1
40
12
-
Text
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URL Address
<a href="http://doi.org/10.1016/j.ajem.2019.04.029" target="_blank" rel="noreferrer noopener">http://doi.org/10.1016/j.ajem.2019.04.029</a>
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Dublin Core
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Title
A name given to the resource
Distinct subgroups of emergency department frequent users: A latent class analysis.
Publisher
An entity responsible for making the resource available
The American Journal of Emergency Medicine
Date
A point or period of time associated with an event in the lifecycle of the resource
2019
2019-04
Subject
The topic of the resource
ED frequent user; Emergency department; Health care costs; Health care utilization; Latent class analysis
Creator
An entity primarily responsible for making the resource
Birmingham Lauren E; Cheruvu Vinay K; Frey Jennifer A; Stiffler Kirk A; VanGeest Jonathan
Description
An account of the resource
Background: Emergency department (ED) frequent users have high resource utilization and associated costs. Many interventions have been designed to reduce utilization, but few have proved effective. This may be because this group is more heterogeneous than initially assumed, limiting the effectiveness of targeted interventions. The purpose of this study was to identify and describe distinct subgroups of ED frequent users and to estimate costs to provide hospital-based care to each group.; Methods: Latent class analysis was used to identify homogeneous subgroups of ED frequent users. ED frequent users (n = 5731) from a single urban tertiary hospital-based ED and level 1 trauma center in 2014 were included. Descriptive statistics (counts and percentages) are described to characterize subgroups. A cost analysis was performed to examine differences in direct medical costs between subgroups from the healthcare provider perspective.; Results: Four subgroups were identified and characterized: Short-term ED Frequent Users, Heart-related ED Frequent Users, Long-term ED Frequent Users, and Minor Care ED Frequent Users. The Heart-related group had the largest per person costs and the Long-term group had the largest total group costs.; Conclusion: Distinct subgroups of ED frequent users were identified and described using a statistically objective method. This taxonomy of ED frequent users allows healthcare organizations to tailor interventions to specific subgroups of ED frequent users who can be targeted with tailored interventions. Cost data suggest intervention for long-term ED frequent users offers the greatest cost-avoidance benefit from a hospital perspective.; Copyright © 2019. Published by Elsevier Inc.
Identifier
An unambiguous reference to the resource within a given context
<a href="http://doi.org/10.1016/j.ajem.2019.04.029" target="_blank" rel="noreferrer noopener">10.1016/j.ajem.2019.04.029</a>
2019
Birmingham Lauren E
Cheruvu Vinay K
Department of Emergency Medicine
ED frequent user
Emergency department
Frey Jennifer A
Health Care Costs
Health care utilization
June 2019 Update
Latent class analysis
NEOMED College of Medicine
Stiffler Kirk A
The American journal of emergency medicine
VanGeest Jonathan
-
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
URL Address
<a href="http://doi.org/10.3109/10903127.2013.785619" target="_blank" rel="noreferrer noopener">http://doi.org/10.3109/10903127.2013.785619</a>
Pages
299–303
Issue
3
Volume
17
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Characteristics of Prehospital ST-segment Elevation Myocardial Infarctions.
Publisher
An entity responsible for making the resource available
Prehospital Emergency Care
Date
A point or period of time associated with an event in the lifecycle of the resource
2013
2013-07
Subject
The topic of the resource
Female; Male; Prospective Studies; Emergency Medical Services; Demography; Data Collection; Patient Care; Academic Medical Centers; Confidence Intervals; Human; Data Analysis; Middle Age; Outcomes (Health Care); Emergency Service; Databases; Angioplasty; Race Factors; Prehospital Care; Percutaneous Coronary; Transluminal; Myocardial Infarction – Diagnosis; Myocardial Infarction – Therapy; Cardiac Patients – Evaluation; Chest Pain – Diagnosis; Myocardial Infarction – Symptoms; ST Segment – Evaluation
Creator
An entity primarily responsible for making the resource
Celik Daniel H; Mencl Francis R; DeAngelis Anthony; Wilde Joshua; Steer Sheila H; Wilber Scott T; Frey Jennifer A; Bhalla Mary Colleen
Description
An account of the resource
Introduction. Despite attention directed at treatment times of ST-segment elevation myocardial infarctions (STEMIs), little is known about the types of STEMIs presenting to the emergency department (ED). Objective. The purpose of this study was to determine the relative frequencies and characteristics of emergency medical services (EMS) STEMIs compared with those in patients who present to the ED by walk-in. This information may be applied in EMS training, system planning, and public education. Methods. This was a query of a prospectively gathered database of all STEMIs in patients presenting to Summa Akron City Hospital ED in 2009 and 2010. We collected demographic information, chief complaint, mode and time of arrival, and STEMI pattern (anterior, lateral, inferior, or posterior). We excluded transfers and in-hospital STEMIs. We