The #EmergencyDepartment waiting room is a critical environment.
It has well-known dynamics which, if not controlled and managed, can lead to verbal and physical violence towards #nurses #doctors and other #healthcare workers.

I always loved the idea of a #nurse in the waiting room with specific functions (not just information and caring), and I loved reading about the Clinical Initiative Nurse https://aci.health.nsw.gov.au/__data/assets/pdf_file/0008/273545/nsw-health-cin-role-description.pdf

[...the rest on my LinkedIn page - Italian https://www.linkedin.com/feed/update/urn:li:activity:7103323020185772033/ ]

Let me start with a classic theme known by every #EmergencyDepartment professional in the world: "Saying the word QUIET is going to mess up the shift".

Geller et Al. conducted an RCT and found out that, no, saying "quiet" is not associated with increased patient volumes.

The Q word influenced the _perception_ of increased patient volume in the staff members who had this particular pre-existing belief.

I always cite this study when working a QUIET shift in my ED!

https://www.sciencedirect.com/science/article/abs/pii/S0735675722001784

🗺 Hello World 🗺
I'm here on #MedMastodon to conduct a study...

POPULATION
Looking for other #nurses as well as #doctors #paramedics and other #healthcare professionals here on Mastodon
Bonus points if you work in the #emergencydepartment or #EMS

INTERVENTION
Following them and exchange ideas, experiences and thoughts about our profession and health services

CONTROL
My other account on #TwitterX @Nurse_Max

OUTCOME
Building a great #nursing and #medical community

Please boost and let's talk 🩺

🗺 Hello World 🗺
I'm here on #MedMastodon and I would.like to conduct a study...

POPULATION
Looking for other #nurses as well as #doctors #paramedics and other #healthcare professionals here on Mastodon
Bonus points if you work in the #emergencydepartment or #EMS

INTERVENTION
Following them and exchange ideas, experiences and thoughts about our profession and health services

CONTROL
My other account on #Twitter #X @Nurse_Max

OUTCOME
Building a #nursing and #medical community

Emergency department visits for asthma among children under 4 decreased 12% in zip codes near 3 coal-fired power plants following their closures relative to rates in zip codes farther away during the same period. Closing coal-fired power plants can lead to improvements in the respiratory health of young children.

https://www.ncbi.nlm.nih.gov/pubmed/33734848

#Asthma #ChildhoodAsthma #Children #EmergencyDepartment #Emergency #Hospitals #Coal #HealthDisparities #SocialDeterminants #Health #NICHDImpact

The title says it all: it's time for a systemic approach to misdiagnosis, not just in the #EmergencyDepartment but throughout medicine. The authors urge diagnosis-focused solutions like checklists and #EHR #ClinicialDecisionSupport tools. I concur! https://jamanetwork.com/journals/jama/fullarticle/2801049?resultClick=1

“#InteriorHealth received a presentation that included a slide describing the pre-pandemic vacancy rate being 5.1 per cent, soaring to 13.7 per cent now,”

“a single #EmergencyDepartment closure can make for a treacherous journey, especially at this time of year.
“With these mountains, we're two or three hours on a good day and in the winter months it's tragic, actually, as a lot of these folks are seniors,” said Grand Forks Mayor Everett Baker. “

“In her 20 years as an emergency physician, Dr. Kylie Booth says no shift goes by without her talking to a peer about a patient. “

“She says brainstorming with peers "is absolutely indispensable to your confidence, to your interest in coming back another day to do what is a very difficult job." 

