Leukopenia and thrombocytopenia in dengue patients presenting in the emergency department of a tertiary center in Nepal: a cross-sectional study by Bibechan Thapa, Prakriti Lamichhane, Trishna Shrestha, Saral Lamichhane, Shreyasi Karki, Sneha Pradhananga, Kabita Hada Batajoo, Prajwal Pudasaini

“…Leukopenia and thrombocytopenia could indicate progression to severe disease during emergency department admission.…”
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Adherence to Pediatric Asthma Guidelines in the Emergency Department: A Survey of Knowledge, Attitudes and Behaviour among Health Care Professionals by Sanjit K Bhogal, Jean Bourbeau, David McGillivray, Andrea Benedetti, Susan J Bartlett, Francine M Ducharme

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Reducing personal protective equipment waste in the emergency department of a large regional hospital: codesign informed by system science by Mike Forrester, Rebecca Patrick, Steven Allender, Jaithri Ananthapavan, Urvi Thanekar, Hasini Gunasiri, Minoo Naebe, Maryam Naebe

“…Background This study aimed to bring together health workers from an emergency department (ED) and broader health system changemakers to cocreate a system-oriented understanding of the drivers of single-use personal protective equipment (PPE) waste, and recommend priority actions for government policy, and organisational change, to reduce PPE waste and transition towards a circular economy approach.Methods Participatory group model building was used with ED and PPE health service stakeholders to create a causal loop diagram of drivers of PPE waste and use this diagram to codesign actions to address this waste. …”
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Interdisciplinary Team Pilot to Reduce Time to Administration of Piperacillin/Tazobactam in the Emergency Department at a Veterans Affairs Medical Center by DiVittorio MM, Fisher T, Steadman B, Cone B, Elfessi Z

“…This was a retrospective chart review to assess whether our change in practice affected the time to administration of piperacillin/tazobactam in the emergency department. We assessed whether the change in practice had an effect on mortality in our population.Results: Patients were reviewed 6 months pre- and post-implantation of the practice changes. …”
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Oakland score to identify low-risk patients with lower gastrointestinal bleeding performs well among emergency department patients by Daniel D. DiLena, Sean C. Bouvet, Madeline J. Somers, Maqdooda A. Merchant, Theodore R. Levin, Adina S. Rauchwerger, Dana R. Sax

“…The Oakland Score has not been studied among emergency department (ED) patients with LGIB. The Oakland Score composite outcome includes re-bleeding, defined as additional blood transfusion requirements and/or a further decrease in hematocrit (Hct) >/= 20% after 24 h in clinical stability; red blood cell transfusion; therapeutic intervention to control bleeding, including surgery, mesenteric embolization, or endoscopic hemostasis; in-hospital death, all cause; and re-admission with further LGIB within 28 days. …”
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Improving Communication with Patients Discharged from the Emergency Department with Noncardiac Chest Pain: A Scoping Review with Narrative Synthesis by Ramzi Shawahna, Aya Ghoul, Najlaa Zaid, Wassan Damrah, Mohammad Jaber

“…This scoping review with narrative synthesis aimed to analyze scholarly peer-reviewed articles reporting on improving communication with patients discharged from the emergency department with noncardiac chest pain and qualitatively narrate on and summarize items that can be used in guiding communication with patients discharged from the emergency department with noncardiac chest pain. …”
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Prognostic Prediction Value of qSOFA, SOFA, and Admission Lactate in Septic Patients with Community-Acquired Pneumonia in Emergency Department by Haijiang Zhou, Tianfei Lan, Shubin Guo

“…Community-acquired pneumonia (CAP) is a leading cause of sepsis and common presentation to emergency department (ED) with a high mortality rate. The prognostic prediction value of sequential organ failure assessment (SOFA) and quick SOFA (qSOFA) scores in CAP in ED has not been validated in detail. …”
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A randomised trial comparing the clinical effectiveness of different emergency department healthcare professionals in soft tissue injury management by Jonathan Richard Benger, Jane Powell, Fiona Cramp, Carey Middleton McClellan

“…Objectives To evaluate the clinical effectiveness of soft tissue injury management by emergency nurse practitioners (ENPs) and extended scope physiotherapists (ESPs) compared to the routine care provided by doctors in a UK emergency department (ED).Design Randomised, pragmatic trial of equivalence.Setting One adult ED in England.Participants 372 patients were randomised; 126 to the ESP group, 123 to the ENP group and 123 to the doctor group. …”
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Use High-Flow Nasal Cannula for Acute Respiratory Failure Patients in the Emergency Department: A Meta-Analysis Study by Cheng-Chieh Huang, Hao-Min Lan, Chao-Jui Li, Tsung-Han Lee, Wen-Liang Chen, Wei-Yuan Lei, Pei-You Hsieh, Mei-Chueh Yang, Chu-Chung Chou, Han-Ping Wu, Yuan-Jhen Syue

“…To evaluate the efficacy of high-flow nasal cannula (HFNC) therapy compared with conventional oxygen therapy (COT) or noninvasive ventilation (NIV) for the treatment of acute respiratory failure (ARF) in emergency departments (EDs). Method. We comprehensively searched 3 databases (PubMed, EMBASE, and the Cochrane Library) for articles published from database inception to 12 July 2019. …”
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Optimizing the Service Provision time in the Emergency Department Using Mathematical Modeling and Simulation (Case Study: Imam Reza Hospital) by Mahdi Yousefi Nejad Atari, Ensiyeh Neyshabouri Jami, Akbar Sattari