calculated means, percentages, significance, and 95% confidence intervals (CIs) ± 10%. Results. We analyzed data from 308 patients. Most patients (241/308, 78%, CI 73%-83%) arrived by EMS, were male (203/308, 66%, CI 60%-71%), and were white (286/308, 93%, CI 89%-96%). Patients arriving by EMS were older (average 63 years, range 35-95) than walk-in patients (average 57 years, range 24-92). Two percent (5/241, 2%, CI 1%-5%) of EMS STEMI patients were under 40 years of age, compared with 10% (7/67, 10%, CI 4%-20%) of walk-in patients (p = 0.0017). The most common chief complaint was chest pain (278/308, 90%, CI 86%-93%). Inferior STEMIs were most common (167/308, 54%, CI 49%-60%), followed by anterior (127/308, 41%, CI 48%-60%), lateral (8/308, 3%, CI 1%-5%), and posterior (6/308, 2%, CI 1%-4%). A day-of-the-week analysis showed that no specific day was most common for STEMI presentation. Forty percent (122/308, 40%, CI 34%-45%) of patients presented during open catheterization laboratory hours (Monday through Friday, 0730-1700 hours). There was no significant statistical difference between EMS and walk-in patients with regard to STEMI pattern or patient demographics. Conclusions. In this study, 95% (294/308) of all STEMIs were inferior or anterior infarctions, and these types of presentations should be stressed in EMS education. Most STEMI patients at this institution arrived by ambulance and during off-hours. Younger patients were more likely to walk in. We need further study, but we may have identified a target population for future interventions. Key words: emergency medical services; allied health personnel; electrocardiography; myocardial infarction; heart catheterization; STEMI
Identifier
An unambiguous reference to the resource within a given context
<a href="http://doi.org/10.3109/10903127.2013.785619" target="_blank" rel="noreferrer noopener">10.3109/10903127.2013.785619</a>
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Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
2013
Academic Medical Centers
Angioplasty
Bhalla Mary Colleen
Cardiac Patients – Evaluation
Celik Daniel H
Chest Pain – Diagnosis
Confidence Intervals
Data Analysis
Data Collection
Databases
DeAngelis Anthony
Demography
Department of Emergency Medicine
Emergency Medical Services
Emergency Service
Female
Frey Jennifer A
Human
Male
Mencl Francis R
Middle Age
Myocardial Infarction – Diagnosis
Myocardial Infarction – Symptoms
Myocardial Infarction – Therapy
NEOMED College of Medicine
Outcomes (Health Care)
Patient Care
Percutaneous Coronary
prehospital care
Prehospital Emergency Care
Prospective Studies
Race Factors
ST Segment – Evaluation
Steer Sheila H
Transluminal
Wilber Scott T
Wilde Joshua
-
Text
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URL Address
<a href="http://doi.org/10.14740/jocmr2311w" target="_blank" rel="noreferrer noopener">http://doi.org/10.14740/jocmr2311w</a>
Pages
840–844
Issue
11
Volume
7
Dublin Core
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Title
A name given to the resource
Characterization of Older Emergency Department Patients Admitted to Psychiatric Units.
Publisher
An entity responsible for making the resource available
Journal of clinical medicine research
Date
A point or period of time associated with an event in the lifecycle of the resource
2015
2015-11
Subject
The topic of the resource
Emergency medicine; Geriatric; Psychiatry; Screening
Creator
An entity primarily responsible for making the resource
Stiffler Kirk A; Kohli Erol; Chen Oriana; Frey Jennifer A
Description
An account of the resource
BACKGROUND: Many older patients presenting to emergency departments (EDs) with psychiatric complaints require admission to geropsychiatric units (GPUs). The medical evaluation needed prior to this is not understood. Our goal was to understand ED evaluation practices for patients admitted to the GPU through the ED and understand the medical problems identified after admission. METHODS: Via retrospective chart review, we abstracted demographics, medical history, ED complaint, evaluation, length of stay, and diagnosis. The number of patients later transferred from the GPU and the reasons for such transfers were also recorded. RESULTS: Of 100 patients reviewed, the average age was 78 years. Admission diagnoses were agitation/mania (30%), depression/suicidal ideation (28%), change in mental status/confusion (12%) and other (30%). Most had at least one prior psychiatric and medical diagnosis (77%, 60%). Common ED tests ordered were basic metabolic panel (BMP) (96%), complete blood count (CBC) (94%), urinalysis (UA) (89%), electrocardiogram (EKG) (69%), alcohol level (62%), urine toxicology (61%), chest X-ray (51%), and CT scan of the head (71%). Abnormal findings included urinalysis (24.7%), CBC (23.4%), toxicology (23%), BMP (21.9%), head CT (21.1%), chest X-ray (13.7%), ECG changes (10.1%), and alcohol (4.8%). Five of the 100 GPU admissions were later transferred to a medical floor. CONCLUSION: Most GPU admissions have previous psychiatric and medical issues and are admitted for agitation/mania or depression/suicidal ideation. A certain percentage of patients are transferred out due to medical issues despite ED evaluation. However, it is unlikely that further ED testing would reduce this percentage. Further research of medical screening for geropsychiatric patients may elucidate ideal medical clearance procedures.
