergency Nursing)
Source: International Emergency Nursing - June 16, 2017 Category: Nursing Authors: Christina Nilsson, Anders Bremer, Karin Blomberg, Mia Svantesson Source Type: research
A snapshot of novel psychoactive substances (legal highs) use in London
Over the past ten years, there has been an increase in a type of drug use known as ‘legal highs’. These substances include synthetic cannabinoids and synthetic cathinones as well as other amphetamine type stimulants. Legal highs were created as replacements for recreational drugs (3,4-methylenedioxy-methamphetamine (MDMA), cocaine, amphetamines and cannabis and mimic ecstasy a nd cocaine. The manufacturers of these substances are unregulated and subsequently the potency, toxicity and effects vary greatly (Abdulrahim and Bowden-Jones 2015). (Source: International Emergency Nursing)
Source: International Emergency Nursing - June 13, 2017 Category: Nursing Authors: Claire Norman, Geraldine A Lee Source Type: research
Two emergency departments, 6000km apart: Differences in patient flow and staff perceptions about crowding
One of the most critical issues affecting emergency department (ED) delivery of care worldwide is crowding [1]. ED crowding is defined as a state where care demands exceed available resources, resulting in long waits for tests and treatments [2 –4]. Crowding is a major barrier to receiving timely emergency care and it contributes to poor quality care, such as prolonged waiting times, increased suffering for those in pain, poor clinical outcomes, delays in treatment and increased risks of adverse outcomes [5–10]. (Source: International Emergency Nursing)
Source: International Emergency Nursing - June 8, 2017 Category: Nursing Authors: M. Christien Van Der Linden, Munawar Khursheed, Khairunnissa Hooda, Jesse M. Pines, Naomi Van Der Linden Source Type: research
Two Emergency Departments, 6000 Kilometers Apart: Differences in Patient Flow and Staff Perceptions about Crowding
One of the most critical issues affecting emergency department (ED) delivery of care worldwide is crowding [1]. ED crowding is defined as a state where care demands exceed available resources, resulting in long waits for tests and treatments [2 –4]. Crowding is a major barrier to receiving timely emergency care and it contributes to poor quality care, such as prolonged waiting times, increased suffering for those in pain, poor clinical outcomes, delays in treatment and increased risks of adverse outcomes [5–10]. (Source: International Emergency Nursing)
Source: International Emergency Nursing - June 8, 2017 Category: Nursing Authors: M. Christien Van Der Linden, Munawar Khursheed, Khairunnissa Hooda, Jesse M. Pines, Naomi Van Der Linden Source Type: research
Emergency nurses ’ knowledge and experience with the triage process in Hunan Province, China
To facilitate timely treatment of patients that present to hospital Emergency Departments (EDs) a triage process is often implemented. Triage is usually conducted by a senior nurse in the ED to ensure that patients are seen and treated in order of their clinical urgency (Cronin, 2003). Triage also seeks to minimise morbidity, disfigurement, pain, emotional distress and patient dissatisfaction with their care experience (Zimmermann, 2001). As the number of patients presenting to EDs continues to increase worldwide (Murray, 2003), triage enables ED staff to prioritise patient care so that patients requiring more immediate ca...
Source: International Emergency Nursing - June 5, 2017 Category: Nursing Authors: Karen Hammad, Lingli Peng, Olga Anikeeva, Paul Arbon, Huiyun Du, Yinglan Li Source Type: research
Contributing Factors of Frequent Use of the Emergency Department: A Synthesis
In 1976, James Mannon published a research article in which he discussed the definition and treatment of what he termed as ‘problem patients’ in the emergency department (ED) of a hospital located in the Midwestern United States (US) (Mannon, 1976). Within this article, he refers to a group of patients as ‘regulars’, defining these patients based upon the staff’s description as those who visited the ED multipl e times during a given week (Mannon, 1976). He goes on to state that some communities had ED’s that were understaffed and underdeveloped and this, coupled with the influx of regulars, could cause conflict...
Source: International Emergency Nursing - June 5, 2017 Category: Nursing Authors: Timothy R. Burns Source Type: research
Identification of Seniors at Risk (ISAR) in the emergency room: a prospective study
Portugal is the fifth oldest country in the world. In 2011, 19% of the population was aged 65 or higher (Statistics Portugal - SP, 2012) and this is expected to rise to 34.7% by 2030 (United Nations, 2015). The aging Portuguese population contributes to the increased use of emergency services by older adults (OA), which is often associated with unit overcrowding (Carpenter et al., 2015; Salvi et al., 2007). (Source: International Emergency Nursing)
Source: International Emergency Nursing - June 2, 2017 Category: Nursing Authors: Jo ão Paulo de Almeida Tavares, Pedro Sá-Couto, Marie Boltz, Elizabeth Capezuti Source Type: research
