Many hospital emergency departments are overcrowded and short-staffed, with a limited number of available hospital beds. It is increasingly hard for emergency departments and their staff to provide ...the necessary level of care for medical patients. Caring for people with psychiatric disabilities raises different issues and calls on different skills. In Emergency Department Treatment of the Psychiatric Patient, the author uses research, surveys, and statutory and litigation materials to examine problems with emergency department care for clients with psychiatric disorders. She relies on interviews with emergency department nurses, doctors and psychiatrists, as well as surveys of people with psychiatric disabilities in order to present the perspectives of both the individuals seeking treatment, and those providing it. This book explores the structural pressures on emergency departments and identifies the burdens and conflicts that undermine their efforts to provide compassionate care to people in psychiatric crisis. In addition to presenting a new analysis of the source of these problems, the author also suggests alternatives to emergency department treatment for people in psychiatric crisis. Moreover, she proposes standards for treatment of these individuals when they do inevitably end up in a hospital emergency department.
Each high-quality volume in the esteemed Washington Manual series brings together contributions from faculty and residents at the Washington University School of Medicine in St. Louis. The Washington ...Manual of Emergency Medicine, the latest addition to the series, focuses on practical content on how physicians actually practice emergency care. Comprehensive and concise, it also acts as a handy quick-reference, delivering need-to-know information at your fingertips, even in point-of-care situations.Features:Goes beyond the scope of a traditional emergency medicine reference to address topics such as interactions, treatments, and patient stabilization.Organized into practice-facing sections focusing on content for emergency medicine professionals.Ideal for students and residents in emergency departments, emergency medicine physicians, and advanced practice nurses and physician assistants.Each chapter follows a templated structure so you can uncover information quickly and apply it to a care situation effectively.Covers issues appropriate for emergency departments: toxicology, end-of-life procedures, psychiatric care, ultrasound, violence in the ER, procedural skills, and more.Your book purchase includes a complimentary download of the enhanced eBook for iOS, Android, PC & Mac.Take advantage of these practical features that will improve your eBook experience:The ability to download the eBook on multiple devices at one time - providing a seamless reading experience online or offline.Powerful search tools and smart navigation cross-links that allow you to search within this book, or across your entire library of VitalSource eBooks.Multiple viewing options that enable you to scale images and text to any size without losing page clarity as well as responsive design.The ability to highlight text and add notes with one click.
In a conversational, easy-to-read style, Avoiding Common Errors in the Emergency Department, 2nd Edition, discusses 365 errors commonly made in the practice of emergency medicine and gives practical, ...easy-to-remember tips for avoiding these pitfalls. Chapters are brief, approachable, and evidence-based, suitable for reading immediately before the start of a rotation, used for quick reference on call, or read daily over the course of one year for personal assessment and review.
This report explores the evolving role that hospital emergency departments play in the U.S. health care system. EDs evaluate and manage complex and high-acuity patients, are the major point of entry ...to inpatient care, and serve as “the safety net of the safety net” for patients who cannot get care elsewhere. The report examines the role that EDs may come to play in either contributing to or reducing the rising costs of health care.
Emergency Triage Janet Marsden, Mark Newton, Jill Windle, Kevin Mackway-Jones
2015, 20160101, 2015-07-15
eBook
Emergency Triage: Telephone Triage and Advice complements the highly successful Emergency Triage. The algorithms are rooted in the Manchester Triage System (MTS), which is used in hospitals around ...the world and which is acknowledged as an effective means of clinical prioritisation. This telephone iteration of a triage system which prioritises millions of patients each year provides a robust, safe, evidence-based system for managing the clinical risk in patients who are at a distance from health care providers. The basic principles that drive the MTS remain, but this book addresses the specific difficulties of assessment by telephone. The possible triage outcomes are "face-to-face now", "face-to-face soon" and "face-to-face later" together with a self-care option. Information and advice is suggested at every level. The advice ranges from life-saving interventions, which can be carried out until health care arrives, to self-care instructions. Emergency Triage: Telephone Triage and Advice provides all the necessary information that telephone triage staff must have to hand as well as including examples of questions to be asked. It will be a valuable resource for staff working in emergency departments, health centres and telephone triage organisations. Furthermore hospitals that are already using Emergency Triage will benefit from being linked with a telephone triage system that follows the same protocols.