Identifier
An unambiguous reference to the resource within a given context
<a href="http://doi.org/10.14740/jocmr2311w" target="_blank" rel="noreferrer noopener">10.14740/jocmr2311w</a>
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Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
2015
Chen Oriana
Department of Emergency Medicine
Emergency Medicine
Frey Jennifer A
Geriatric
Journal of clinical medicine research
Kohli Erol
NEOMED College of Medicine
Psychiatry
screening
Stiffler Kirk A
-
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
URL Address
<a href="http://doi.org/10.1186/s12873-017-0126-5" target="_blank" rel="noreferrer noopener">http://doi.org/10.1186/s12873-017-0126-5</a>
Pages
16–16
Issue
1
Volume
17
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Emergency department use and barriers to wellness: a survey of emergency department frequent users.
Publisher
An entity responsible for making the resource available
BMC emergency medicine
Date
A point or period of time associated with an event in the lifecycle of the resource
2017
2017-05
Subject
The topic of the resource
*Emergency department; *Frequent user; *Health Services Accessibility/statistics & numerical data; *Survey; Emergency Service; Emergency Service – Utilization; Female; Health Services Accessibility – Statistics and Numerical Data; Health Services Needs and Demand – Statistics and Numerical Data; Health Services Needs and Demand/statistics & numerical data; Hospital/*statistics & numerical data; Human; Humans; Interviews; Interviews as Topic; Male; Middle Age; Middle Aged; Prospective Studies; Surveys and Questionnaires; Trauma Centers – Utilization; Trauma Centers/statistics & numerical data
Creator
An entity primarily responsible for making the resource
Birmingham Lauren E; Cochran Thaddeus; Frey Jennifer A; Stiffler Kirk A; Wilber Scott T
Description
An account of the resource
BACKGROUND: There is no common understanding of how needs of emergency department (ED) frequent users differ from other patients. This study sought to examine how to best serve this population. Examinations of why ED frequent users present to the ED, what barriers to care exist, and what service offerings may help these patients achieve an optimal level of health were conducted. METHODS: We performed a prospective study of frequent ED users in an adult only, level 1 trauma center with approximately 90,000 visits per year. Frequent ED users were defined as those who make four or more ED visits in a 12 month period. Participants were administered a piloted structured interview by a trained researcher querying demographics, ED usage, perceived barriers to care, and potential aids to maintaining health. RESULTS: Of 1,523 screened patients, 297 were identified as frequent ED users. One hundred frequent ED users were enrolled. The mean age was 48 years (95% CI 45-51). The majority of subjects were female (64%, 64/100, 95% CI 55-73%), white (61%, 60/98, 95% CI 52-71%) and insured by Medicaid (55%, 47/86, 95% CI 44-65%) or Medicare (23%, 20/86, 95% CI 14-32%). Subjects had a median of 6 ED visits, and 2 inpatient admissions in the past 12 months at this hospital. Most frequent ED users (61%, 59/96, 95% CI 52-71%) stated the primary reason for their visit was that they felt that their health problem could only be treated in an ED. Transportation presented as a major barrier to few patients (7%, 7/95, 95% CI 3-14%). Subjects stated that "after-hours options, besides the ED for minor health issues" (63%, 60/95, 95% CI 53-73%) and having "a nurse to work with you one-on-one to help manage health care needs" (53%, 50/95, 95% CI
Identifier
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<a href="http://doi.org/10.1186/s12873-017-0126-5" target="_blank" rel="noreferrer noopener">10.1186/s12873-017-0126-5</a>
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Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
*emergency department
*Frequent user
*Health Services Accessibility/statistics & numerical data
*Survey
2017
Birmingham Lauren E
BMC emergency medicine
Cochran Thaddeus
Department of Emergency Medicine
Emergency Service
Emergency Service – Utilization
Female
Frey Jennifer A
Health Services Accessibility – Statistics and Numerical Data
Health Services Needs and Demand – Statistics and Numerical Data
Health Services Needs and Demand/statistics & numerical data
Hospital/*statistics & numerical data
Human
Humans
interviews
Interviews as Topic
Male
Middle Age
Middle Aged
NEOMED College of Medicine
Prospective Studies
Stiffler Kirk A
Surveys and Questionnaires
Trauma Centers – Utilization
Trauma Centers/statistics & numerical data
Wilber Scott T
-
Text
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URL Address
<a href="http://doi.org/10.1097/SIH.0b013e31829f7347" target="_blank" rel="noreferrer noopener">http://doi.org/10.1097/SIH.0b013e31829f7347</a>
Pages
351–358
Issue
6
Volume
8
Dublin Core
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Title
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In situ simulation to assess workplace attitudes and effectiveness in a new facility.