“…In this study, the current status of Imam Reza Hospital emergency department in Tabriz, Iran is simulated using ARENA 14 software, in order to assess the costs and size of the waiting line. …”
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Methicillin-Resistant Staphylococcus aureus Colonization among Health Care Workers in a Downtown Emergency Department in Toronto, Ontario by Gregory Saito, Jessica Thom, Yanliang Wei, Piraveina Gnanasuntharam, Pirasanya Gnanasuntharam, Nathan Kreiswirth, Barbara Willey, Michelle Loftus, Catherine Varner, Vanessa Porter, Allison McGeer, Bjug Borgundvaag

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Chronic Pain in the Emergency Department: A Pilot Mixed-Methods Cross-Sectional Study Examining Patient Characteristics and Reasons for Presentations by Patricia A. Poulin, Jennifer Nelli, Steven Tremblay, Rebecca Small, Myka B. Caluyong, Jeffrey Freeman, Heather Romanow, Yehudis Stokes, Tia Carpino, Amanda Carson, Yaadwinder Shergill, Ian G. Stiell, Monica Taljaard, Howard Nathan, Catherine E. Smyth

“…Chronic pain (CP) accounts for 10–16% of emergency department (ED) visits, contributing to ED overcrowding and leading to adverse events. …”
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Understanding good communication in ambulance pre-alerts to the emergency department: findings from a qualitative study of UK emergency services by Rachel O’Hara, Joanne Coster, Fiona C Sampson, Jaqui Long

“…Objectives Prehospital notifications (pre-alerts) enable emergency department (ED) staff to prepare for the arrival of patients requiring a time-critical response. …”
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A Retrospective Observational Cohort Analysis of Oncology Patients with Febrile Neutropenia in the Emergency Department of a Tertiary Care Hospital in Oman by Badar Al-Aamri, Aisha AL Breiki, Darpanarayan Hazra, Talib Al-Aamri, Manar Al-Shehi

“…This study evaluated guideline adherence and clinical outcomes in the management of febrile neutropenia in oncology patients in the emergency department (ED). Methods: This retrospective study was conducted over 4 years. …”
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Performance of an Electronic Health Record–Based Automated Pulmonary Embolism Severity Index Score Calculator: Cohort Study in the Emergency Department by Elizabeth Joyce, James McMullen, Xiaowen Kong, Connor O'Hare, Valerie Gavrila, Anthony Cuttitta, Geoffrey D Barnes, Colin F Greineder

“…However, calculating the PESI score can be inconvenient in a busy emergency department (ED). To facilitate integration into ED workflow, we created a 2023 Epic ObjectiveThe primary objectives of this study were to determine the overall accuracy of ePESI and its ability to correctly distinguish high- and low-risk PESI scores within the Epic MethodsWe collected ePESI scores on 500 consecutive patients at least 18 years old who underwent a computerized tomography-pulmonary embolism scan in the ED of our tertiary, academic health center between January 3 and February 15, 2023. …”
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Qualitative Inquiry into Challenges Experienced by Registered General Nurses in the Emergency Department: A Study of Selected Hospitals in the Volta Region of Ghana by Confidence Alorse Atakro, Jerry Paul Ninnoni, Peter Adatara, Janet Gross, Michael Agbavor

“…Registered General Nurses (RGNs) play crucial roles in emergency departments (EDs). EDs in Ghana are primarily staffed by RGNs who have had no additional formal education in emergency care. …”
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Unveiling Wunderlich syndrome: Diagnosis and management of a rare spontaneous renal hematoma by Rebecca Merrill, Pete Jordanides, Jessica Krizo, Erin L. Simon

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Returning to the emergency department: a retrospective analysis of mental health re-presentations among young people in New South Wales, Australia by Rebecca Ivers, Michael Dinh, Patricia Cullen, Bette Liu, Katharine Steinbeck, Natasha Walker, Robert Neil Leong

“…Objectives This study aimed to describe mental health emergency department (ED) presentations among young people aged 8–26 years in New South Wales, Australia, and to identify key characteristics associated with higher risk of ED mental health re-presentation.Design, setting and participants Retrospective analysis of linked ED data records for mental health presentations between 1 January 2015 and 30 June 2018.Main outcome measures The main outcome was the total number of mental health ED re-presentations within 1 year, following initial presentation. …”
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Neutrophil gelatinase-associated lipocalin: a biochemical marker for acute kidney injury and long-term outcomes in patients presenting to the emergency department by Kah Hui Brian Teo, Swee Han Lim, Ying Hao, Yin Keong Daryl Lo, Ziwei Lin, Manish Kaushik, Chieh Suai Tan, Mohammed Zuhary Thajudeen, Choon Peng Jeremy Wee

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A surveillance study to determine the accuracy of mild traumatic brain injury diagnosis in an emergency department: protocol for a retrospective cohort study by Ian D Cameron, Ilaria Pozzato, Ashley Craig, Bamini Gopinath, Mark Gillett, Annette Kifley, Kim Van Vu, Susanne Meares, Anthony Liang

“…Surveillance studies involving emergency department (ED) and hospital-based data need to be prioritised as these provide incident mTBI estimates. …”
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