Unexplained Bleeding in the Emergency Department
A patient presents in the emergency department (ED) with a nose bleed that won’t stop or a menstrual period lasting several weeks. Although bleeding disorders are rare, they often first present to the ED. Therefore, it’s critical for ED physicians to recognize the...
Impedance Threshold Device: revisiting the ROC PRIMED trial
Ameer Khalek March 7, 2018 The management of cardiac arrest is standardized and based on consensus guidelines for all provider levels [1]. In the United States, the most commonly accepted guidelines are those of the American Heart Association. Despite efforts...
Patient Experience Measurement in the ED
Ameer Khalek February 21, 2018 Patient experience encompasses the range of interactions that patients have with their providers and healthcare system. There are many good reasons to measure and report on patient experience data and subsequently reward providers and...
Natural Disasters and Hospital Care
Leah Steckler, MD January 15th, 2018 As we enter the New Year, it is hard to forget the many lessons of 2017, a year that will likely be remembered for several reasons, among them the seemingly never-ending natural disasters. This past September, Hurricane Maria was...
“You need to go to the Emergency Department”: The Impact of Outpatient Referral on the ED
Greg Jasani January 8, 2018 Many healthcare policy experts have believed that expanding access to outpatient care would lower utilization of emergency departments (EDs). Yet many outpatient providers often refer their patients to EDs when they believe them to be...
Patient Navigation for Patients Frequently Visiting the Emergency Department: A Randomized, Controlled Trial
Rose Kleiman December 11, 2017 Many healthcare systems are trying to find innovate ways to help lower the use of emergency departments (EDs). Often, the focus is on “superutilizers”, patients who frequent the ED many times a year. This cohort of patients only...
Is urgent primary care follow-up after ED discharge realistic?
Evan Kuhl, MD December 4, 2017 More than two thirds of patients seen in an emergency department (ED) leave with instructions to follow-up, often for further diagnosis or treatment of chronic conditions. This practice is supported by numerous guidelines, and many...
Buprenorphine as treatment for opioid withdrawal
Leah Steckler, MD November 20th, 2017 According to the Centers for Disease Control, opioids were involved in 33,091 deaths in 2015 and overdoses have increased four-fold since 1999, including both illicit and prescribed opioid medications (1). This dramatic increase...
Emergency Care Innovation of the Year: ED Telehealth Express Care Service
Ameer Khalek November 13, 2017 If you haven’t heard by now, Urgent Matters holds an annual meeting at the American College of Emergency Physicians (ACEP) Scientific Assembly. While the exact theme changes from year to year, the meeting serves to bring together...
Preparing for Tragedy: Lessons learned from Charlottesville
Greg Jasani November 8, 2017 At 1:42 pm on August 12th, 2017, a speeding car rammed into a group of protestors who had gathered in Charlottesville, Virginia, resulting in many injuries. In the ensuing hours, the University of Virginia Health System (UVAHS) would be...
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