Publisher
An entity responsible for making the resource available
Simulation in healthcare : journal of the Society for Simulation in Healthcare
Date
A point or period of time associated with an event in the lifecycle of the resource
2013
2013-12
Subject
The topic of the resource
*Attitude of Health Personnel; *Patient Simulation; Adult; Emergency Service; Hospital/*organization & administration; Hospitals; Humans; Inservice Training/methods; Patient Care Team/*organization & administration; Patient Safety/*standards; Self Efficacy; Teaching/organization & administration; Trauma Centers/*organization & administration; Workforce
Creator
An entity primarily responsible for making the resource
Gardner Aimee King; Ahmed Rami A; George Richard L; Frey Jennifer A
Description
An account of the resource
INTRODUCTION: In situ simulation within new facilities holds the promise of identifying latent safety threats. The aim of this study was to identify if in situ simulation can also impact important employee perceptions and attitudes. METHODS: In the current study, health care professionals of an adult, urban, community teaching hospital level 1 trauma center participated in simulated scenarios in a new emergency department. Before and after the simulated scenarios, participants provided responses to the variables regarding their ability to work in the new facility and other work-related variables. RESULTS: Significant increases in communication (P = 0.05), facility clinical readiness (P \textless 0.05), self-efficacy (P \textless 0.01), trauma readiness (P \textless 0.01), and work space satisfaction (P \textless 0.05) were found from presimulation to postsimulation. The results also demonstrated a significant decrease from presimulation to postsimulation with performance beliefs (P \textless 0.001). Finally, cardiac readiness did not reveal a significant change from presimulation to postsimulation. DISCUSSION: In situ simulation exercises before practicing clinically in a new facility can both increase familiarity with new clinical environments and impact important organizational outcomes. Thus, simulation in a new work space can influence factors important to employees, organizations, and patients.
Identifier
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<a href="http://doi.org/10.1097/SIH.0b013e31829f7347" target="_blank" rel="noreferrer noopener">10.1097/SIH.0b013e31829f7347</a>
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Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
*Attitude of Health Personnel
*Patient Simulation
2013
Adult
Ahmed Rami A
Emergency Service
Frey Jennifer A
Gardner Aimee King
George Richard L
Hospital/*organization & administration
Hospitals
Humans
Inservice Training/methods
Patient Care Team/*organization & administration
Patient Safety/*standards
Self Efficacy
Simulation in healthcare : journal of the Society for Simulation in Healthcare
Teaching/organization & administration
Trauma Centers/*organization & administration
Workforce
-
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
URL Address
<a href="http://doi.org/10.1016/j.ajem.2017.02.007" target="_blank" rel="noreferrer noopener">http://doi.org/10.1016/j.ajem.2017.02.007</a>
Pages
983–985
Issue
7
Volume
35
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Transfer of DNR orders to the ED from extended care facilities.
