Learn More
We describe the prevalence, primary indications and immediate complications of emergency cricothyrotomy (cric) techniques, in a single institution's Emergency Department (ED) and associated air-medical transport service. This is a retrospective review at an academic, level-one trauma center with an annual ED census of 65,000 and an associated air-medical(More)
OBJECTIVES This article explores the potential of discrete event simulation (DES) methods to advance system-level investigation of emergency department (ED) operations. To this end, the authors describe the development and operation of Emergency Department SIMulation (EDSIM), a new platform for computer simulation of ED activity at a Level 1 trauma center.(More)
The aims of this study were: To describe the prevalence of Emergency Department (ED) airway management failures requiring rescue maneuvers, to describe successful rescue methods used when the primary method chosen is unsuccessful, and to characterize the roles of emergency physicians and other specialists in rescue airway management. A prospective(More)
This report describes a novel sonographic protocol for the evaluation of the undifferentiated hypotensive patient. This protocol combines components of 3 sonographic applications: free fluid, cardiac, and abdominal aorta into a single protocol. We believe this protocol and its underlying principles should be a routine part of the empiric evaluation of the(More)
OBJECTIVE Emergency department (ED) intubation personnel and practices have changed dramatically in recent decades, but have been described only in single-center studies. We sought to better describe ED intubations by using a multi-center registry. METHODS We established a multi-center registry and initiated surveillance of a longitudinal, prospective(More)
BACKGROUND The utility of prehospital intubation is controversial, as uncontrolled studies in trauma patients suggest adverse outcomes with prehospital intubation, perhaps secondary to inappropriate ventilation once intubation is accomplished. OBJECTIVES The objectives were 1) to establish, immediately upon arrival to the emergency department (ED), the(More)
This study examined pre-hospital intubations performed by paramedics, which were later determined to be non-tracheal upon arrival at an urban, academic emergency department (ED). The aim was to characterize the various confirmation techniques used among these unrecognized non-tracheal intubations. A retrospective review of the emergency medical services(More)
In this study, a discrete-event simulation approach was used to model Emergency Department's (ED) patient flow to investigate the effect of inpatient boarding on the ED efficiency in terms of the National Emergency Department Crowding Scale (NEDOCS) score and the rate of patients who leave without being seen (LWBS). The decision variable in this model was(More)
A regional telemedicine hub, providing linkage of a telemedicine command center with an extended network of clinical experts in the setting of a natural or intentional disaster, may facilitate future disaster response and improve patient outcomes. However, the health benefits derived from the use of telemedicine in disaster response have not been(More)
STUDY OBJECTIVE We describe the operators, techniques, success, and adverse event rates of adult emergency department (ED) intubation through multicenter prospective surveillance. METHODS Eighteen EDs in the United States, Canada, and Australia recorded intubation data onto a Web-based data collection tool, with a greater than or equal to 90% reporting(More)