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Some physician executives are outraged at even the mere suggestion of paying specialists to take emergency room call. 'I must be old school because I believe taking ER call is [...], IN THIS ARTICLE ... ACPE poll results show the specialist shortage is a major concern among physician executives. But they're deeply divided when it comes to the prospect of paying for call.

PUBLISHED IN PEDIATRIC EMERGENCY CARE 'Yes' is the answer to this question, according to results of a survey targeting pediatric emergency medicine (EM) and general EM attending physicians. However, fewer [...]

Objective: To determine whether doctors working in emergency departments are aware which of the common conditions seen have driving restrictions associated with them and whether they routinely advise patients of [...]

EXECUTIVE SUMMARY Current guidelines for acute stroke care are not being followed in community EDs, with time targets for diagnostic tests significantly longer than recommended, according to a just-published study. [...]

Byline: Keith William Neely, Robert Louis Norton Abstract: Study objective: Anecdotal concerns suggest that health management organization (HMO) membership instructions may deter members from calling 911 or going to an emergency department for a perceived emergency. This study examines such instructions, specifically in regard to their definition of an emergency condition and associated instructions. Methods: Member instructions were requested from 28 HMOs in 3 large West Coast cities with HMO penetration exceeding 30%. Fifteen (54%) provided membership materials. Features examined included the definition of an emergency, instructions for calling 911, specific instructions regarding chest pain and stroke, and mention of costs associated with emergency care. Results: Instructions and definitions varied widely. Six HMOs (40%) included chest pain in their definition of an emergency; 2 (13%) included symptoms of stroke. Ten (67%) made mention of calling 911 or going to the ED somewhere within their instructions; 4 (27%) provided no options for calling 911 or seeking ED care. Three (20%) cited higher costs associated with ED care. Eleven (73%) indicated that claims would be denied for visits determined on retrospective review to be nonemergencies. Conclusion: Instructions varied considerably. Most did not include chest pain or symptoms of stroke in their definition of an emergency. Most did include directions to call 911 or go to an ED. Other instructions may lead members to call the HMO first during an emergency. [Neely KW, Norton RL: Survey of health maintenance organization instructions to members concerning emergency department and 911 use. Ann Emerg Med July 1999;34:19-24.] Author Affiliation: Department of Emergency Medicine, Oregon Health Sciences University, Portland, OR. Article History: Received 13 March 1998; Revised 24 July 1998; Revised 13 August 1998; Revised 27 October 1998; Revised 8 January 1999; Accepted 26 January 1999 Article Note: (footnote) [star] Address for reprints: Keith Neely, PhD (Cand), Department of Emergency Medicine, Oregon Health Sciences University, 3181 SW Sam Jackson Park Road, Portland, OR, 97210-3098; 503-494-7007, fax 503-494-4997;E-mail neely@ohsu.edu. , [star][star] 0196-0644/99/$8.00 + 0 , a 47/1/97751

Byline: George Lum, Richard M Goldberg, William K Mallon, Brandon Lew, Jeffrey Margulies Abstract: [Lum G, Goldberg RM, Mallon WK, Lew B, Margulies J: Annotated bibliography: A survey of wellness issues in emergency medicine (part 3). Ann Emerg Med March 1995;25:407-411. ] Article History: Received 21 October 1993; Revised 25 March 1994; Revised 13 June 1994; Accepted 14 June 1994 Article Note: (footnote) [star] This is the third in a series of three annotated bibliographies on wellness issues., [star][star] From the Department of Emergency Medicine, Los Angeles County and University of Southern California Medical Center, California*; and the Department of Emergency Medicine, Brooklyn Hospital Center, State University of New York Health Sciences Center at Brooklyn.a , a Address for reprints: Richard M Goldberg, MD,FACEP, 1200 North State Street, Room GH 1011, Los Angeles, California 90033-1084, aa Reprint no. 47/1/63211

Byline: George Lum, Richard M Goldberg, William K Mallon, Brandon Lew, Jeffrey Margulies Abstract: [Lum G, Goldberg RM, Mallon WK, Lew B, Margulies J: Annotated bibliography: A survey of wellness issues in emergency medicine (part 2). Ann Emerg Med February 1995;25:242-248.] Article Note: (footnote) [star]1 From the, [star]2 Received for publication, [star]3 Revision, [star]4 Accepted for publication, [star]5 Address for reprints: Richard M Goldberg, MD, FACEP 1200 North State Street Room GH 1011 Los Angeles, California 90033-1084, [star]6 Reprint no. 47/1/61219 , [star]7 Address for reprints: Richard M Goldberg, MD, FACEP 1200 North State Street Room GH 1011 Los Angeles, California 90033-1084, [star]8 Reprint no. 47/1/61219