Patients with acute critical illness are often cared for initially in the ED, and the beginning actions can help alter outcomes hours, day and months later. This handbook targets selected common or ...high risk critical condition or therapies needed to optimize ED care, using the newest research and experiences from respected authors.
Based on a popular course for the FEMA Higher Education project, this volume provides important insight into plans to mitigate and respond to the devastation caused by large-scale catastrophic events.
Time-to-theatre (TTT) is a key performance indicator of theatre efficiency and delayed TTT incurs significant costs and poor clinical outcomes. An increasing Irish population in conjunction with an ...ageing population puts increasing pressure on emergency surgical services across Ireland. We examined our institution's experience with introducing a second emergency theatre and semi-elective theatre lists for acute surgical patients.
A retrospective review of electronic, prospectively maintained databases was performed between 1 February 2018 and 31 January 2020. A cost analysis was conducted to assess the economic impact of delayed TTT. The cost-saving benefit of introducing a second emergency theatre and semi-elective Kaizen lists was then calculated and compared with 2012-2014 figures from our institution.
In total, 6,679 procedures were performed. Overall mean TTT was 16h, 10h shorter than before the introduction of a second emergency theatre and Kaizen theatre lists (
< 0.001). Patients aged >65 years, who are historically a significantly disadvantaged group, had a shorter TTT following the introduction of a second emergency theatre. The economic advantage of a second emergency theatre resulted in a cost saving of
3,674,538 over 24 months.
Investment in emergency surgical services resulted in more efficient access to emergency theatres. There was a reduction in out-of-hours operating across all specialties and across the more at-risk groups such as those over the age of 65, who had an overall reduction in TTT. This had significant financial benefits and likely reduced the clinical risk associated with delayed TTT and out-of-hours operating.
In the wake of 9/11 and Hurricane Katrina, many are asking what, if anything, can be done to prevent large-scale disasters. How is it that we know more about the hazards of modern American life than ...ever before, yet the nation faces ever-increasing losses from such events? History shows that disasters are not simply random acts. Where is the logic in creating an elaborate set of fire codes for buildings, and then allowing structures like the Twin Towers-tall, impressive, and risky-to go up as design experiments? Why prepare for terrorist attacks above all else when floods, fires, and earthquakes pose far more consistent threats to American life and prosperity?The Disaster Expertstakes on these questions, offering historical context for understanding who the experts are that influence these decisions, how they became powerful, and why they are only slightly closer today than a decade ago to protecting the public from disasters. Tracing the intertwined development of disaster expertise, public policy, and urbanization over the past century, historian Scott Gabriel Knowles tells the fascinating story of how this diverse collection of professionals-insurance inspectors, engineers, scientists, journalists, public officials, civil defense planners, and emergency managers-emerged as the authorities on risk and disaster and, in the process, shaped modern America.
This book continues to serve as the leading comprehensive overview of global emergency management. This edition provides practitioners and students alike with a comprehensive understanding of the ...disaster management profession by utilizing a global perspective and including the different sources of risk and vulnerability, the systems that exist to manage hazard risk, and the many different stakeholders involved. This update examines the impact of many recent large-scale and catastrophic disaster events on countries and communities, as well as their influence on disaster risk reduction efforts worldwide. It also expands coverage of small-island developing states (SIDS) and explores the achievements of the United Nations Hyogo Framework for Action (2005-2015) and the priorities for action in the Post-2015 Framework for Disaster Risk Reduction currently under development.
