Emergency Service

Latest Issue of OR Manager
October 2018

California fires threaten safety of OR staff

On Monday, July 23, a trailer blew a tire at the intersection of Highway 299 and Carr Powerhouse Road in the Whiskeytown district of Whiskeytown-Shasta-Trinity National Recreation Area in Northern California. As the driver tried to stop, the wheel’s rim scraped against the asphalt and threw some sparks into very…

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By: Judith M. Mathias, MA, RN
September 20, 2018
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Improving patient flow from ED with electronic nursing handoff process

Editor's Note Use of a standardized, electronic nursing handoff communication process resulted in decreased boarding time in the emergency department (ED) and increased bed flow efficiency, this study finds. Before implementation of the electronic nursing handoff process, the average ready to move-to-occupied time was 83.6 minutes. This decreased to 49…

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By: Judy Mathias
August 29, 2018
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CDC: Naloxone use by emergency medical services up 75% in 4 years

Editor's Note Naloxone administration by emergency medical services increased 75.1% between 2012 and 2016, mirroring a 79.7% increase in fatal opioid overdoes during the same time period, according to the August 10 Morbidity and Mortality Weekly Report (MMWR) from the Centers for Disease Control and Prevention (CDC). Young adults made…

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By: Judy Mathias
August 13, 2018
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Freestanding EDs lower admission rates

Editor's Note Patients assessed in hospital-based emergency departments (EDs) were 20% more likely to be admitted than patients at freestanding EDs, this study finds. Data for the 3,230 patient study, were collected from 2015 Cleveland Clinic statistics of its tertiary hospital-based ED and two of its freestanding EDs. Of 1,708…

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By: Judy Mathias
June 28, 2018
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ALS by physicians linked to increased survival

Editor's Note In patients with traumatic out-of-hospital cardiac arrest (OHCA) after traffic collisions, advanced life support (ALS) performed by physicians was associated with increased chance of 1-month survival compared with ALS or basic life support (BLS) performed by emergency medical services (EMS) personnel, this Japanese study finds. Of 4,328 patients…

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By: Judy Mathias
June 20, 2018
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Managing patient and family disruption in the perioperative setting--Part 2

Disruption in the healthcare setting occurs all too often and can be dangerous for patients and staff like. Part 1 of this series discussed some of the reasons behind the volatile behavior of patients or their families and provided a list of organizations with resources for managing the problem (OR…

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By: Cynthia Saver, MS, RN
June 20, 2018
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June 8 is Hospitals Against Violence National Day of Awareness

Editor's Note On June 8, the American Hospital Association (AHA) is hosting its second annual Hospitals Against Violence National Day of Awareness, termed “#HAVhope Friday.” The day has been set aside to focus attention on how hospitals, health systems, and their caregivers work daily to end all forms of violence…

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By: Judy Mathias
June 7, 2018
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Military-civilian partnership creates first fully integrated trauma system

Editor's Note The American College of Surgeons on May 23 announced that a partnership between the Military Health System and civilian trauma institutions is underway to create the first fully integrated military-civilian trauma system. The system will train military surgeons before deployment, help surgeons retain skills while deployed, and bring…

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By: Judy Mathias
May 24, 2018
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Study: Procedures performed by older surgeons have lower mortality rates

Editor's Note In this study, non-elective surgical procedures performed by older surgeons (aged 50 and up) had lower mortality rates than those performed by younger surgeons, and mortality rates did not differ significantly by surgeon gender. A total of 892,187 Medicare patients who had one of 20 common types of…

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By: Judy Mathias
April 26, 2018
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ACS advocates for a consensus strategy on preventing firearm violence

Editor's Note In an effort to bridge political differences and provide a constructive path forward, leaders of the American College of Surgeons (ACS) Committee on Trauma on April 19 released a set of strategies to reduce firearm-related injury, disability, and death by making ownership of firearms as safe as possible.…

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By: Judy Mathias
April 20, 2018
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