Publisher
An entity responsible for making the resource available
The American journal of emergency medicine
Date
A point or period of time associated with an event in the lifecycle of the resource
2017
2017-07
Subject
The topic of the resource
*Advance Directives; *Critical Illness; *Health Services for the Aged; *Skilled Nursing Facilities; 80 and over; 80 and Over; Advance Directives; Aged; Coding – Administration; Coding – Standards; Critical Illness; Do-not-resuscitate; Emergency Medical Services – Administration; Emergency Medical Services/*organization & administration; Emergency Service; EMS; Extended care facilities; Female; Forms and Records Control/*organization & administration/standards; Health Services for the Aged; Hospital; Human; Humans; Length of Stay; Male; Medical Records – Statistics and Numerical Data; Medical Records/*statistics & numerical data; Middle Age; Middle Aged; Ohio; Outcome Assessment; Outcome Assessment (Health Care); Patient Advocacy; Physicians; Prospective Studies; Resuscitation Orders; Skilled Nursing Facilities
Creator
An entity primarily responsible for making the resource
McQuown Colleen M; Frey Jennifer A; Amireh Ahmad; Chaudhary Ali
Description
An account of the resource
PURPOSE/OBJECTIVE: With an elderly and chronically ill patient population visiting the emergency department, it is important to know patients' wishes regarding care preferences and advanced directives. Ohio law states DNR orders must be transported with the patient when they leave an extended care facility (ECF). We reviewed the charts of ECF patients to evaluate which patients presenting to the ED had their DNR status recognized by the physician and DNR orders that were made during their hospital stay. METHODS: We prospectively enrolled patients presenting from ECFs to the ED, blinding the treating team to the purpose. We did a chart review for the presence of a DNR form, demographic data and acknowledgement of the DNR forms. RESULTS: Fifty patients were enrolled in this study. The mean age was 77.6years and 56% were female. Twenty-eight percent had a DNR order transported to the ED, but 68% had a DNR preference noted in their ECF notes. Registration only noted an advanced directive on 32% of patients (p=0.09). Eighteen percent had a DNR noted by the ED physician (p=0.42). Sixteen percent of patients had a DNR order written by an ED physician while 28% had a DNR order written by a non-ED physician during their inpatient evaluation. Thirty percent had a palliative care consult while in the hospital, but there was no significant association between DNR from the ECF and these consults. CONCLUSIONS: Hospital staff did a poor job of noting DNR preferences and ECFs were inconsistent with sending Ohio DNR forms.
Identifier
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<a href="http://doi.org/10.1016/j.ajem.2017.02.007" target="_blank" rel="noreferrer noopener">10.1016/j.ajem.2017.02.007</a>
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Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
*Advance Directives
*Critical Illness
*Health Services for the Aged
*Skilled Nursing Facilities
2017
80 and over
Advance Directives
Aged
Amireh Ahmad
Chaudhary Ali
Coding – Administration
Coding – Standards
Critical Illness
Do-not-resuscitate
Emergency Medical Services – Administration
Emergency Medical Services/*organization & administration
Emergency Service
EMS
Extended care facilities
Female
Forms and Records Control/*organization & administration/standards
Frey Jennifer A
Health Services for the Aged
Hospital
Human
Humans
Length of Stay
Male
McQuown Colleen M
Medical Records – Statistics and Numerical Data
Medical Records/*statistics & numerical data
Middle Age
Middle Aged
Ohio
Outcome Assessment
Outcome Assessment (Health Care)
Patient Advocacy
Physicians
Prospective Studies
Resuscitation Orders
Skilled Nursing Facilities
The American journal of emergency medicine
-
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
URL Address
<a href="http://doi.org/10.1016/j.ajem.2016.08.011" target="_blank" rel="noreferrer noopener">http://doi.org/10.1016/j.ajem.2016.08.011</a>
Pages
2230–2232
Issue
11
Volume
34
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Noncontrast abdomen/pelvis computed tomographic scan in the evaluation of older adults.
Publisher
An entity responsible for making the resource available
The American journal of emergency medicine
Date
A point or period of time associated with an event in the lifecycle of the resource
2016
2016-11
Subject
The topic of the resource
*Contrast Media; *Tomography; Abdomen; Abdomen/*diagnostic imaging; Abdominal Pain – Etiology; Abdominal Pain/*etiology; Aged; Contrast Media; Humans; Pelvis; Pelvis/*diagnostic imaging; Retrospective Design; Retrospective Studies; Tomography; X-Ray Computed – Methods; X-Ray Computed/methods
Creator
An entity primarily responsible for making the resource
McQuown Colleen M; Frey Jennifer A; Wilber Scott T
Identifier
An unambiguous reference to the resource within a given context
<a href="http://doi.org/10.1016/j.ajem.2016.08.011" target="_blank" rel="noreferrer noopener">10.1016/j.ajem.2016.08.011</a>
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Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
*Contrast Media
*Tomography
2016
Abdomen
Abdomen/*diagnostic imaging
Abdominal Pain – Etiology
Abdominal Pain/*etiology
Aged
Contrast Media
Frey Jennifer A
Humans
McQuown Colleen M
Pelvis
Pelvis/*diagnostic imaging
Retrospective Design
Retrospective Studies
The American journal of emergency medicine
Tomography
Wilber Scott T
X-Ray Computed – Methods
X-Ray Computed/methods
-
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
URL Address
<a href="http://doi.org/10.1016/j.ajem.2015.01.007" target="_blank" rel="noreferrer noopener">http://doi.org/10.1016/j.ajem.2015.01.007</a>
Pages
1109.e3–4
Issue
8
Volume
33
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Intraparenchymal hemorrhage after heroin use.
