scholarly journals Injury prevention in the emergency department: An ongoing challenge Reference to: Emergency Physicians as human billboards for injury prevention: A randomized controlled trial by Emily Sullivan et al.

CJEM ◽  
2017 ◽  
Vol 19 (04) ◽  
pp. 321-323
Author(s):  
Carolyn Snider
Keyword(s):  
Emergency Department ◽  
Randomized Controlled Trial ◽  
Injury Prevention ◽  
Controlled Trial ◽  
Emergency Physicians ◽  
Randomized Controlled

scholarly journals Emergency physicians as human billboards for injury prevention: a randomized controlled trial

CJEM ◽  
2016 ◽  
Vol 19 (04) ◽  
pp. 277-284 ◽  
Author(s):  
Emily Sullivan ◽  
Daniel Fuller ◽  
Quinten S. Paterson ◽  
Shelby Huffman ◽  
Satyadeva Challa ◽  
...  
Keyword(s):  
Randomized Controlled Trial ◽  
Injury Prevention ◽  
Controlled Trial ◽  
Bicycle Helmet ◽  
Emergency Physicians ◽  
Helmet Use ◽  
Randomized Controlled ◽  
One Year ◽  
Prevention Counselling ◽  
The Impact

ABSTRACT Objectives The objective of this study was to evaluate the impact of a novel injury prevention intervention designed to prompt patients to initiate an injury prevention discussion with the ED physician, thus enabling injury prevention counselling and increasing bicycle helmet use among patients. Methods A repeated measures 2 x 3 randomized controlled trial design was used. Fourteen emergency physicians were observed for two shifts each between June and August 2013. Each pair of shifts was randomized to either an injury prevention shift, during which the emergency physician would wear a customized scrub top, or a control shift. The outcomes of interest were physician time spent discussing injury prevention, current helmet use, and self-reported change in helmet use rates at one year. Logistic regression analyses were used to examine the impact of the intervention. Results The average time spent on injury prevention for all patients was 3.3 seconds. For those patients who actually received counselling, the average time spent was 17.0 seconds. The scrub top intervention did not significantly change helmet use rates at one year. The intervention also had no significant impact on patient decisions to change or reinforcement of helmet use. Conclusions Our study showed that the intervention did not increase physician injury prevention counselling or self-reported bicycle helmet use rates among patients. Given the study limitations, replication and extension of the intervention is warranted.

scholarly journals Asthma in Adolescents: A Randomized, Controlled Trial of an Asthma Program for Adolescents and Young Adults with Severe Asthma

2002 ◽  
Vol 9 (4) ◽  
pp. 253-259 ◽  
Author(s):  
Robert L Cowie ◽  
Margot F Underwood ◽  
Cinde B Little ◽  
Ian Mitchell ◽  
Sheldon Spier ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Emergency Department ◽  
Randomized Controlled Trial ◽  
Asthma Control ◽  
Controlled Trial ◽  
Intervention Group ◽  
Control Group ◽  
Randomized Controlled ◽  
Disease Specific

BACKGROUND: Asthma is common and is often poorly controlled in adolescent subjects.OBJECTIVE: To determine the impact of an age-specific asthma program on asthma control, particularly on exacerbations of asthma requiring emergency department treatment, and on the quality of life of adolescents with asthma.METHODS: The present randomized, controlled trial included patients who were 15 to 20 years of age and had visited emergency departments for management of their asthma. The interventional group attended an age-specific asthma program that included assessment, education and management by a team of asthma educators, respiratory therapists and respiratory physicians. In the control group, spirometry was performed, and the patients continued to receive usual care from their regular physicians. The outcomes were assessed by a questionnaire six months after entry into the study.RESULTS: Ninety-three subjects entered the study and were randomly assigned to the intervention or control group. Of these, only 62 patients were available for review after six months. Subjects in both the control and the intervention groups showed a marked improvement in their level of asthma control, reflected primarily by a 73% reduction in the rate of emergency department attendance for asthma. Other indexes of disease control, including disease-specific quality of life, as assessed by questionnaires, were improved. There was, however, no discernible difference between the subjects in the two groups, with the exception of an improvement in favour of the intervention group in the symptom (actual difference 0.7, P=0.048) and emotional (actual difference 0.8, P=0.028) domains of the asthma quality of life questionnaire. The overall quality of life score favoured the intervention group by a clinically relevant difference of 0.6, but this difference did not reach statistical significance (P=0.06).CONCLUSIONS: Although all subjects demonstrated a significant improvement in asthma control and quality of life, the improvement attributable to this intervention was limited to two domains in disease-specific quality of life.

scholarly journals Impact of a Triage Liaison Physician on Emergency Department Overcrowding and Throughput: A Randomized Controlled Trial

2007 ◽  
Vol 14 (8) ◽  
pp. 702-708 ◽  
Author(s):  
Brian R. Holroyd ◽  
Michael J. Bullard ◽  
Karen Latoszek ◽  
Debbie Gordon ◽  
Sheri Allen ◽  
...  
Keyword(s):  
Emergency Department ◽  
Randomized Controlled Trial ◽  
Controlled Trial ◽  
Emergency Department Overcrowding ◽  
Randomized Controlled

scholarly journals Targeting of uncontrolled hypertension in the emergency department (TOUCHED): Design of a randomized controlled trial

2021 ◽  
Vol 102 ◽  
pp. 106283
Author(s):  
Heather M. Prendergast ◽  
Renee Petzel-Gimbar ◽  
Spyros Kitsiou ◽  
Marina Del Rios ◽  
Brenda Lara ◽  
...  
Keyword(s):  
Emergency Department ◽  
Randomized Controlled Trial ◽  
Controlled Trial ◽  
Uncontrolled Hypertension ◽  
Randomized Controlled
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