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Journal of the American College of Emergency Physicians Open
Scopus
ISSN 2688-1152 · Elsevier · 1.144 artikel di indeks
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Artikel Jurnal
Asynchronous education improves emergency medical services clinician confidence and knowledge in caring for patients near the end‐of‐life
Abstract Objective To evaluate the impact of a nationally available continuing education online curriculum on Emergency Medical Services (EMS) clinician confidence and knowledge in caring for end‐of‐life (EOL) patients. Methods This is a prospective observational study of EMS clinicians (emergency…
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Artikel Jurnal
The i‐gel® supraglottic airway device compared to endotracheal intubation as the initial prehospital advanced airway device: A natural experiment during the COVID‐19 pandemic
Abstract Objective Unlike randomized controlled trials, practical real‐world studies can offer important information about implementation of prehospital interventions, particularly in community settings where there may be reluctance to adopt new practices. We present the results of a natural…
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Artikel Jurnal
Emergency physicians perspectives of state continuing medical education requirements for medical licensure
Abstract Objectives This study aims to better understand the perspectives of emergency medicine physicians’ on the role that state‐mandated, topic‐specific continuing medical education (CME) plays in addressing knowledge gaps, its relevance to current emergency practice, its reported burden and…
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Artikel Jurnal
Rapid outpatient evaluation for emergency department patients with intermediate risk chest pain safely reduces admissions
Abstract Objective This study aims to assess the safety of an outpatient chest pain pathway (OCPP) for patients presenting to the emergency department (ED) with chest pain and a HEART score of 4 or 5. Methods This is a retrospective, observational, non‐inferiority study assessing the impact of the…
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Artikel Jurnal
Rearranging the furniture: A blueprint for reappropriating fixed resources to create an emergency department resuscitative care unit
Abstract Emergency department (ED) care teams face challenges in providing timely, high‐quality care to critically ill patients because of competing patient care priorities and a multitude of system strains, including patient boarding. Patients who are boarding in the ED experience increased…
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Artikel Jurnal
Privacy and confidentiality of emergency department patient information: Contemporary considerations and challenges
Abstract This article provides a brief review of moral and legal duties to respect confidentiality in emergency medicine. The article considers current challenges to confidentiality in emergency departments and proposes strategies to address them. It is offered as an update of the two‐part review…
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Artikel Jurnal
Multisite development and validation of machine learning models to predict severe outcomes and guide decision‐making for emergency department patients with influenza
Abstract Objective Millions of Americans are infected by influenza annually. A minority seek care in the emergency department (ED) and, of those, only a limited number experience severe disease or death. ED clinicians must distinguish those at risk for deterioration from those who can be safely…
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Artikel Jurnal
Implementation of a prehospital whole blood program: Lessons learned
Abstract Early blood administration by Emergency Medical Services (EMS) to patients suffering from hemorrhagic shock improves outcomes. Prehospital blood programs represent an invaluable resuscitation capability that directly addresses hemorrhagic shock and mitigates subsequent multiple organ…
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Artikel Jurnal
Relationship between on‐demand telehealth visits and emergency department and hospital surge during the COVID‐19 pandemic
Abstract Objectives The relationship between COVID‐19‐related telehealth calls could be used to predict emergency department visits and hospital surges 3 days later potentially facilitating staffing adjustments in advance of patient arrivals. The purpose of this research was to study the temporal…
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Artikel Jurnal
Emergency physician resource utilization varies by years of experience
Abstract Objectives One of the most pivotal decisions an emergency physician (EP) makes is whether to admit or discharge a patient. The emergency department (ED) work‐up leading to this decision involves several resource‐intensive tests. Previous studies have demonstrated significant differences in…
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Artikel Jurnal
Timing of antibiotic treatment identifies distinct clinical presentations among patients presenting with suspected septic shock
Abstract Objective Recent clinical guidelines for sepsis management emphasize immediate antibiotic initiation for suspected septic shock. Though hypotension is a high‐risk marker of sepsis severity, prior studies have not considered the precise timing of hypotension in relation to antibiotic…
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Artikel Jurnal
Adherence to doxycycline for uncomplicated genitourinary chlamydia: A prospective observational study
Abstract Objectives Since 2020, the Center for Disease Control and Prevention (CDC) no longer recommends single‐dose azithromycin as first‐line therapy for uncomplicated genitourinary chlamydia, advising instead a 7‐day course of doxycycline. Our study investigates self‐reported adherence to the…
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