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Quality Indicators for Geriatric Emergency Care

Emergency departments (EDs), similar to other health care environments, are concerned with improving the quality of patient care. Older patients comprise a large, growing, and particularly vulnerable subset of ED users. The project objective was to…

Dual Antibiotic Therapy Is Not Routinely Necessary for Uncomplicated Cellulitis.

A randomized, multicenter, placebo-controlled clinical trial that enrolled patients presenting to emergency departments with uncomplicated cellulitis found the addition of trimethoprim-sulfamethoxazole to cephalexin did not lead to better outcomes.

Tags: 2017, Bacterial Toxins, Cellulitis, Cephalexin, Department of Internal Medicine, Emergency Patients, Emergency Service, Hospital Medicine Alert, Methicillin-Resistant Staphylococcus aureus, NEOMED College of Medicine, Sulfamethoxazole, Watkins Richard R

The Growing Threat of Pyelonephritis Caused by Antibiotic-resistant Escherichia coli.

The article focuses on a bacteria Escherichia coli which lead to occurrence of pyelonephritis with increasing resistance of Escherichia coli for empiric antibiotics. Topics discussed include need for making choices of empiric antibiotic by clinicians…

Does functional decline prompt emergency department visits and admission in older patients?

BACKGROUND: Older patients may visit the emergency department (ED) when their illness affects their function. OBJECTIVES: To quantify the function of older ED patients, to assess whether functional decline (FD) had occurred, and to determine whether…

Reclining chairs reduce pain from gurneys in older emergency department patients: a randomized controlled trial.

OBJECTIVES: Pain related to the gurney is a frequent complaint of older emergency department (ED) patients. The authors hypothesized that these patients may have less pain and higher satisfaction if allowed to sit in a reclining hospital chair.…

The Six-item Screener to Detect Cognitive Impairment in Older Emergency Department Patients.

BACKGROUND: Cognitive impairment due to delirium or dementia is common in older emergency department (ED) patients. To prevent errors, emergency physicians (EPs) should use brief, sensitive tests to evaluate older patient's mental status. Prior…

A research agenda for geriatric emergency medicine.

OBJECTIVES: The Research Agenda Setting Process (RASP), part of the American Geriatric Society's (AGS's) project 'Increasing Geriatric Expertise in Surgical and Related Medical Specialties,' was designed to define a research agenda for the geriatrics…

Tags: 2003, Academic Emergency Medicine, Aged, Emergency – Education, Emergency Care – In Old Age, Emergency Medicine, Emergency Service, Geriatric Assessment, Gerson L W, Health Resource Utilization, Health Services Research, Physicians, prehospital care, Research Priorities, Trauma – Therapy – In Old Age, Wilber S T

Altered mental status in older emergency department patients.

This article reviews the significance of altered mental status in older emergency department patients. Specific diagnoses are discussed, including delirium, stupor and coma, and dementia, with a focus on delirium. Finally, an approach to all older…

Tags: 2006, Aged, Emergency medicine clinics of North America, Emergency Service, Hospital/*statistics & numerical data, Humans, Incidence, Mental Disorders/diagnosis/*epidemiology, Mental Status Schedule, United States/epidemiology, Wilber Scott T

Does functional decline prompt emergency department visits and admission in older patients?

BACKGROUND: Older patients may visit the emergency department (ED) when their illness affects their function. OBJECTIVES: To quantify the function of older ED patients, to assess whether functional decline (FD) had occurred, and to determine whether…

Short-term functional decline and service use in older emergency department patients with blunt injuries.

BACKGROUND: Injuries are a common reason for emergency department (ED) visits by older patients. Although injuries in older patients can be serious, 75% of these patients are discharged home after their ED visit. These patients may be at risk for…

Tags: *Activities of Daily Living, 2010, 80 and over, Academic emergency medicine : official journal of the Society for Academic Emergency Medicine, Academic Medical Centers, Activities of Daily Living, Aged, Allen Kyle R, Blanda Michelle, Bone/physiopathology/therapy, Clinical Assessment Tools, Comorbidity, Confidence Intervals, Department of Emergency Medicine, Descriptive Statistics, Emergency Care – In Old Age, Emergency Patients – In Old Age, Emergency Service, Family, Female, Fisher's Exact Test, Fractures, Functional Status – In Old Age, Geriatric Assessment, Geriatric Functional Assessment, Gerson Lowell W, Health Resource Utilization – In Old Age, Hospital/*statistics & numerical data, Hospitals, Human, Humans, Logistic Models, Logistic Regression, Longitudinal Studies, Male, Mental Status Schedule, NEOMED College of Medicine, Nonpenetrating – In Old Age, Nonpenetrating/*physiopathology/*therapy, OARS Multidimensional Functional Assessment Questionnaire, Odds Ratio, Ohio, Outcome Assessment, Outpatients, P-Value, Predictive Value of Tests, Prospective Studies, Questionnaires, Record Review, ROC Curve, Scales, Summated Rating Scaling, Surveys and Questionnaires, T-Tests, Teaching, Treatment Outcome, Treatment Outcomes, Wilber Scott T, Wounds

Geriatric emergency medicine and the 2006 Institute of Medicine reports from the Committee on the Future of Emergency Care in the U.S. health system.

Three recently published Institute of Medicine reports, Hospital-Based Emergency Care: At the Breaking Point, Emergency Medical Services: At the Crossroads, and Emergency Care for Children: Growing Pains, examined the current state of emergency care…

An evaluation of two screening tools for cognitive impairment in older emergency department patients.

OBJECTIVES: Screening for cognitive impairment in older emergency department (ED) patients is recommended to ensure quality care. The Mini-Mental State Examination (MMSE) may be too long for routine ED use. Briefer alternatives include the Six-Item…

Consensus statement on advancing research in emergency department operations and its impact on patient care.

The consensus conference on "Advancing Research in Emergency Department (ED) Operations and Its Impact on Patient Care," hosted by The ED Operations Study Group (EDOSG), convened to craft a framework for future investigations in this important but…

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