ED Operations

Does Suicide Risk Screening…Actually Reduce Suicide?

ED Operations, Psychiatry

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Depression screening (with varying forms of intervention) reduces depression symptoms in follow up, and the screening tools are fairly accurate. Suicide screening (with various interventions) does not reduce suicidal ideation or suicide attempts and may actually increase attempts, though the evidence is very limited.

Source
Depression and Suicide Risk Screening: Updated Evidence Report and Systematic Review for the US Preventive Services Task Force. JAMA. 2023 Jun 20;329(23):2068-2085. doi: 10.1001/jama.2023.7787.

Leaving So Soon? Why Women Are Retiring from EM Early

ED Operations, Health Policy, Wellness

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On average, female EM physicians leave clinical practice 12 years younger than their male counterparts, after fewer years of practice, and the amount of time spent in the workforce is decreasing over time. We need to identify and implement systemic fixes to stop this. 

Source
Emergency medicine physician workforce attrition differences by age and gender. Acad Emerg Med. 2023 Jun 14. doi: 10.1111/acem.14764. Online ahead of print.

It’s Getting…Crowded In Here

ED Operations

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Crowding in the Emergency Department (ED) can be attributed to systems failures across three different phases of ED care: input, throughput, and output of patients. This paper evaluates the reasons behind crowding and proposes solutions to mitigate this burdensome issue.

Source
Crowding in the Emergency Department: Challenges and Best Practices for the Care of Children. Pediatrics. 2023 Feb 20;e2022060972. doi: 10.1542/peds.2022-060972. Online ahead of print.

Six Vital Signs? Should We Measure ETCO2 in Triage?

ED Operations

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ETCO2 measured during emergency department triage outperforms standard vital signs in predicting in-hospital mortality, ICU admission, and correlates with markers of metabolic acidosis.

Source
End-Tidal Carbon Dioxide Measured at Emergency Department Triage Outperforms Standard Triage Vital Signs in Predicting In-Hospital Mortality and ICU admission. Acad Emerg Med. 2023 Feb 21. doi: 10.1111/acem.14703. Epub ahead of print.

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