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Pitfalls in the emergency department triage of frail elderly patients without specific complaints Swiss Med Wkly 2005 135(9-10):145–50 Swiss Med Wkly 2005 135(9-10):145–50 10 Warburton RN Parke B Church W Mccusker J Identification of Seniors At Risk: process evaluation of a screening and referral program for patients aged or =75 in a community hospital emergency department
Suicide - rapid suicide-risk assessment at emergency department triage Share (show more) Listen (show more) Listen More (show more) Email Print Summary Working with the suicidal person Rapid suicide-risk assessment at emergency department triage provides a quick useful list of pointers and questions to assist clinicians during the key stages of a risk assessment Details Publication
Further research is needed to identify the most effective screening tool for non-conveyance of older frail patients attended by pre-hospital practitioners References Lee JS Richard Verbeek P Shull MJ et al Paramedics assessing elders at risk for independence loss (PERIL): Derivation reliability and comparative effectiveness of a clinical prediction rule
Triage is a process that is critical to the effective management of modern emergency departments Triage systems aim not only to ensure clinical justice for the patient but also to provide an effective tool for departmental organisation monitoring and evaluation Over the last 20 years triage systems have been standardised in a number of countries and efforts made to ensure consistency of
Example Policies / Protocols Guidelines Procedures Access to Geriatric Emergency Department Care from ED Triage Our Academic Emergency Department has several unique areas including a 20-bed observation unit a 15-bed oncology unit critical care bays trauma bays and a quick care or fast track area All nurses and staff receive training to become better providers of care for our
13 10 2016Screening tool at triage for vulnerable elderly On 13 October 2016 13 October 2016 By Audrey-Anne Brousseau In Emergency topic Part of our role as emergency physician is risk stratification Like for acute coronary syndrome TIA pulmonary embolism frail older adults can be screened in the ED Not only they can be screened but the screening can start at triage Why should we screen frail
An easy-to-use screening tool is the Clinical Frailty Scale The last decade's advances in symptom-oriented research in emergency medicine were the definition of nonspecific complaints as an entity the shift from triage based on expert opinion to triage based on evidence and risk stratification improving work-up resource allocation and disposition Future research and training should
Suicide - rapid suicide-risk assessment at emergency department triage Share (show more) Listen (show more) Listen More (show more) Email Print Summary Working with the suicidal person Rapid suicide-risk assessment at emergency department triage provides a quick useful list of pointers and questions to assist clinicians during the key stages of a risk assessment Details Publication
Pitfalls in the emergency department triage of frail elderly patients without specific complaints 146 Setting This was a exploratory observational study of all con-secutive patients older than 65 years presented to our ED during a 10-week period and in which "home care impos-sible" was considered as the main reason for admission
Interdisciplinary Assessment in the Emergency Department (ED) Ciara O'Reilly1 • Introduce HSCP triage of frail elderly patients using the 'Think Frail' tool • Develop communication systems to ensure early referral flagging from point of triage Establish care pathways • Ensure patients identified as frail receive early specialist comprehensive assessment using a common
Urgency triage in the emergency department (ED) is important for early identification of potentially lethal conditions and extensive resource utilization However in older patients urgency triage systems could be improved by taking geriatric vulnerability into account We investigated the association of geriatric vulnerability screening in
In your own clinical opinion do you feel that your patient is frail and at an increased risk for further disabities ? YES NO If yes kindly propose to the patient an assessment of the causes of frailty and prevention of disabilities in a day hospital Gerontopole Frailty Screening Tool
To improve detection of septic patients presenting to the emergency department (ED) we implemented a triage screening tool Our study sought to determine the effect of this tool on time to antibiotics in patients with suspected severe sepsis or septic shock presenting to the ED This was a retrospective chart review examining the time interval to antibiotics pre- and postimplementation of the