Byline: George Lum, Richard M Goldberg, William K Mallon, Brandon Lew, Jeffrey Margulies Abstract: [Lum G, Goldberg RM, Mallon WK, Lew B, Margulies J: A survey of wellness issues in emergency medicine (part 1). Ann Emerg Med January 1995;25:81-85.] Article History: Received 16 February 1994; Revised 20 June 1994; Accepted 6 July 1994 Article Note: (footnote) [star] From the Department of Pediatrics, Division of Pediatric Emergency Medicine Rainbow Babies and Childrens Hospital, Cleveland, Ohio;* and the Department of Pediatrics, Division of Pediatric Emergency Medicine, University of California at San Diego.a , [star][star] Address for reprints: Richard M Goldberg, MD, FACEP, 1200 North State Street, Room GH 1011, Los Angeles, California 90033-1084, a Reprint no. 47/1/61219

Posted on cmajnews.com on June 27, 2018. Doctors, nurses and other health professionals often volunteer to assist during medical emergencies on airplanes, at amateur sporting events, or in other public [...]

You may walk out of an emergency room bandaged, splinted, or medicated, but whatever you do, don't leave confused. Most patients exit the ER without understanding their next steps, according [...]

To link to full-text access for this article, visit this link: http://dx.doi.org/10.1016/j.annemergmed.2008.07.021 Byline: Eileen M. Bulger (a), Terri A. Schmidt (b), Andrea J. Cook (a), Karen J. Brasel (c), Denise E. Griffiths (b), Peter J. Kudenchuk (a), Daniel Davis (d), Berit Bardarson (a), Ahamed H. Idris (e), Tom P. Aufderheide (c) Abstract: In 1996, the Food and Drug Administration and the Department of Health and Human Services enacted rules allowing a narrow exception from informed consent for critically ill patients enrolled in emergency research. These include requirements for community consultation prior to trial implementation. Previous studies have noted difficulty in engaging the community. We seek to describe the experience with random dialing surveys as a tool for community consultation across 5 metropolitan regions in the United States. Author Affiliation: (a) University of Washington, Seattle, WA (b) Oregon Health & Science University, Portland, OR (c) Medical College of Wisconsin, Milwaukee, WI (d) University of California, San Diego, CA (e) University of Texas, Southwestern Medical Center, Dallas, TX Article History: Received 12 March 2008; Revised 30 April 2008; Revised 16 June 2008; Accepted 14 July 2008 Article Note: (footnote) Supervising editor: Theodore R. Delbridge, MD, MPH, Author contributions: All authors were involved in conception and design of the study and data acquisition. EMB was responsible for data analysis and primary drafting of the article. AJC provided statistical support for data analysis. TAS, AJC, KJB, DEG, PJK, DD, BB, AHI, and TPA contributed to critical revision of the article. EMB takes responsibility for the paper as a whole., Funding and support: By Annals policy, all authors are required to disclose any and all commercial, financial, and other relationships in any way related to the subject of this article, that might create any potential conflict of interest. See the Manuscript Submission Agreement in this issue for examples of specific conflicts covered by this statement. This study was supported by a cooperative agreement (5U01 HL077863) with the National Heart, Lung and Blood Institute in partnership with the National Institute of Neurological Disorders and Stroke, The Canadian Institutes of Health Research (CIHR)-Institute of Circulatory and Respiratory Health, Defense Research and Development Canada, and the Heart and Stroke Foundation of Canada., Publication dates: Available online September 27, 2008., Reprints not available from the authors.

To link to full-text access for this article, visit this link: http://dx.doi.org/10.1016/j.annemergmed.2008.01.338 Byline: K. John McConnell, Craig D. Newgard, Raymond Lee Abstract: We measure changes in the prevalence and magnitude of stipends and other payments for taking emergency call during a 2-year period for hospitals in Oregon and evaluate the ways in which hospitals are limiting services and assessing policy options. Author Affiliation: Center for Policy and Research in Emergency Medicine, Department of Emergency Medicine, Oregon Health & Science University, Portland, OR Article History: Received 21 December 2007; Revised 18 January 2008; Accepted 30 January 2008 Article Note: (footnote) Supervising editor: Donald M. Yealy, MD, Author contributions: KJM was involved in the conception and design of the study. KJM and RL acquired data. KJM, CDN, and RL analyzed and interpreted data. KJM drafted the article. RL and CDN critically revised the article for important intellectual content. KJM conducted statistical analysis and supervised the study. RL and CDN provided administrative, technical, and material support. KJM had full access to all of the data in the study and takes responsibility for the integrity of the data and the accuracy of the data analysis. KJM takes responsibility for the paper as a whole., Funding and support: By Annals policy, all authors are required to disclose any and all commercial, financial, and other relationships in any way related to the subject of this article, that might create any potential conflict of interest. See the Manuscript Submission Agreement in this issue for examples of specific conflicts covered by this statement. Financial and material support was provided by the Department of Emergency Medicine at Oregon Health & Science University., Publication dates: Available online April 3, 2008., Reprints not available from the authors.

