conclusions providing care in the emergency department is significantly affected by nonemergent patients, as the emergency department is a place for critically ill patients thus awareness training program is recommended. results nine key informants were interviewed formally. four main categories emerged from the nurses’ culture: nonemergent patient as an uninvited guest, nonemergent patient as ...

BACKGROUND Triage in the interactive atmosphere of the emergency department (ED) has been described as complex and challenging. Nonemergent ED visits have been accompanied by ethical and legal conflicts. OBJECTIVES The aim of this study was to gain an understanding of ED nurses' practice regarding triage of nonemergent patients. PATIENTS AND METHODS Focused micro-ethnography based on Spradl...

Anemia is an absolute decrease in the number of circulating red blood cells (RBCs). The diagnosis is made when laboratory measurements fall below accepted normal values (Table 121-1). In emergency medicine, anemia is divided into two broad categories: emergent, having immediate life-threatening complications; and nonemergent, with less imminent danger to the patient. Factors other than the abso...

Complex aortic aneurysms such as juxtarenal, pararenal, and thoracoabdominal are a challenge to treat with open repair in patients significant comorbidities. Limited access fenestrated devices through clinical trials has led alternative endovascular approaches parallel stenting. The objective of this study was compare the outcomes these techniques when performed an emergent vs nonemergent setti...

High plasma levels of homocysteine are associated with an increased risk for thromboembolic events. Neuraxial anesthesia techniques may be relatively contraindicated in anticoagulated patients, and nitrous oxide may exacerbate the condition by inhibiting the conversion of homocysteine to methionine. We describe the anesthetic implications and management of a patient with hyperhomocysteinemia un...

Emergency services are asked to treat a significant volume of patients that require nonemergent care. Alternative strategies have been proposed for managing this patient population, ranging from free-standing urgent care centers to the integration of urgent care patients with other patients treated in the ED. This article explores issues and physical options surrounding the provision of patient...

IMPORTANCE With an aging population, preoperative assessment of the frail older adult requires evaluation beyond simply accounting for chronic diseases. Impaired cognition is a recognized characteristic of the frail older adult. OBJECTIVE To examine the effect of preoperative impaired sensorium (IS) on general surgical outcomes. DESIGN, SETTING, AND PARTICIPANTS Retrospective cohort study u...

BACKGROUND: There has been minimal research on the influence of delays for cancer treatments on patient outcomes. We measured the influence of delays to nonemergent colon cancer surgery on operative mortality, disease-specific survival and overall survival. METHODS: We used the linked Surveillance, Epidemiology and End Results (SEER)-Medicare databases (1993-1996) to identify patients who under...

(1) Practices that are physician-owned and practices that use Electronic Health Records (EHRs) have lower nonemergent emergency department (ED) rates and lower emergent-primary care treatable ED rates. (2) Medical practices with more nurse practitioners or physician assistants per physician have higher emergent-primary care treatable ED and higher ambulatory care sensitive (ACS) rates, but thei...