Comprehensive geriatric assessment in the emergency department Graham Ellis 1 Trudi Marshall 2 Claire Ritchie2 1Medicine for the Elderly Monklands Hospital Airdrie Scotland UK 2Kirklands Hospital Bothwell Scotland UK Abstract: Changing global demography is resulting in older people presenting to emergency departments (EDs) in greater numbers than ever before
rent triage tools can be adjusted taking geriatric impair-ments into account Adjusting triage by adding geriatric screening could improve risk stratification early at ED arrival and could in all probability reduce undertriage in older patients Triage tools aim to prioritize patients who will benefit from early treatment (eg patients with
NHS Lothian – introducing a new screening tool 20 NHS Ayrshire Arran – a new pathway for frail elderly patients in the emergency department 26 NHS Ayrshire Arran – interim economic analysis 33 Conclusion 37 Contact 39 Bibliography and references 41 Glossary of abbreviations 42
Paediatric Emergency Triage Assessment and Treatment (ETAT) –PROCESS Triage is the process of rapidly screening sick children in order to identify Those with emergency signs who require immediate emergency treatment Those with priority signs who should be given priority while waiting in the queue so that they can be
RECOMMENDATIONS FOR BEST PRACTICES in the Management of Elderly Disaster Victims "HE WHO IS PREPARED HAS WON HALF THE BATTLE" BAYLOR COLLEGE OF MEDICINE THE AMERICAN MEDICAL ASSOCIATION Harris County Hospital District CONTRIBUTORS Carmel Dyer MD FACP AGSF Associate Professor of Medicine Baylor College of Medicine Director Geriatrics
27 09 20192 4 Data Collection and Study Outcome Screening was conducted after the standard ED triage was completed The triage nurse on duty scored patients with the CFS [] Patients were then asked to complete two self-reported instruments: the ISAR tool [] and the PRISMA-7 administered by the nurses or during busy periods by a research assistant in alternative order to minimize fatigue effects
The 2016 Canadian Triage and Acuity Scale (CTAS) updates introduced frailty screening within triage to more accurately code frail patients who may deteriorate waiting for care The relationship between triage acuity and frailty is not well understood but may help inform which supplemental geriatric assessments are beneficial to support care in the emergency department (ED) Our objectives
Background and aims: Comprehensive geriatric assessment (CGA) may benefit frail or chronically ill patients in the emergency department (ED) but take too much time to be performed routinely in ED An alternative approach is to use first a screening tool to detect high-risk patients and then perform CGA in these patients only This systematic review focuses on the use and value of CGA in ED
This chapter covers all of the vital stages of emergency evaluation in the critically ill patient: telephone triage waiting room triage primary survey and initial treatment and secondary survey and the emergency plan The chapter highlights methods for blood sampling and analysis acid-base and electrolyte monitoring and cage-side ultrasonography
01 06 2014Abstract Background: There is no widely established method for triaging elderly frail patients to geriatric wards In our teaching hospital informal methods are currently used to allocate patients We aimed to assess the potential impact of introducing the Clinical Frailty Scale (CFS) (Rockwood K Song X MacKnight C Canadian Medical Association Journal (2005) 173 pp 489
Nonspecific complaint (NSC) is a common presenting complaint in the emergency setting especially in the elderly population Individual studies have shown that it is associated with significant morbidity and mortality This prognostic systematic review draws a synthesis of reported outcomes for patients presenting with NSC and compares them with outcomes for patients presenting with a specific
Pitfalls in the emergency department triage of frail elderly patients without specific complaints 146 Setting This was a exploratory observational study of all con-secutive patients older than 65 years presented to our ED during a 10-week period and in which "home care impos-sible" was considered as the main reason for admission
Urgency triage in the emergency department (ED) is important for early identification of potentially lethal conditions and extensive resource utilization However in older patients urgency triage systems could be improved by taking geriatric vulnerability into account We investigated the association of geriatric vulnerability screening in
Triage is a process that is critical to the effective management of modern emergency departments Triage systems aim not only to ensure clinical justice for the patient but also to provide an effective tool for departmental organisation monitoring and evaluation Over the last 20 years triage systems have been standardised in a number of countries and efforts made to ensure consistency of
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