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An Approach to Medical Emergencies in Forced Displacement Settings
Published in Miriam Orcutt, Clare Shortall, Sarah Walpole, Aula Abbara, Sylvia Garry, Rita Issa, Alimuddin Zumla, Ibrahim Abubakar, Handbook of Refugee Health, 2021
Natalie Roberts, Louisa Baxter, Maryam Omar, Halfdan Holger Knudsen, Clare Shortall
At every point in the provision of emergency care, a triage system should be established to ensure the most critical patients are recognised and managed in a timely manner. In addition, management plans should be developed for all potential scenarios, which could involve a large unexpected influx of patients, including mass casualty incidents. A number of different triage and mass casualty systems are in operation and should be contextualised based on the resources available (see Chapter 8.2).
Insect Venom Allergy
Published in Pudupakkam K Vedanthan, Harold S Nelson, Shripad N Agashe, PA Mahesh, Rohit Katial, Textbook of Allergy for the Clinician, 2021
William H Bermingham, Alex G Richter, Mamidipudi T Krishna
Other relevant points: Access to emergency care.Anxiety regarding future stings.For beekeepers: presence of a ‘buddy’, intention to continue with beekeeping following a SR, preference for VIT (described later).Ability/confidence to self-administer epinephrine.
Management of Emergency Care for Radiation Accident Victims
Published in Kenneth L. Miller, Handbook of Management of Radiation Protection Programs, 2020
Mary Ellen Berger, Robert C. Ricks
Human illness and injury can happen anywhere. If either happens to occur in an area where radioactive materials are located, skin, hair, or clothing might be contaminated. While it is desirable to remove contaminants from skin as soon as it is feasible, skin contamination alone does not constitute a medical emergency. Illness and injury, on the other hand, may be life threatening and hospital emergency care would be advisable.
Utilization of the emergency department as a routine source of care among children with asthma
Published in Journal of Asthma, 2023
Erin Davis, Maria Fagnano, Jill S. Halterman, Sean M. Frey
Importantly, patients who require emergency care are at heightened risk for subsequent acute visits, a dynamic which threatens to further entrench existing disparities. One-third of all children return to pediatric EDs for additional care within 12-months, and a disproportionate number of repeat visits are for asthma-related concerns (4). “High utilizers,” a group of 4-8% of patients with ≥4 ED visits/year for which asthma is the most common diagnosis, account for up to one quarter of all pediatric ED visits annually (4,13,14). While enhanced preventive medication management is needed for these children, emergency providers who focus on acute care often do not initiate or adjust controller therapy during acute exacerbations (15–17), and may prefer to have primary care providers (PCPs) manage chronic medications (17,18). Unfortunately, most patients do not follow-up with their primary care practice after an emergency visit (19), resulting in missed opportunities to optimize management for children at greatest risk of preventable morbidity.
Description of the 2020 NEMSIS Public-Release Research Dataset
Published in Prehospital Emergency Care, 2023
Julianne Ehlers, Benjamin Fisher, Skyler Peterson, Mengtao Dai, Angela Larkin, Lauri Bradt, N. Clay Mann
Based upon patient complaints reported to 9-1-1 call centers, injury (when combining traumatic and non-traumatic injury) was a major recorded reason for seeking emergency care. Once EMS arrived on scene, clinicians documented the cause of injuries, suggesting that the bulk of EMS activations involved patients suffering a fall (47%), motor vehicle collision (17%), or were involved in an assault (7%) (Table 7). EMS clinicians reported that for nearly 15% of injury-related activations, patients suffered major trauma, 12% experienced severe pain and 7% had a suspected fracture/dislocation (data not shown). Only 3 injury types represent more than 1% of all injuries, demonstrating the diversity of reported injuries. For 9% of activations reporting a possible injury (based on an affirmative response to eInjury.01), clinicians did not document a cause.
Time trends in co-occurring substance use and psychiatric illness (dual diagnosis) from 2000 to 2017 – a nationwide study of Danish register data
Published in Nordic Journal of Psychiatry, 2023
Solvej Mårtensson, Signe W. Düring, Katrine S. Johansen, Katrine Tranberg, Merete Nordentoft
For admissions, all of the diagnoses given during admission were taken into consideration. For outpatients and emergency care, the diagnosis given at the specific contact was used. We used the hierarchical nature of the ICD10 F chapter to assign one main psychiatric disorder to each individual, however excluding substance use diagnosis. If a patient had more than one diagnosis registered at a specific contact, then the hierarchical approach stipulates that the diagnosis with the highest rank was given priority, e.g. a diagnosis in the chapter on Schizophrenia, schizotypal and delusional disorders (F2) trumps diagnosis in the chapter on Neurotic, stress-related and somatoform disorders (F4). Thus, we assigned each individual one primary psychiatric disorder within the ten main diagnostic groups F0–F9 (except F64 and F65.1 which were removed as an official diagnosis in Denmark in the period of interest) for each contact – if one was present.