To link to full-text access for this article, visit this link: http://dx.doi.org/10.1016/j.annemergmed.2007.10.026 Byline: Amy H. Kaji (a)(b)(c)(d), Vinette Langford (e), Roger J. Lewis (a)(b)(c) Abstract: There is currently no validated method for assessing hospital disaster preparedness. We determine the degree of correlation between the results of 3 methods for assessing hospital disaster preparedness: administration of an on-site survey, drill observation using a structured evaluation tool, and video analysis of team performance in the hospital incident command center. Author Affiliation: (a) Department of Emergency Medicine, Harbor-UCLA Medical Center, Los Angeles, CA (b) David Geffen School of Medicine at UCLA, Torrance, CA (c) Los Angeles Biomedical Research Institute, Torrance, CA (d) The South Bay Disaster Resource Center at Harbor-UCLA Medical Center, Los Angeles, CA (e) MedTeams and Healthcare Programs Training Development and Implementation, Dynamics Research Corporation, Andover, MA Article History: Received 11 August 2007; Revised 4 October 2007; Accepted 29 October 2007 Article Note: (footnote) Supervising editor: Jonathan L. Burstein, MD, Author contributions: AHK and RJL conceived and designed the study and obtained research funding. AHK and RJL supervised the conduct of the data collection. AHK undertook recruitment of participating centers and managed the data. AHK and RJL analyzed the data from the on-site survey and the disaster drill. VL analyzed the data for teamwork behaviors from the video. AHK drafted the article, and all 3 authors contributed substantially to its revision. All authors had full access to the data and take full responsibility for the integrity of the data and the accuracy of the data analysis. AHK takes responsibility for the paper as a whole., Funding and support: By Annals policy, all authors are required to disclose any and all commercial, financial, and other relationships in any way related to the subject of this article, that might create any potential conflict of interest. The authors have stated that no such relationships exist. See the Manuscript Submission Agreement in this issue for examples of specific conflicts covered by this statement., Publication date: Available online January 11, 2008., Reprints not available from the authors.

Tension in the waiting room — 86% of ED nurses report recent violence Crowded waiting rooms 'bring out the worst' in patients What makes tension erupt into violence in an [...]

To link to full-text access for this article, visit this link: http://dx.doi.org/10.1016/j.annemergmed.2006.06.026 Byline: Larry J. Baraff (a), Nicole Janowicz (b), Joan R. Asarnow (b) Abstract: To determine the resources available and current practices for the treatment of patients with suicidal ideation or attempts in California emergency departments (EDs). Author Affiliation: (a) Emergency Medicine Center, David Geffen School of Medicine, University of California, Los Angeles, CA (b) Department of Psychiatry and Biobehavioral Science, University of California at Los Angeles, Semel Institute for Neuroscience and Human Behavior, Los Angeles, CA. Article History: Received 28 February 2006; Revised 16 May 2006; Revised 8 June 2006; Accepted 14 June 2006 Article Note: (footnote) Supervising editor: Debra E. Houry, MD, MPH Author contributions: LJB and NJ conceived and designed the survey and supervised data collection. JRA obtained research funding and contributed to the design of the study. LJB provided statistical oversight and analyzed the data. NJ and LJB drafted the article, and all authors contributed substantially to its revision. LJB takes responsibility for the paper as a whole. Funding and support: This publication was supported in part by grant No. R49/CCR921708 from the Centers for Disease Control and Prevention. Its contents are solely the responsibility of the authors and do not necessarily represent the official views of Centers for Disease Control and Prevention. Reprints not available from the authors.

About 60 percent of families with preschoolers use a non-parent to provide child care, says a new nationally representative survey from the U.S. Education Department. Among these families, the majority [...]

Survey: How much do you know about EMTALA? Are you curious about how much your staff really knows about the Emergency Medical Treatment and Active Labor Act (EMTALA)? A recent [...]

Journal Reviews Barlas D, Sama AE, Ward MF, et al. Comparison of the auditory and visual privacy of emergency department treatment areas with curtains vs. those with solid walls. Ann [...]

Journal Reviews Weiss SJ, Takakuwa KM, Ernst AA. Use, understanding, and beliefs about complementary and alternative medicines among ED patients. Acad Emerg Med 2001; 8:41-47. Although many ED patients use [...]

The success of TV emergency room dramas notwithstanding, real ERs are still facing lots of troubles. And one of them seems to be the confidence of their administrators, according to [...]