scholarly journals AB099. SOH21AS153. Trauma assessment clinic in the time of COVID, enhancing collaboration between Orthopaedic and Emergency Department colleagues

2021 ◽  
Vol 5 ◽  
pp. AB099-AB099
Author(s):  
Peggy Emily Miller ◽  
Robert Hurley ◽  
Paula McQuail ◽  
Ian Callanan ◽  
Kieran O’Shea
Keyword(s):  
Emergency Department ◽  
Assessment Clinic ◽  
Trauma Assessment

Trauma Assessment and Surgery

2020 ◽  
pp. 261-276
Author(s):  
Jad M. Abdelsattar ◽  
Moustafa M. El Khatib ◽  
T. K. Pandian ◽  
Samuel J. Allen ◽  
David R. Farley
Keyword(s):  
Emergency Department ◽  
Endotracheal Intubation ◽  
Vital Signs ◽  
Primary Survey ◽  
Trauma Assessment ◽  
Pelvic Radiographs ◽  
Show Evidence

When the patient arrives in the emergency department, the primary survey should be for ABCDE: A, airway; B, breathing; C, circulation; D, disability; and E, exposure. Normothermia is ideal. Check vital signs often. CXR and pelvic radiographs may show evidence of fractures, bleeding, or perforation. If chin lift, jaw thrust, or endotracheal intubation are unsuccessful in establishing an airway, cricothyrotomy is indicated to provide an adequate airway.

Connolly Hospital Trauma Assessment Clinic (TAC): a virtual solution to patient flow

2019 ◽  
Vol 189 (2) ◽  
pp. 425-429 ◽  
Author(s):  
Martin Kelly ◽  
Nicholas O’Keeffe ◽  
Ara Francis ◽  
Conor Moran ◽  
Karen Gantley ◽  
...  
Keyword(s):  
Patient Flow ◽  
Assessment Clinic ◽  
Trauma Assessment

Trauma assessment clinic: Virtually a safe and smarter way of managing trauma care in Ireland

Injury ◽  
2019 ◽  
Vol 50 (4) ◽  
pp. 898-902 ◽  
Author(s):  
M. O’ Reilly ◽  
O. Breathnach ◽  
B. Conlon ◽  
C. Kiernan ◽  
E. Sheehan
Keyword(s):  
Trauma Care ◽  
Assessment Clinic ◽  
Trauma Assessment

scholarly journals Telehealth outpatient coronavirus disease 2019 case management at a tertiary hospital in Sydney

2021 ◽  
pp. 1357633X2110240
Author(s):  
Milton Micallef ◽  
Siobhan Hurley ◽  
Nadiya Brell ◽  
Rebekah Cook ◽  
Jeffrey Post ◽  
...  
Keyword(s):  
Emergency Department ◽  
Severe Acute Respiratory Syndrome ◽  
Case Management ◽  
Interquartile Range ◽  
Low Flow ◽  
Symptom Duration ◽  
Assessment Clinic ◽  
Active Case ◽  
Phone Calls ◽  
High Flow Oxygen

Introduction Coronavirus disease 2019 is an acute respiratory illness caused by severe acute respiratory syndrome coronavirus 2. The coronavirus disease 2019 pandemic upended the traditional paradigm of face-to-face provision of healthcare in the Australian context; as such, a telehealth model of active case management was implemented in our public health system, even though there was little supporting data for the safety of delivering patient care remotely to home-isolation patients in the setting of a highly infectious and potentially fatal illness. Methods A retrospective, single-centre, observational cohort study was performed over 6 weeks commencing 12 March 2020, including patients with coronavirus disease 2019 undergoing home isolation and being actively monitored by a coronavirus disease 2019 telephone assessment clinic. Outcomes assessed comprised: duration of active case follow-up, average number of telephone calls per patient, average number of hours managing each patient, treatment required including presentation to the emergency department or admission to hospital, patient characteristics and utilisation of other health services. Results Of 5223 severe acute respiratory syndrome coronavirus 2 tests performed, 170 individuals (3.25%) tested positive. A total of 158 were included: 76 (47.5%) male and median age 31 years (range 18–94). Median symptom duration was 13 days (interquartile range 6, range 2–34). Median length of coronavirus disease 2019 telephone assessment clinic admission was 10 days (interquartile range 7, range 3–32). A total of 1151 telephone patient encounters were undertaken, with a median of six phone calls made to each patient (interquartile range 5, range 1–20). Ten patients required repeat clinic review; all but one returned home. Six presented to emergency department, with three of these being admitted. In total, there were six admissions: one from the clinic, three from the emergency department and two direct from home (bypassing emergency department). Only four of the six admissions (or 2.5% of all patients) required low-flow oxygen therapy; none required high-flow oxygen or assisted ventilation. The remaining 140 patients (88.6%) were safely managed at home without complications. Discussion A telehealth model of care is safe, efficient and cost-effective for the management of mild-to-moderate coronavirus disease-19 and facilitates home isolation, especially of a low-risk population, thus providing reassurance that this model is sound and suitable for ongoing use.

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