Publisher
An entity responsible for making the resource available
The American journal of emergency medicine
Date
A point or period of time associated with an event in the lifecycle of the resource
2015
2015-08
Subject
The topic of the resource
*Heroin Dependence; Adult; Cerebral Hemorrhage/*chemically induced/diagnostic imaging; Female; Heroin/*adverse effects; Humans; Narcotics/*adverse effects; Radiography; Stroke/*chemically induced/diagnostic imaging
Creator
An entity primarily responsible for making the resource
Kumar Neha; Bhalla Mary Colleen; Frey Jennifer A; Southern Alison
Description
An account of the resource
Heroin-associated stroke is a rare complication of use. Various proposed mechanisms of heroin-associated ischemic stroke have been proposed, including the following: cardioembolism in the setting of infective endocarditis, hypoxic ischemic brain injury in the setting of hypoxemia and hypotension, and infective arteritis or vasculitis from drug adulterants. A previously healthy 28-year-old woman presented to the emergency department with altered mental status and normal vitals after she was found wandering outside her apartment. During ambulance transport, she endorsed heroin use. The patient was alert but could not recall her name, place, or time. She intermittently responded "I don't know" to questioning and could not perform simple commands. No motor or sensory deficits were apparent other than sluggish pinpoint pupils. There were no signs of trauma other than antecubital track marks. Her laboratory results were unremarkable. Reevaluation at 2 hours after presentation showed persistent confusion and disorientation. A computed tomographic scan of the head was obtained, which showed a large 5.1 x 5-cm intraparenchymal hemorrhage in the left frontal lobe, vasogenic edema, and a 5-mm midline shift. A workup for cardioembolic, vasculitis, and other etiologies for stroke did not reveal an underlying cause. The patient remained confused with significant memory loss throughout her hospital stay and was eventually discharged to a long-term care facility. Drug abuse should be considered a risk factor for stoke in young adults. In patients with persistent neurologic deficits, physicians must be vigilant and order appropriate workup while managing drug overdose.
Identifier
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<a href="http://doi.org/10.1016/j.ajem.2015.01.007" target="_blank" rel="noreferrer noopener">10.1016/j.ajem.2015.01.007</a>
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Information about rights held in and over the resource
Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
*Heroin Dependence
2015
Adult
Bhalla Mary Colleen
Cerebral Hemorrhage/*chemically induced/diagnostic imaging
Department of Emergency Medicine
Female
Frey Jennifer A
Heroin/*adverse effects
Humans
Kumar Neha
Narcotics/*adverse effects
NEOMED College of Medicine
Radiography
Southern Alison
Stroke/*chemically induced/diagnostic imaging
The American journal of emergency medicine
-
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
URL Address
<a href="http://doi.org/10.1016/j.ajem.2014.11.027" target="_blank" rel="noreferrer noopener">http://doi.org/10.1016/j.ajem.2014.11.027</a>
Pages
739.e5–6
Issue
5
Volume
33
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Pulmonary embolism and heparin-induced thrombocytopenia successfully treated with tissue plasminogen activator and argatroban.
Publisher
An entity responsible for making the resource available
The American journal of emergency medicine
Date
A point or period of time associated with an event in the lifecycle of the resource
2015
2015-05
Subject
The topic of the resource
*Antithrombins; Female; Fibrinolytic Agents/*therapeutic use; Heparin/*adverse effects; Humans; Middle Aged; Pipecolic Acids/*therapeutic use; Pulmonary Embolism/*chemically induced/*drug therapy; Thrombocytopenia/*chemically induced/*drug therapy; Tissue Plasminogen Activator/*therapeutic use
Creator
An entity primarily responsible for making the resource
Hourmouzis Zachary; Bhalla Mary Colleen; Frey Jennifer A; Jwayyed Sharhabeel
Identifier
An unambiguous reference to the resource within a given context
<a href="http://doi.org/10.1016/j.ajem.2014.11.027" target="_blank" rel="noreferrer noopener">10.1016/j.ajem.2014.11.027</a>
Rights
Information about rights held in and over the resource
Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
*Antithrombins
2015
Bhalla Mary Colleen
Department of Emergency Medicine
Female
Fibrinolytic Agents/*therapeutic use
Frey Jennifer A
Heparin/*adverse effects
Hourmouzis Zachary
Humans
Jwayyed Sharhabeel
Middle Aged
NEOMED College of Medicine
Pipecolic Acids/*therapeutic use
Pulmonary Embolism/*chemically induced/*drug therapy
The American journal of emergency medicine
Thrombocytopenia/*chemically induced/*drug therapy
Tissue Plasminogen Activator/*therapeutic use
-
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
URL Address
<a href="http://doi.org/10.1016/j.ajem.2014.10.030" target="_blank" rel="noreferrer noopener">http://doi.org/10.1016/j.ajem.2014.10.030</a>
Pages
456–458
Issue
3
Volume
33
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Evaluation of ED patient and visitor understanding of living wills and do-not-resuscitate orders.
