More than two thirds of patients seen in an emergency department (ED) leave with instructions to follow-up, often for further diagnosis or treatment of chronic conditions. This practice is supported by numerous guidelines, and many practitioners rely on presumed access to urgent follow-up to safely discharge their patients. Additionally, time-specific discharge instructions have been viewed as a defense against potential litigation, regardless of the patient’s ability to comply. A new article by Chou et al published in the Annals of Emergency Medicine expands on previous research evaluating how often patients are actually able to obtain urgent follow-up, and how insurance status and condition impacts this ability.
According to the Centers for Disease Control, opioids were involved in 33,091 deaths in 2015 and overdoses have increased four-fold since 1999, including both illicit and prescribed opioid medications (1). This dramatic increase in mortality has persisted despite prescribers writing fewer prescriptions for opioids in the past few years (2). It is possible that fewer opioid prescriptions may lead to more patients experiencing withdrawal. Current practice approaches in the emergency department (ED) tend to focus more on symptomatic treatment with anti-emetic and anti-diarrheal agents, and referral to rehabilitation services (3). The standard of care does not currently include opioid agonist-antagonists, like buprenorphine, in the acute period for the management of these patients. The unpleasant effects of withdrawal undoubtedly contribute to opioid addiction. As such, improving pharmacologic methods to control withdrawal symptoms may provide another means of fighting this epidemic.
Dr. Denq co-authored the chapter on Adaptive Extreme Sports with Dr. Delasobera.
The American College of Emergency Physicians (ACEP) today announced the election of four members to its Board of Directors during ACEP17 — Scientific Assembly, the organization's annual meeting in Washington, DC, which is the largest gathering of emergency physicians in the country. Board members are elected to serve 3-year terms.
The selection came after a very competitive bidding process in which city officials praised the track record of the Emergency Department (ED) and the reputation of GW Hospital’s Inpatient Hospitalist team. Specifically, receiving high marks for efficiency, reduction in ED wait times, walkouts and adverse outcomes and the compassionate care delivered by the hospitalist team.
The article is a review discussing "the physiologic role of vitamin C as well as the recent literature and evidence for the use of vitamin C in patients presenting with sepsis."
Put on by the Rodham Institute and its PATH-C (Pathways to Health Careers for all in DC) consortium, the Health Exposure Fair's