Explanipedia

Letter of Concern from the Association of Academic Chairs of Emergency Medicine Regarding ACGME Proposed Changes. Open

Richard Hamilton, Lance B. Becker, Richard E. Wolfe, D. Adam Algren, Thomas Arnold , et al. · 2025

This letter, signed by over 50 academic chairs of emergency medicine, urges the ACGME to reconsider a proposed mandate requiring all emergency medicine residency programs to adopt a four-year training model. The authors argue that current …

Emergency department observation implementation guide Open

Kyle W. Trecartin, Richard E. Wolfe · 2023

Do error rates change in the emergency department when patient volume decreases: the effect of COVID-19 on ED error Open

Elianna S. Grossman, Beatrice Hoffmann, Carrie Tibbles, Richard E. Wolfe, Shamai A. Grossman · 2022

Advanced practice providers in academic emergency medicine: A national survey of chairs and program directors Open

Christopher R. Carpenter, Stacy Abrams, D. Mark Courtney, Stephen C. Dorner, Pamela L. Dyne , et al. · 2021

Background The Society for Academic Emergency Medicine Board of Directors convened a task force to elucidate the current state of workforce, operational, and educational issues being faced by academic medical centers related to advanced pr…

12 The Association of Altered Mental Status in the Emergency Department With In-Hospital Mortality in COVID-19 Patients Open

Tony Olesen, Patrick D. Tyler, Annmarie Touborg Lassen, N. I. Shapiro, Rachel Burke , et al. · 2021

The role of an academic emergency department in advancing equity and justice Open

Alden Landry, Italo M. Brown, Andra L. Blomkalns, Richard E. Wolfe · 2020

In the midst of the coronavirus pandemic, the chronic issue of police brutality directed toward Black Americans reached a tipping in late May with the brutal murder of George Floyd. The social response raised equity and justice awareness, …

Using a rule‐based system to define error in the emergency department Open

Kiersten Gurley, Jonathan L. Burstein, Richard E. Wolfe, Shamai A. Grossman · 2020

The Ethics of Error in Medicine Open

Shamai A. Grossman, Kiersten Gurley, Richard E. Wolfe · 2020

The practice of medicine forces medical practitioners to make difficult and challenging choices on a daily basis. On the one hand we are obligated to cure with every resource available, while on the other hand we put the patient at risk be…

Unconditional Care in Academic Emergency Departments Open

Jeffrey A. Kline, John H. Burton, Christopher R. Carpenter, Zachary F. Meisel, James R. Miner , et al. · 2020

Recent news stories have explicitly stated that patients with symptoms of COVID-19 were "turned away" from emergency departments. This commentary addresses these serious allegations, with an attempt to provide the perspective of academic e…

Unconditional care in academic emergency departments Open

Jeffrey A. Kline, John H. Burton, Christopher R. Carpenter, Zachary F. Meisel, James R. Miner , et al. · 2020

Recent news stories have explicitly stated that patients with symptoms of COVID-19 were "turned away" from emergency departments. This commentary addresses these serious allegations, with an attempt to provide the perspective of academic e…

Year-to-year trends in emergency medicine morbidity and mortality cases Open

Jason Lewis, Eric C. Hyder, Carlo Rosen, Richard E. Wolfe, Victor Novack , et al. · 2019

There was a persistent significant difference across CC categories of M&M cases from year-to-year, with down-trending and up-trending of specific CCs suggesting that M&M presentation may prevent repetitive errors. Newer attendings show inc…

Utilizing the Boston Syncope Observation Management Pathway to Reduce Hospital Admission and Decrease Adverse Outcomes Open

Oren Mechanic, Céline Pascheles, Gregory J. Lopez, Alina M Winans, Nathan I. Shapiro , et al. · 2019

A focused syncope management pathway effectively reduces hospital admissions and adverse events following discharge and returns to the ED.

Acute Pancreatitis in the Emergency Department Open

B. López, Matt Hall, Matthew Babineau, Darshan Kothari, P. Salima Burke , et al. · 2019

Introduction: Acute pancreatitis (AP) is a common emergency department (ED) presentation with a variety of outcomes. Stratifying AP severity with scoring systems can allow physicians to effectively manage patient disposition. Objective: To…

Outcomes in variceal hemorrhage following the use of a balloon tamponade device Open

Jonathan Nadler, Nikola Stankovic, Amy Uber, Mathias J. Holmberg, León D. Sánchez , et al. · 2017

Serum Lactate Predicts Adverse Outcomes in Emergency Department Patients With and Without Infection Open

Kimie Oedorf, Danielle E. Day, Yotam Lior, Victor Novack, León D. Sánchez , et al. · 2017

Lactate levels can risk stratify patients with AVS who have increased risk of adverse outcomes regardless of infection status.

Use of Physician Concerns and Patient Complaints as Quality Assurance Markers in Emergency Medicine Open

Kiersten Gurley, Richard E. Wolfe, Jonathan L. Burstein, Jonathan A. Edlow, J. Hill , et al. · 2016

Screening and systemized evaluation of ED patient and physician complaints may be an underutilized QA tool. Patient complaints demonstrated a trend to identify medical errors that result in preventable adverse events, while physician QA co…

Randomized, Double-Blind, Placebo-Controlled Trial of Thiamine as a Metabolic Resuscitator in Septic Shock Open

Michael W. Donnino, Lars W. Andersen, Maureen Chase, Katherine M. Berg, Mark Tidswell , et al. · 2016

Administration of thiamine did not improve lactate levels or other outcomes in the overall group of patients with septic shock and elevated lactate. In those with baseline thiamine deficiency, patients in the thiamine group had significant…

Pyruvate Dehydrogenase Activity Is Decreased in Emergency Department Patients With Diabetic Ketoacidosis Open

Lars W. Andersen, Katherine M. Berg, Sophia Montissol, Christopher Sulmonte, Julia Balkema , et al. · 2016

DKA is associated with greater suppression of PDH activity than hyperglycemia without ketoacidosis, and this is correlated with measures of acid-base status. Future studies may determine whether PDH depression plays a role in the pathophys…

Derivation and Validation of Predictive Factors for Clinical Deterioration after Admission in Emergency Department Patients Presenting with Abnormal Vital Signs Without Shock Open

Daniel J. Henning, Kimie Oedorf, Danielle E. Day, Colby Redfield, Colin J. Huguenel , et al. · 2015

Patients exhibiting abnormal vital signs or elevated lactate levels without shock had significant rates of deterioration after hospitalization. ED clinical data predicted patients who suffered adverse outcomes with reasonable reliability.

Thiamine as a metabolic resuscitator in septic shock: a randomized, double-blind, placebo-controlled, pilot trial Open

Michael W. Donnino, Liselotte Wesley Andersen, Maureen Chase, KM Berg, TA Giberson , et al. · 2015

Waiting for Triage: Unmeasured Time in Patient Flow Open

Christopher Houston, León D. Sánchez, Christopher Fischer, Kathryn A. Volz, Richard E. Wolfe · 2015

Patients often waited more than 10 minutes to be triaged. As the number of patients registered in the previous hour increased, the percentage of patients who waited more than 10 minutes for triage increased significantly. During times of p…

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