“..Booth seized the opportunity to start a peer-to-peer support line for #emergencydepartment physicians working in #rural settings in Ontario”

https://www.cbc.ca/news/health/rural-er-docs-are-struggling-to-do-it-all-peer-support-programs-try-to-lessen-the-load-1.6735155

Global News BC: Nicola Valley Hospital emergency department closed again Monday https://globalnews.ca/news/9413685/nicola-valley-hospital-emergency-department-closed-january-16/ #globalnews #britishcolumbia #news #NicolaValleyHospital #EmergencyDepartment #hospitalshortage #RoyalColumbian #staffshortage #HealthLinkBC #ERClosure #Health

Global News BC: Staffing issues temporarily close Nicola Valley Hospital emergency department https://globalnews.ca/news/9395278/staffing-issues-temporarily-close-nicola-valley-hospital-emergency-department/ #globalnews #britishcolumbia #news #KelownaGeneralHospital #vicolevalleyhospital #EmergencyDepartment #RoyalInlandHospital #NursingShortage #InteriorHealth #staffshortage #Merritt #Health

Just received a letter asking me to #donate $40 to my local #EmergencyDepartment for necessary equipment - HOW IS THIS A THING IN #australia ? Is this common? Do they regularly ask?

Clinicians have to be creative

We need to embrace our creativity in order to truly understand our patients. This means using our imagination to consider what might be going on beneath the surface of what they are telling us, and to listen closely when they struggle to find the words to express their feelings and needs.

Jay Baruch is an emergency physician.

https://youtube.com/shorts/kpytcpSqvv0

Listen here: https://kevinmd.com/podcast

#emergencymedicine #emergencydepartment

⚠️ Heads up for #GPs and #EmergencyDepartment Docs: ⚠️

There are increasing reports of #SyntheticOpioids causing #RespiratoryDepression and death.

They are evidently being sold to the unsuspecting, illegal drug-using public as if they are other, more familiar drugs.

So if seriously sick patient “X” or his/her mates said they took a specific drug, it might be a good idea not to assume it actually was that drug, and do a drug screen - while treating them.

"...we're talking about saving hundreds of visits to the #EmergencyDepartment and/or hundreds of people saved from going without any care at all." #opiods #telehealth https://www.beckershospitalreview.com/telehealth/penn-medicine-s-telehealth-program-improves-opioid-use-disorder-treatment.html

Nurse who called 911 on her ER talks chaos, fear amid understaffing crisis - Enlarge / Emergency department staff members work at Providence St. Jos... - https://arstechnica.com/?p=1896418 #emergencydepartment #understaffing #cyberattacks #healthcare #hospitals #medicine #science #doctors #nursing #nurses

Referenced link: https://medicalxpress.com/news/2022-10-emergency-department-crowding-crisis-patient.html
Discuss on https://discu.eu/q/https://medicalxpress.com/news/2022-10-emergency-department-crowding-crisis-patient.html

Originally posted by Phys.org / @physorg_com@twitter.com: https://twitter.com/medical_xpress/status/1576919516969373699#m

RT by @physorg_com: #Emergencydepartment crowding hits crisis levels, risking #patientsafety @yale @jamanetworkopen https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2796859 https://medicalxpress.com/news/2022-10-emergency-department-crowding-crisis-patient.html

Referenced link: https://medicalxpress.com/news/2022-09-ai-demand-hospital-beds-patients.html
Discuss on https://discu.eu/q/https://medicalxpress.com/news/2022-09-ai-demand-hospital-beds-patients.html

Originally posted by Phys.org / @physorg_com@twitter.com: https://twitter.com/medical_xpress/status/1567890016126341121#m

RT by @physorg_com: AI predicts demand for hospital beds for #patients coming through #emergencydepartment @uclnews https://www.nature.com/articles/s41746-022-00649-y https://medicalxpress.com/news/2022-09-ai-demand-hospital-beds-patients.html

Referenced link: https://medicalxpress.com/news/2022-06-digital-tool-emergency-department-doctors.html
Discuss on https://discu.eu/q/https://medicalxpress.com/news/2022-06-digital-tool-emergency-department-doctors.html

Originally posted by Phys.org / @physorg_com@twitter.com: https://twitter.com/medical_xpress/status/1541783243489513472#m

RT by @physorg_com: Digital tool helps #emergencydepartment doctors treat #opioidusedisorder @yale @bmj_latest https://www.bmj.com/content/377/bmj-2021-069271 https://medicalxpress.com/news/2022-06-digital-tool-emergency-department-doctors.html