Moving the Needle on Fall Prevention: A Geriatric Emergency Care Applied Research (GEAR) Network Scoping Review and Consensus Statement

2021 ◽  
Author(s):  
Nada Hammouda ◽  
Christopher Carpenter ◽  
William Hung ◽  
Adriane Lesser ◽  
Sylviah Nyamu ◽  
...  
Keyword(s):  
Scoping Review ◽  
Emergency Care ◽  
Fall Prevention ◽  
Applied Research ◽  
Consensus Statement

scholarly journals Care transitions and social needs: a Geriatric Emergency care Applied Research (GEAR) Network scoping review and consensus statement

2021 ◽  
Author(s):  
Cameron J. Gettel ◽  
Corrine I. Voils ◽  
Alycia A. Bristol ◽  
Lynne D. Richardson ◽  
Teresita M. Hogan ◽  
...  
Keyword(s):  
Scoping Review ◽  
Emergency Care ◽  
Applied Research ◽  
Consensus Statement ◽  
Care Transitions ◽  
Social Needs

scholarly journals Structure and processes of emergency observation units with a geriatric focus: a scoping review

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Pieter Heeren ◽  
Annabelle Hendrikx ◽  
Janne Ceyssens ◽  
Els Devriendt ◽  
Mieke Deschodt ◽  
...  
Keyword(s):  
Scoping Review ◽  
Emergency Care ◽  
Older Patients ◽  
Clinical Care ◽  
Care Needs ◽  
Post Discharge ◽  
Care Services ◽  
Observation Units ◽  
Primary Care Services ◽  
Healthcare Professions

Abstract Background Combining observation principles and geriatric care concepts is considered a promising strategy for risk-stratification of older patients with emergency care needs. We aimed to map the structure and processes of emergency observation units (EOUs) with a geriatric focus and explore to what extent the comprehensive geriatric assessment (CGA) approach was implemented in EOUs. Methods The revised scoping methodology framework of Arksey and O’Malley was applied. Manuscripts reporting on dedicated areas within hospitals for observation of older patients with emergency care needs were eligible for inclusion. Electronic database searches were performed in MEDLINE, EMBASE and CINAHL in combination with backward snowballing. Two researchers conducted data charting independently. Data-charting forms were developed and iteratively refined. Data inconsistencies were judged by a third researcher or discussed in the research team. Quality assessment was conducted with the Methodological Index for Non-Randomized Studies. Results Sixteen quantitative studies were included reporting on fifteen EOUs in seven countries across three continents. These units were located in the ED, immediately next to the ED or remote from the ED (i.e. hospital-based). All studies reported that staffing consisted of at least three healthcare professions. Observation duration varied between 4 and 72 h. Most studies focused on medical and functional assessment. Four studies reported to assess a patients’ medical, functional, cognitive and social capabilities. If deemed necessary, post-discharge follow-up (e.g. community/primary care services and/or outpatient clinics) was provided in eleven studies. Conclusion This scoping review documented that the structure and processes of EOUs with a geriatric focus are very heterogeneous and rarely cover all elements of CGA. Further research is necessary to determine how complex care principles of ‘observation medicine’ and ‘CGA’ can ideally be merged and successfully implemented in clinical care.

The Pediatric Emergency Care Applied Research Network and Knowledge Translation

2018 ◽  
Vol 19 (3) ◽  
pp. 295-303 ◽  
Author(s):  
Rachel M. Stanley ◽  
Mona Jabbour ◽  
Jessica M. Saunders ◽  
Sally Jo Zuspan
Keyword(s):  
Knowledge Translation ◽  
Emergency Care ◽  
Applied Research ◽  
Pediatric Emergency ◽  
Research Network ◽  
Pediatric Emergency Care

scholarly journals Emergency care education in South Africa and the unique requirement of physical preparedness: A scoping review

2021 ◽  
Vol 18 ◽  
Author(s):  
Dagmar Muhlbauer ◽  
Craig Vincent-Lambert ◽  
Yoga Coopoo
Keyword(s):  
Higher Education ◽  
Scoping Review ◽  
Emergency Care ◽  
Assessment Tool ◽  
Current Knowledge ◽  
Assessment Tools ◽  
Knowledge Gap ◽  
Care Education ◽  
Narrative Literature Review ◽  
Task Oriented

Introduction The Bachelor Degree in Emergency Medical Care (BEMC) is a unique program in that students operate in both emergency care and rescue contexts, unlike international paramedic degree programs which focus only on emergency care. The learning activities associated with the rescue content are physically strenuous and therefore BEMC students need to be physically and mentally prepared to engage in diverse austere environments. Although South African BEMC programs have a common medical rescue curriculum, approaches to the training and assessment of physical preparedness vary between the institutions. The objective of this research was to explore the knowledge gap through the review of literature that describes the unique physical preparedness requirements in the field of emergency care education. Methods We conducted a scoping review in the form of a narrative literature review. Results Seventy-five (n) articles were initially identified, however, only four were relevant to the objective of this study. This highlighted the paucity of literature describing the unique physical fitness requirements of the BEMC program and the current challenges experienced by educators in the field. Conclusion While physical preparedness training exists in higher education institutes and there are assessments conducted at these higher education institutes, none of these assessment tools have yet been scientifically validated which creates a challenge for educators. The current knowledge gap within EMC education is therefore the absence of a scientifically validated task-oriented physical preparedness assessment tool which addresses the desired physical attributes and abilities of EMC students linked to the BEMC curriculum and associated learning experiences.

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