Recent Features

Managing Autism in the ED

Managing Autism in the ED | Feature

The management of patients with autism spectrum disorder (ASD) should be individualized to patients and their families during acute treatment and crisis situations. Adapting medical and behavioral health protocols in the ED to meet the needs of ASD patients and families may lead to more successful outcomes.

Teens With HIV: A Look at Treatment Trends

Teens With HIV: A Look at Treatment Trends | Opinion Article

In recent years, the incidence of HIV infection has decreased for most age groups. Study results have shown that presenting to care earlier in the disease course can limit immune deterioration and HIV transmission. The CDC recommends that all people aged 13 and older be tested for HIV, a recommendation that appears to have made an impact on testing rates.…

Analyzing STEMI Outcomes in Hospitalized Patients

Analyzing STEMI Outcomes in Hospitalized Patients | Feature

Patients who have a STEMI while hospitalized for a condition unrelated to heart disease have higher in-hospital mortality than those who have outpatient-onset STEMI. Identifying risk factors, enhancing recognition of inpatient myocardial infarction, and expediting revascularization for appropriate patients may improve patient outcomes.

Charge Awareness & Pediatric Appendectomy

Charge Awareness & Pediatric Appendectomy | Opinion Article

Consumers can typically compare prices before making purchases for most industries in the United States, but the same is not necessarily true in healthcare, a sector of the economy that accounts for more than 17% percent of the U.S. Gross Domestic Product.…

ED Closures & Nearby Hospital Mortality Risk | Opinion Article

According to current estimates, the annual number of ED visits in the United States increased by 51% between 1996 and 2009. During that time, the number of EDs nationwide decreased by 6%. “Throughout the country, ED closures are placing significant strains on emergency healthcare because they decrease access to care,” says Charles Liu.…

Predicting Successful Cardiac Arrest Resuscitation | Feature

Several key features appear to influence out-of-hospital cardiac arrest survival to hospital admission, according to a study. The strongest independent factors associated with successful resuscitation were shockable primary rhythm, witnessed arrest, and out-of-hospital cardiac arrest in a public area. During the 4-year study period, the rate of patients with a high comorbidity burden increased from 18% to 31%.…

Psychiatric Care Inaccessible

Psychiatric Care Inaccessible | Opinion Article

Recent estimates show that fewer than 40% of Americans who suffer from mental illness—or about 11 million people—get the psychiatric care they need, and access to psychiatrists has been identified as part of the problem. In an issue of Psychiatric Services, J.…

Team Approach Benefits ED Residents

Team Approach Benefits ED Residents | Opinion Article

Emergency medicine (EM) faculty physicians are often challenged to develop clinical experiences that meet patients’ needs as well as trainees’ educational requirements during residency. EM residency programs need to take full advantage of the limited amount of time they have to teach physicians-in-training.…

Anesthesia-Related Injuries & Mortality

Anesthesia-Related Injuries & Mortality | Opinion Article

There have been significant improvements in patient safety with the administration of anesthesia, and research has shown there has been a decline in anesthesia-related deaths. However, some studies suggest that patterns of anesthesia-related injuries are evolving. “While these events are infrequent, it’s important to understand the mechanisms of these injuries in order to improve outcomes,” says Darrell Ranum, JD, CPHRM.…

Managing CKD in Patients With HIV

Managing CKD in Patients With HIV | Opinion Article

Studies indicate that up to one-third of people with HIV has abnormal kidney function. Chronic kidney disease (CKD) in this patient population increases morbidity and mortality risks, making it imperative to recognize CKD early and diagnose its underlying causes. Recently, the Infectious Diseases Society of America (IDSA) published an update to its 2005 guideline for the management of CKD in patients with HIV in Clinical Infectious Diseases.…