Utility of the DIVA Score for Experienced Emergency Department Technicians

2019 ◽  
Vol 24 (4) ◽  
pp. 38-44
Author(s):  
Haroon Shaukat ◽  
Beemnet Neway ◽  
Kristen Breslin ◽  
Ar'Reon Watson ◽  
Kelly Poe ◽  
...  
Keyword(s):  
Emergency Department ◽  
Early Identification ◽  
Difficult Patients ◽  
Alternative Technology ◽  
First Time

Highlights The DIVA score may be generalizable to IVs placed by experienced EDTs. Higher odds of first-time success in difficult patients with ≥5 years EDT experience. Early identification of difficult access may allow for aid of alternative technology. Likely first study to evaluate EDTs IV skills in patients with varying DIVA scores.

scholarly journals Toward Early Identification of Acute Lung Injury in the Emergency Department

2007 ◽  
Vol 55 (8) ◽  
pp. 423-429 ◽  
Author(s):  
Robert J. Freishtat ◽  
Bahar Mojgani ◽  
David J. Mathison ◽  
James M. Chamberlain
Keyword(s):  
Emergency Department ◽  
Acute Lung Injury ◽  
Lung Injury ◽  
Early Identification

Insertion of Peripheral Intravenous Cannulae in the Emergency Department: Factors Associated with First-time Insertion Success

2015 ◽  
Vol 17 (2) ◽  
pp. 182-190 ◽  
Author(s):  
Peter J. Carr ◽  
James C.R. Rippey ◽  
Charley A. Budgeon ◽  
Marie L. Cooke ◽  
Niall Higgins ◽  
...  
Keyword(s):  
Emergency Department ◽  
Factors Associated ◽  
First Time

scholarly journals Subjectively Evaluated Effects of Domestic Violence on Well-Being in Clinical Populations

ISRN Nursing ◽  
2013 ◽  
Vol 2013 ◽  
pp. 1-8 ◽  
Author(s):  
Marika Poutiainen ◽  
Juha Holma
Keyword(s):  
Emergency Department ◽  
Domestic Violence ◽  
Sexual Health ◽  
Early Identification ◽  
Well Being ◽  
Subjective Well Being ◽  
Life Management ◽  
Subjective Evaluations ◽  
Sense Of Security ◽  
Routine Inquiry

Effects of domestic violence are reflected in victims' physical, psychological, and sexual health as well as in victims' subjective evaluations of health or subjective well-being. The principal aim of this study was to study the extent to which the consequences of domestic violence are reflected in patients' subjectively evaluated well-being, life management, and sense of security in an emergency department, a maternity department, and a reception unit of a psychiatric hospital. A questionnaire on the effects of domestic violence was administered to 530 patients. 61 patients reported either current or previous domestic violence that affected their current well-being and life management. Domestic violence was reported to have an effect on subjective well-being and sense of security: the more recent or frequent the experience of violence was, the greater was considered its impact on well-being and sense of security. Routine inquiry can uncover hidden cases of abuse and hence would be of great benefit in the healthcare context. Early identification of abuse victims can prevent further harm caused by violence.

Why Is My Child Shaking All Over?

2020 ◽  
pp. 131-140
Author(s):  
Katherine Battisti
Keyword(s):  
Emergency Department ◽  
Pediatric Patients ◽  
Febrile Seizures ◽  
Physical Exam ◽  
Common Reason ◽  
Laboratory Evaluation ◽  
First Time

Seizures are a common reason for pediatric patients to present to the emergency department for evaluation. Differentiating between the different categories of seizures is essential when determining the approach to evaluation and management of these patients. These categories include simple and complex febrile seizures, first time non-febrile seizures, and known epilepsy. There are no universal guidelines so understanding these categories can help the emergency provider obtain appropriate laboratory evaluation, neuroimaging, and possibly electroencephalogram as indicated. Management of pediatric seizures and special considerations are discussed, taking into consideration key history and physical exam findings.

Difficult Patients in the Emergency Department

2017 ◽  
Vol 40 (3) ◽  
pp. 379-395 ◽  
Author(s):  
Nidal Moukaddam ◽  
Araceli Flores ◽  
Anu Matorin ◽  
Nicholas Hayden ◽  
Veronica Theresa Tucci
Keyword(s):  
Emergency Department ◽  
Difficult Patients

scholarly journals 76 The predictive validity of MyHEARTSMAP for psychosocial screening in the emergency department

2020 ◽  
Vol 25 (Supplement_2) ◽  
pp. e31-e32
Author(s):  
Amanbir Atwal ◽  
Quynh Doan ◽  
Bruce Wright ◽  
Elizabeth Hankinson ◽  
Punit Virk ◽  
...  
Keyword(s):  
Mental Health ◽  
Emergency Department ◽  
Sensitivity And Specificity ◽  
Early Identification ◽  
Screening Tools ◽  
Management Tool ◽  
Psychiatric Training ◽  
Childhood And Adolescence ◽  
Health Concerns ◽  
Mental Health Concerns

Abstract Background Mental health concerns in childhood and adolescence are prevalent, affecting nearly one million Canadian youth. In the absence of screening, up to 98% of these concerns can go undiagnosed, leading to significant health, educational, and social consequences. Consequently, the American Academy of Pediatrics recommends the development of screening tools to facilitate early identification and access to treatment. The Emergency Department (ED) represents a unique environment to implement such universal screening, as it is immediately accessible and may be the only point of contact for some vulnerable youth with undiagnosed illness. However, there are few existing instruments which take into account commonly cited barriers such as time constraints, disruption of ED flow, limited resources, and patient privacy. Objectives To facilitate efficient screening with minimal impact on ED flow, our team developed MyHEARTSMAP, an electronic self-administered screening tool. The tool is adapted from HEARTSMAP, a previously validated computerized assessment and management tool used by ED clinicians. MyHEARTSMAP has previously been evaluated for face validity and inter-rater reliability. Here, we measured the sensitivity and specificity of MyHEARTSMAP in identifying mental health concerns in youth. Design/Methods A prospective cohort study was conducted at two tertiary care pediatric EDs. Eligible youth aged 10-17 years presenting for a non-mental health complaint were invited to self-screen using MyHEARTSMAP. An accompanying parent/guardian could also complete an assessment of their child. The sensitivity and specificity was measured as the proportion of screened youth with mental health concerns identified through self-assessment by MyHEARTSMAP compared to assessment performed by a clinician (criteron standard). Results 760 youth and/or parents completed the study intervention. The sensitivity at identifying any psychiatric concerns was comparable between youth and guardian assessments: 92.7% (95%CI: 89.1, 95.4%) and 93.1% (95%CI: 89.5, 95.8%) respectively. The specificity at identifying youth without any psychiatric issues was also comparable between youth and their guardians: 42.2% (95%CI: 37.3, 47.3) and 37.0% (95%CI: 32.2,42.1), respectively. Conclusion MyHEARTSMAP is sensitive for identifying youth with mental health concerns. While it showed only modest specificity, false positives were almost entirely (98%) mild issues identified by youth and deemed to be normal by clinicians. This would not place a burdensome demand on mental health services and could be effectively assessed without specialized psychiatric training. Thus, MyHEARTSMAP may be an effective tool for early identification and management of mental health concerns.

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