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IES Newsletters

White Papers

December 15, 2015
AIDET to improve patients’ care experience
IES physicians Gordon Aalund, MD, and Dahlia Hassani, MD discuss AIDET, an acronym representing behaviors to use in every patient/staff interaction.


May 2015
ED classification of pelvic fractures: an update
Emergency Medicine Clinics of North America
Trauma is one of the leading causes of death before the age of 40 years. Approximately 5% of patients with trauma who require hospital admission have pelvic fractures. This article updates the ED classification of pelvic fractures first described in 2000.


May 25, 2015
Evaluating high-volume ED overcrowding using the SONET score
Emergency Medicine International
The SONET ED overcrowding scoring tool may be a better fit to determine high-volume overcrowding compared to other tools.


October 2014
Determining overcrowding status using the National Emergency Department Overcrowding Study tool
American Journal of Emergency Medicine
Using the NEDOCS tool to determine ED crowding might be inaccurate in an extremely high-volume ED setting.


August 7, 2014
Using the LACE index to predict hospital readmissions for congestive heart failure patients
BMC Cardiovascular Disorders
Application of the LACE index to identify CHF patients at high risk for unplanned readmissions within 30 days of discharge may not be reliable, according to this study. Better predictors of high-risk readmissions among CHF patients may be the number of previous ED visits, history of MI, and/or history of PVD.


The evolving roles of emergency departments
Rand Corporation
Policymakers and insurers have largely focused on the cost of emergency care relative to treatment in other outpatient settings. But the role of emergency departments in either facilitating or preventing hospital admissions may be a bigger story.


December 2013
Observation versus hospitalization in ED patients with chronic heart failure and the accuracy of Interqual criteria
Critical Pathways in Cardiology
This study evaluated the accuracy of McKesson’s Interqual criteria in assessing the need for observation versus hospitalization in CHF patients.


October 2013
The split-flow model and ED efficiency
Annals of Emergency Medicine
Through the years, various models have been developed and utilized to improve ED efficiency including fast tracks. This article focuses on the role of a split-flow model in the improvement of ED efficiency for patients presenting with different acuity levels.


October 2013
GRACE score as a predictor of myocardial infarction (MI) and the need for additional cardiac testing
Annals of Emergency Medicine
A clinical decision rule, the Global Registry of Acute Coronary Events score, is widely used. The goal of this study was to determine if GRACE scores are predictive of the occurrence of MI and/or mortality. The research also evaluated use of the GRACE score to potentially reduce cardiac testing in ED chest pain patients at low risk for acute coronary syndrome.


February 25, 2013
Injury patterns and clinical risk factors for geriatric trauma patients
Journal of Clinical Medical Research
Different clinical outcomes occur in trauma patients with different mechanisms of injury. This research focused on geriatric trauma patients, analyzing injury patterns and the role of clinical risk factors.


July 2012
Ultrasound rotation for ED residents
The Journal of Emergency Medicine
Does a dedicated ED ultrasound rotation improve residents’ ultrasound knowledge, interpretation skills and clinical decision-making? Yes, according to this study.


June 2012
B-type Natriuretic Peptide interpretation in CHF patients
Open Journal of Clinical Diagnostics
In the ED, B-type Natriuretic Peptide is usually ordered to evaluate a patient’s congestive heart failure severity. However, due to the high variability of serum BNP levels in CHF patients with weak-to-moderate correlation effects particularly on obesity and diastolic/systolic heart failure, physicians should be cautious interpreting BNP in different CHF populations.


November 2011
A comparison of ultrasound-guided peripheral intravenous access approaches
American Journal of Emergency Medicine
Short-axis and long-axis approaches to USGPIV access were studied to evaluate differences in success rate, catheter insertion time, and number of needle sticks.


November 2011
An analysis of vascular pedicle width as a measure of volume overload
Western Journal of Emergency Medicine
Vascular pedicle width, a measurement obtained from a chest radiograph, is thought to be an indicator of circulating blood volume. However, with limited research to date utilizing different VPW values and CR techniques, the objective of this study was to determine a mean VPW measurement from erect and supine chest radiographs to determine if VPW correlates with volume overload.


October 2011
Using BOAT-S score to predict length of hospitalization for obese ED patients
Annals of Emergency Medicine
This study sought to develop an easy, quick scoring system to help bedside evaluation of the severity and predict the length of hospitalization (length of stay) of obese chronic heart failure patients in the ED.


August 25, 2011
Methods to increase basilic vein size for USGPIV
International Journal of Emergency Medicine
Vein size is an important predictor of successful ultrasound-guided vascular access. This study evaluated maneuvers designed to increase basilic vein size, which could be used to facilitate ultrasound-guided peripheral intravenous access (USGPIV) in the ED.


July 2011
Balanced electrolyte solution prevents hyperchloremic metabolic acidosis in patients with diabetic ketoacidosis
American Journal of Emergency Medicine
A prospective, randomized double-blind study documented that patients receiving BES had lower serum chloride and higher bicarbonate levels than patients receiving normal saline.


March 15, 2011
The effectiveness of teaching techniques for ECG interpretation
Medical Education
In a study conducted over a 28-month period, electrocardiogram (ECG) interpretation test scores for medical students were lower using self-directed learning (SDL) compared to students taught using workshop- and lecture-based formats.


January/February 2011
Alcohol impacts the late differentiation of progenitor B cells
Alcohol and Alcoholism
This study sought to determine which stage(s) of progenitor cell differentiation are affected by alcohol, and to elucidate the mechanism(s) responsible for the effect of alcohol on B cell differentiation.

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