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Emergency Department NEWS
Some children in EDs still receive codeine despite guidelines
Despite its potentially harmful effects in children, codeine continues to be prescribed in U.S. EDs, according to a study. As reported in the May issue of the journal Pediatrics, solutions include changing provider prescription behaviors to promote the use of better alternatives to codeine, such as ibuprofen or hydrocodone. "Despite strong evidence against the use of codeine in children, the drug continues to be...READ MORE »
Study: Medicaid expansion doesn't affect care access, ED use
Previous expansions in Medicaid eligibility by states were not associated with an erosion of perceived access to care or an increase in ED use, according to a study. In January, the Affordable Care Act expanded Medicaid eligibility so coverage in the public insurance program could be offered to more low-income Americans. However, some analysts have suggested that the demand for medical services created by Medicaid...READ MORE »
CDC: E-cigarette liquids causing more calls to poison centers
The number of calls to poison centers involving e-cigarette liquids containing nicotine rose from one per month in September 2010 to 215 per month this past February, according to a CDC study. The number of calls per month involving conventional cigarettes did not show a similar increase during the same time period, researchers reported in the April 4 issue of the Morbidity and Mortality Weekly Report. More than...READ MORE »
FDA: New opioid overdose treatment can be administered at home
The Food and Drug Administration has approved a prescription treatment that can be used by family members or caregivers to treat a person known or suspected to have had an opioid overdose. Evzio (naloxone hydrochloride injection) rapidly delivers a single dose of the drug naloxone via a hand-held auto-injector that can be carried in a pocket or stored in a medicine cabinet. It is intended for the emergency treatment...READ MORE »
Standard care proves sufficient for septic shock treatment
Survival of patients with septic shock was the same regardless of whether they received treatment based on specific protocols or the usual high-level standard of care, according to a five-year clinical study. The large-scale randomized trial, named ProCESS for Protocolized Care for Early Septic Shock, took place in 31 academic hospital EDs across the country and was funded by the National Institute of General...READ MORE »
Younger men receive cardiac care faster than younger women
Among younger adults experiencing myocardial infarction and angina, men are more likely to receive faster care compared with women, according to a study based primarily in Canada. The study, published March 17 on the website of the Canadian Medical Association Journal, also found that gender-related factors affected access to care for both men and women. To understand why sex differences in mortality exist in...READ MORE »
ENA joins groups in issuing guidelines for geriatric EDs
In response to the proliferation of geriatric EDs geared specifically to patients ages 65 and older, the Emergency Nurses Association, American College of Emergency Physicians, American Geriatrics Society and Society for Academic Emergency Medicine have issued a comprehensive set of geriatric ED guidelines covering everything from staffing to education to handling common problems of aging, such as falls, delirium...READ MORE »
Study notes five unnecessary procedures in emergency care
A top-five list of emergency medicine procedures that are of low value and could help control costs if providers do not order them was developed as part of a published study. The cost of medical care in the U.S. is growing at an unsustainable rate and the tests, treatments and hospitalizations that come from ED care are expensive, researchers noted in background information for the study, which was published Feb. 17...READ MORE »
Study pinpoints issues that leave ED nurses vulnerable
A qualitative study on assaults on emergency nurses, sponsored by the Emergency Nurses Association, found a need to change the culture of acceptance that is prevalent among hospital administrators and law enforcement. Better training to help nurses recognize signs of potential trouble also is key, according to researchers, whose study was published Jan. 17 on the website of the Journal of Emergency Nursing....READ MORE »
Study: Decriminalizing marijuana might send more kids to ED
States that decriminalized marijuana had dramatic increases in children who required medical intervention, although the overall number of unintentional marijuana exposures among children remained low, according to a study. "We believe that high-dose edible products - such as candies, cookies and chocolates - may have played a significant role in the increased rate of reported exposure chiefly because kids can't...READ MORE »
Emergency healthcare in U.S. rates poorly, physicians say
Emergency physicians sounded a warning that a continuing failure of state and national policies is endangering emergency patients, citing as proof a grade of D+ in the latest edition of a state-by-state report card on support for emergency care. The report card, issued by the American College of Emergency Physicians, forecasts an expanding role for EDs under the Affordable Care Act and describes the harmful effects...READ MORE »
ENA commends protections for sexual assault victims in military
The Emergency Nurses Association commended the U.S. House of Representatives and Senate for including language in the National Defense Authorization Act that provides for the increased presence of sexual assault nurse examiners in the military to treat victims of sexual assault and ensure that forensic evidence is properly collected. The National Defense Authorization Act was approved by the House on Dec. 12 on a...READ MORE »
Study indicates Medicaid expansion may result in more ED use
Adults covered by Medicaid use EDs 40% more often than people in similar circumstances who do not have health insurance, according to a study. Researchers focused on Oregon's recent use of a lottery to assign access to Medicaid to certain uninsured adults. They examined ED records for roughly 25,000 people over 18 months. With the implementation of the Affordable Care Act, Medicaid is expanding in many states to...READ MORE »
Geriatric consult after trauma can improve independence: study
Older patients who received extra geriatric care after a traumatic injury were able to return to more daily activities than those without a consultation, according to a recent small study. Researchers from the University of Michigan Health System in Ann Arbor and the University of California, Los Angeles, tracked 122 patients ages 65 and older. These patients were admitted to a level 1 academic trauma center from...READ MORE »
CPR training lacking in communities that need it most
Annual rates of CPR training in the U.S. are low and vary widely across the country, but the communities most in need of training are the least likely to be trained, according to a study. The findings, published Nov. 18 on the website of JAMA Internal Medicine, add to known geographic disparities in cardiac arrest survival and offer a rationale to increase access to training for the life-saving intervention,...READ MORE »