Healthcare :: To what extent are emergency departments being used for primary care?

There is some belief that Emergency Departments are being used for nonemergency medical care. In particular, do Medicaid recipients and uninsured patients overutilize ED for services better provided in other settings? In two studies conducted at Oregon Health and Science University, to be presented at the 2007 Society for Academic Emergency Medicine Annual Meeting, researchers have investigated some common assumptions about ED use and found some surprising results.

Atrial Fibrillation :: Ottawa aggressive protocol for acute atrial fibrillation is successful

There is no consensus on Emergency Department management of acute atrial fibrillation (AAF) or atrial flutter (AAFL). The Ottawa Aggressive Protocol, consisting of an IV procainamide infusion of 1 gram over 1 hour, electrical cardioversion, if necessary, by ED staff and discharge from the ED with outpatient cardiology follow-up, may be a safe and effective treatment for AAF and AAFL.

Asthma :: Infants with bronchiolitis may benefit more from albuterol

Bronchiolitis, a wheezing much like asthma in adults, is responsible for many hospital admissions of infants. It is the commonest cause of hospital admission in this age group. There are two drugs in general use to treat this condition, epinephrine and albuterol, and there is some controversy and passion involved in the choice of medication.

Healthcare :: How will responders respond?

When disaster strikes, taking care of the victims is the top priority. But who will provide that care” In a study presented at the 2007 Society for Academic Emergency Medicine Annual Meeting, Temple University researchers uncovered psychological barriers that might keep doctors, nurses and support staff from reporting to work in a disaster.

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