Publisher
An entity responsible for making the resource available
The American journal of emergency medicine
Date
A point or period of time associated with an event in the lifecycle of the resource
2015
2015-03
Subject
The topic of the resource
*Emergency Service; *Health Knowledge; *Living Wills; *Resuscitation Orders; *Visitors to Patients; 80 and over; 80 and Over; Aged; Attitude to Health; Attitudes; Emergency Service; Hospital; Humans; Living Wills; Practice; Questionnaires; Resuscitation Orders; Surveys and Questionnaires; Visitors to Patients
Creator
An entity primarily responsible for making the resource
Bhalla Mary Colleen; Ruhlin Michael U; Frey Jennifer A; Wilber Scott T
Identifier
An unambiguous reference to the resource within a given context
<a href="http://doi.org/10.1016/j.ajem.2014.10.030" target="_blank" rel="noreferrer noopener">10.1016/j.ajem.2014.10.030</a>
Rights
Information about rights held in and over the resource
Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
*Emergency Service
*Health Knowledge
*Living Wills
*Resuscitation Orders
*Visitors to Patients
2015
80 and over
Aged
Attitude to Health
Attitudes
Bhalla Mary Colleen
Department of Emergency Medicine
Emergency Service
Frey Jennifer A
Hospital
Humans
Living Wills
NEOMED College of Medicine
Practice
Questionnaires
Resuscitation Orders
Ruhlin Michael U
Surveys and Questionnaires
The American journal of emergency medicine
Visitors to Patients
Wilber Scott T
-
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
URL Address
<a href="http://doi.org/10.1016/j.ajem.2013.09.001" target="_blank" rel="noreferrer noopener">http://doi.org/10.1016/j.ajem.2013.09.001</a>
Pages
1671–1676
Issue
12
Volume
31
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Predictors of epinephrine autoinjector needle length inadequacy.
Publisher
An entity responsible for making the resource available
The American journal of emergency medicine
Date
A point or period of time associated with an event in the lifecycle of the resource
2013
2013-12
Subject
The topic of the resource
*Needles; Adolescence; Adolescent; Adult; Anaphylaxis – Drug Therapy; Anaphylaxis/*drug therapy; Body Mass Index; Cross Sectional Studies; Cross-Sectional Studies; Epinephrine – Administration and Dosage; Epinephrine/*administration & dosage; Equipment Design; Equipment Failure; Female; Human; Humans; Injections; Intramuscular – Equipment and Supplies; Intramuscular/instrumentation; Male; Middle Age; Middle Aged; Needles; Prospective Studies; Quadriceps Muscle/*anatomy & histology/diagnostic imaging; Quadriceps Muscles – Anatomy and Histology; Quadriceps Muscles – Ultrasonography; Sex Factors; Sympathomimetics – Administration and Dosage; Sympathomimetics/*administration & dosage; Ultrasonography; Young Adult
Creator
An entity primarily responsible for making the resource
Bhalla Mary Colleen; Gable Brad D; Frey Jennifer A; Reichenbach Matthew R; Wilber Scott T
Description
An account of the resource
BACKGROUND: Self-administered epinephrine is the primary out-of-hospital treatment of anaphylaxis. Intramuscular injection of epinephrine results in higher peak plasma concentration than subcutaneous injection. With the prevalence of obesity, autoinjectors may not have an adequate needle length for intramuscular injection. OBJECTIVES: To measure muscle depth and evaluate predictors of autoinjector needle length inadequacy. METHODS: We performed a prospective cross-sectional study of a convenience sample of low acuity emergency department patients aged 18 to 55 years. We recorded demographic data, measured thigh circumference, and calculated body mass index (BMI). Using ultrasound, we took depth-to-muscle measurements of the vastus lateralus in a standing position, with and without gentle pressure to simulate muscle compression that occurs with correct autoinjector use. We conducted univariate analyses using chi(2) and t tests with P
Identifier
An unambiguous reference to the resource within a given context
<a href="http://doi.org/10.1016/j.ajem.2013.09.001" target="_blank" rel="noreferrer noopener">10.1016/j.ajem.2013.09.001</a>
Rights
Information about rights held in and over the resource
Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
*Needles
2013
Adolescence
Adolescent
Adult
Anaphylaxis – Drug Therapy
Anaphylaxis/*drug therapy
Bhalla Mary Colleen
Body Mass Index
Cross Sectional Studies
Cross-Sectional Studies
Department of Emergency Medicine
Epinephrine – Administration and Dosage
