To ensure consistent documentation of alcohol and substance use, the emergency medicine is
initiating a new standard of care for substance use screening: the use of a brief
self-evaluation questionnaire on alcohol, tobacco and illicit substance use to be completed
in triage. This questionnaire will allow emergency medicine patients presenting to the
emergency room. This study will also review medical records after one year of the index
emergency room visit ... Read More
Emergency Medicine (EM) Residents routinely conduct bedside ultrasound exams in the
Emergency Department (ED) employing the two point compression method. This study endeavors
to investigate the accuracy and utility of bedside ultrasound for Deep Vein Thrombosis (DVT)
in the ED by EM Residents by comparing the results of that exam against the gold standard of
a DVT ultrasound performed in the Radiology Department and interpreted by a Radiologist.
Alcohol abuse is associated with injury, chronic illness, absenteeism from work, and social
costs to families and communities. The goal of this project is to translate motivational
interventions successful in the primary care setting to the Emergency Department (ED)
environment by implementing screening, brief intervention and referral to treatment (SBIRT)
in order to reduce at-risk drinking among ED patients.
Distal forearm fractures are amongst the most frequently encountered orthopedic injuries in
the pediatric emergency department (ED). Immediate closed manipulation and cast
immobilization, is still the mainstay of management. The initial management of non-displaced
or minimally displaced extremity fractures and relocation of uncomplicated joint
dislocations is part of the usual practice of emergency medicine. Although focused training
in fracture-dislocation ... Read More
There are multiple retrospective studies detailing the use of etomidate in pediatric
procedural sedation but few to no prospective clinical trials. None have compared etomidate
to ketamine, currently the most commonly used sedative in the emergency department for
pediatric procedural sedation. The investigators propose a randomized, controlled trial
comparing etomidate versus ketamine for procedural sedation for fracture reduction for
children presenting ... Read More
The purpose of this study was to determine whether use of teach-back discharge instructions
improve patient satisfaction and patients' self-reported and objective comprehension of
discharge instructions in the emergency department when compared to standard discharge
Acute self poisoning is a leading cause of suicide attempts and leads to frequent emergency
department visits. However, the exact epidemiology of acute self poisoning is not known. The
description of the clinical pathway and the characteristics of patients with acute self
poisoning could lead to an improvement in emergency care.
The Investigators will conduct a 48h observational study in emergency services in France.
Investigators primary objective is to ... Read More
The purpose of this study is to evaluate intubation duration between rapid sequence
intubation technique (RSI) and non-rapid sequence intubation technique (non-RSI) performed
by emergency medicine residents in Siriraj hospital.
Source: Albert Einstein College of Medicine of Yeshiva University
The aims of this study are to assess efficacy and safety of patient-controlled analgesia
(PCA) when applied to the Emergency Department setting and to compare the efficacy and
safety of two PCA dosing regimens.
The study will evaluate the effect of two IV dose regimens of MEDI-563 on the proportion of
adult subjects with asthma exacerbations who required an urgent healthcare visit for
treatment of an acute asthma exacerbation.
This study aims to determine the efficacy and safety of low dose ketamine in association
with IV morphine in the management of acute moderate to severe pain in emergency department.
We hypothesize that low dose ketamine will result in more effective pain control than
morphine alone and will not be associated with an increase in adverse events.
The trial is aimed to show that implementation of a procalcitonin-guided antibiotics
algorithm may result in shortened antibiotics course in ICU sepsis patients without inferior
outcome as compared to the conventional therapy
The purpose of this study is to identify existing cost knowledge of Emergency Medicine (EM)
physicians and patients and investigates its reported impacts on medical compliance. A
cross-sectional survey will be administered electronically to Emergency Medicine physicians
at the University of Utah Hospital and the Emergency Physician Integrated Care, LLC (EPIC)
who staff ten-community hospital Emergency Departments (ED) in order to investigate
physician ... Read More
Source: Korean Medicine Hospital of Pusan National University
Acupuncture is widely used for managing acute and chronic pain conditions. In the context of
an emergency department (ED), patients often present with non-emergent acute pain symptoms.
This may result in a delayed triage process and inefficient emergent management. An
integrative patient-care approach in emergency departments has been explored that may
improve patient satisfaction and promote efficient use of healthcare resources for
non-emergent patients in ... Read More
Pain control is a common and serious problem in cancer patients. Although WHO has developed
a three-stage model of cancer pain management, 80% cancer patients still suffer moderate to
severe pain in their daily life. When patients are with acute exacerbation or aggravate of
pain, they usually visit the emergency department for more help.
Acupuncture is a safe, low-invasive and economic treatment. And it has been world-wide used
as a complementary therapy ... Read More
The main objective of this study is to investigate the non-inferiority of oral
flucloxacillin alone compared with a combination of oral flucloxacillin and
phenoxymethylpenicillin for the emergency department directed outpatient treatment of
cellulitis, wound infections and abscesses, recently renamed by the Food and Drug
Administration (FDA) as acute bacterial skin and skin structure infections (ABSSSIs). Half
of the trial participants will receive ... Read More
Aim 1: To determine if real-time assessments of perceived sleepiness and fatigue using
text-messaging impacts an emergency medicine clinician's Attitudes, Perceived Norms,
Self-Efficacy, Alertness Habits, Perceived Importance of Fatigue, Knowledge of
Sleepiness/Fatigue, and Perceptions of Environmental Constraints regarding behaviors that
can improve alertness during shift work.
Aim 2: To determine if text-messaging emergency care workers fatigue-reduction ... Read More