La Vonne A Downey

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BACKGROUND Mental illness affects 8% of the population. The early identification and treatment of mental illness can reduce the progression and complications of the illness. OBJECTIVE The objective of this study was to identify unsuspected psychiatric illness in patients presenting to the emergency department (ED) with non-psychiatric-related complaints.(More)
BACKGROUND It is hypothesized that high ambient noise in the emergency department (ED) adversely affects the ability of the examiner to hear heart and lung sounds. OBJECTIVE To determine the ability of various examiners to hear heart tones and lung sounds at the high end of loudness typically found in the ED setting. METHODS The study was divided into(More)
This study examined the frequency of patients using alternative medicine to treat their condition before presenting to an emergency department (ED). This was a prospective randomized, consecutive survey conducted at a level I 24-bed inner-city trauma center. Patients were eligible for enrollment if they were at least 18 years old and able to consent.(More)
A large amount of EM information can be found on the Internet, but the accuracy of this information has not been determined. This study compares the "gold standards" of EM information on four common emergencies with top healthcare web sites. The study also examines the relationship of web sites' credentials and certification on content. Checklists were(More)
BACKGROUND The factors medical students use to choose emergency medicine (EM) as a career path have not been well studied. The role of a 3rd year clerkship in EM in a student's choice of EM residency is not known. PURPOSE The purpose of this survey was to determine whether a 3rd year clerkship in EM is correlated with a student's choosing EM as a career(More)
OBJECTIVES Because of high rates of violent gun-related injuries seen in emergency department (EDs), the ED has become involved in prevention violence intervention. The purpose of the study was to determine the relation between access to guns and the risk of violence-related injuries in youth and young adults. METHODS This study was a convenience sample(More)
BACKGROUND Emergency departments (ED) frequently evaluate patients with probable ectopic pregnancies who go home and may rupture. It would be beneficial to know which patient factors are associated with rupture and which are not. OBJECTIVES The purpose of this study was to determine which ED patients with ectopic pregnancies are at risk for rupture. (More)
BACKGROUND Frequent users of the emergency department (ED) contribute to the problem of overcrowding and are more likely to have psychiatric problems and a higher than average 90-day readmission rate. In addition, ED visits due to mental health problems have increased in recent years, thus driving up 90-day readmission rates. OBJECTIVES The objective of(More)
INTRODUCTION Little is known about the use of seclusion in emergency departments (EDs) across the country. The primary purpose of this study was to determine the extent of the use of seclusion in EDs in the United States. The secondary purpose was to describe seclusion use in EDs. METHODS A survey consisting of questions about the use of seclusion,(More)