Epinephrine/*administration & dosage
Equipment Design
Equipment Failure
Female
Frey Jennifer A
Gable Brad D
Human
Humans
Injections
Intramuscular – Equipment and Supplies
Intramuscular/instrumentation
Male
Middle Age
Middle Aged
Needles
NEOMED College of Medicine
Prospective Studies
Quadriceps Muscle/*anatomy & histology/diagnostic imaging
Quadriceps Muscles – Anatomy and Histology
Quadriceps Muscles – Ultrasonography
Reichenbach Matthew R
Sex Factors
Sympathomimetics – Administration and Dosage
Sympathomimetics/*administration & dosage
The American journal of emergency medicine
Ultrasonography
Wilber Scott T
Young Adult
-
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
URL Address
<a href="http://doi.org/10.1002/jum.14551" target="_blank" rel="noreferrer noopener">http://doi.org/10.1002/jum.14551</a>
Pages
1985–1992
Issue
8
Volume
37
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Telepresent Focused Assessment With Sonography for Trauma Examination Training Versus Traditional Training for Medical Students: A Simulation-Based Pilot Study.
Publisher
An entity responsible for making the resource available
Journal of ultrasound in medicine : official journal of the American Institute of Ultrasound in Medicine
Date
A point or period of time associated with an event in the lifecycle of the resource
2018
2018-08
Subject
The topic of the resource
*Students; *Videoconferencing; Adult; Clinical Competence/*statistics & numerical data; Curriculum; Debriefing Assessment for Simulation in Healthcare; education; Female; Focused Assessment with Sonography of Trauma/*methods; Humans; Male; Medical; Pilot Projects; remote telementored ultrasound; Simulation Training/*methods; teledebriefing; telementor; telepresence; telesonography; Ultrasonics/*education; Young Adult
Creator
An entity primarily responsible for making the resource
Poland Scott; Frey Jennifer A; Khobrani Ahmad; Ondrejka Jason E; Ruhlin Michael U; George Richard L; Gothard M David; Ahmed Rami A
Description
An account of the resource
OBJECTIVES: Telepresent education is becoming an important modality in medical education, as it provides a means for instructors to lead education sessions via videoconferencing technologies. This study aimed to compare the effectiveness of telepresent ultrasound training versus traditional in-person ultrasound training. METHODS: Medical student cohorts were educated by either traditional in-person instruction or telementoring on how to perform a focused assessment with sonography for trauma (FAST) examination. Effectiveness was evaluated by pre- and post-multiple-choice tests (knowledge), confidence surveys, and summative simulation scenarios (hands-on FAST simulation). Formative simulation scenario debriefings were evaluated by each student using the Debriefing Assessment for Simulation in Healthcare student version (DASH-SV). RESULTS: Each method of instruction had significant increases in knowledge, confidence, and hands-on FAST simulation performance (P \textless .05). The collective increase in knowledge was greater for the in-person group, whereas the improvement in FAST examination performance during simulations was greater for the telementored group. Confidence gains were comparable between the groups. The DASH-SV scores were significantly higher for the in-person group for each criterion; however, both methods were deemed effective via median scoring. CONCLUSIONS: Telepresent education is a viable option for teaching the FAST examination to medical students.
Identifier
An unambiguous reference to the resource within a given context
<a href="http://doi.org/10.1002/jum.14551" target="_blank" rel="noreferrer noopener">10.1002/jum.14551</a>
Rights
Information about rights held in and over the resource
Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
*Students
*Videoconferencing
2018
Adult
Ahmed Rami A
Clinical Competence/*statistics & numerical data
Curriculum
Debriefing Assessment for Simulation in Healthcare
Department of Emergency Medicine
Education
Female
Focused Assessment with Sonography of Trauma/*methods
Frey Jennifer A
George Richard L
Gothard M David
Humans
Journal of ultrasound in medicine : official journal of the American Institute of Ultrasound in Medicine
Khobrani Ahmad
Male
Medical
NEOMED College of Medicine
Ondrejka Jason E
Pilot Projects
Poland Scott
remote telementored ultrasound
Ruhlin Michael U
Simulation Training/*methods
teledebriefing
telementor
telepresence
telesonography
Ultrasonics/*education
Young Adult