Paramedic practitioners and emergency admissions

Paramedic program reducing emergency room congestion.

Predicting emergency department admissions.

OBJECTIVE To develop and validate models to predict emergency department (ED) presentations and hospital admissions for time and day of the year. METHODS Initial model development and validation was based on 5 years of historical data from two dissimilar hospitals, followed by subsequent validation on 27 hospitals representing 95% of the ED presentations across the state. Forecast accuracy wa...

Emergency departments reduce admissions

Background It has been discussed whether emergency departments (EDs) reduce hospital admissions or not, and if the high turnover of patients results in higher readmission rates. Region Zealand was one of the first regions in Denmark to establish EDs, where all the acute patients for the hospital should be received: Køge and Holbæk (no beds, doctors employed by and working only in the ED), Nykøb...

Houston paramedic and emergency stroke treatment and outcomes study (HoPSTO).

BACKGROUND AND PURPOSE Establishment of stroke centers, combined with accurate paramedic diagnosis and rapid transport, is essential to deliver acute stroke therapy. We wanted to measure and improve paramedic and hospital performance through implementation of the Brain Attack Coalition and American Stroke Association guidelines. METHODS Pre-intervention and active-intervention phases with par...

Emergency Departments, Acute Heart Failure, and Admissions

Nearly 130 million visits to emergency departments (EDs) occur every year in the United States (1). Whether patients should have gone to the ED in the first place is frequently debated, because the ED is often viewed as an overcrowded, overused, misused, and costly resource. Yet patients rarely present to the ED for unnecessary reasons (2). Judging appropriateness of ED visits often suffers fro...