Ann M Mitchell, Linda Garand, Diane Dean, George Panzak, Melissa Taylor
Suicide is a complex, multidimensional event with a host of contributing factors. Suicidal emergencies are among other behavioral and psychiatric emergencies that provide the basis for emergency department visits. Therefore, emergency departments are ideal clinical environments for the assessment of suicidal patients. A case example from an emergency department visit is provided as a basis of discussion as we describe subpopulations at high risk for suicide and review critical assessment parameters for the recognition and treatment of suicidal patients. Lastly, factors associated with patient satisfaction and treatment compliance are addressed to promote positive health outcomes among suicidal patients.
{"title":"Suicide Assessment in Hospital Emergency Departments: Implications for Patient Satisfaction and Compliance.","authors":"Ann M Mitchell, Linda Garand, Diane Dean, George Panzak, Melissa Taylor","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Suicide is a complex, multidimensional event with a host of contributing factors. Suicidal emergencies are among other behavioral and psychiatric emergencies that provide the basis for emergency department visits. Therefore, emergency departments are ideal clinical environments for the assessment of suicidal patients. A case example from an emergency department visit is provided as a basis of discussion as we describe subpopulations at high risk for suicide and review critical assessment parameters for the recognition and treatment of suicidal patients. Lastly, factors associated with patient satisfaction and treatment compliance are addressed to promote positive health outcomes among suicidal patients.</p>","PeriodicalId":80238,"journal":{"name":"Topics in emergency medicine","volume":"27 4","pages":"302-312"},"PeriodicalIF":0.0,"publicationDate":"2005-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2864482/pdf/nihms192255.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"28968946","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Guidelines to prevent transmission of AIDS in the emergency department.","authors":"H T Schlamm","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":80238,"journal":{"name":"Topics in emergency medicine","volume":"9 2","pages":"71-4"},"PeriodicalIF":0.0,"publicationDate":"1987-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21185505","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Despite the maturing of prehospital emergency care over the last 25 years, many controversies still persist. Although EMS personnel now widely recognize that medical cardiac arrest patients and traumatic cardiac arrest patients require different amounts of field stabilization and treatment, there is still no clear answer as to how much stabilization using what treatments is necessary. Similarly, although it is widely accepted that out-of-hospital cardiac arrest with ventricular fibrillation should be rapidly defibrillated, there is no consensus as to who should deliver the countershock and with the use of what equipment. These and many other controversies of prehospital care arise because this field is new and rapidly growing.
{"title":"Controversial issues in prehospital care.","authors":"N E McSwain, G A Timberlake","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Despite the maturing of prehospital emergency care over the last 25 years, many controversies still persist. Although EMS personnel now widely recognize that medical cardiac arrest patients and traumatic cardiac arrest patients require different amounts of field stabilization and treatment, there is still no clear answer as to how much stabilization using what treatments is necessary. Similarly, although it is widely accepted that out-of-hospital cardiac arrest with ventricular fibrillation should be rapidly defibrillated, there is no consensus as to who should deliver the countershock and with the use of what equipment. These and many other controversies of prehospital care arise because this field is new and rapidly growing.</p>","PeriodicalId":80238,"journal":{"name":"Topics in emergency medicine","volume":"9 1","pages":"1-11"},"PeriodicalIF":0.0,"publicationDate":"1987-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21151838","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Skillful scene control, sensitive communication, and grace under pressure are all necessary for safe passage in and out of the volatile field environment. These skills must be nurtured and practiced. Ideas for their mastery are presented in this article. But everyone has a different style. To some, few of these ideas will be relevant. Others may embrace most. The skills most important to everyone are recognizing and controlling the forces acting on a scene and understanding the need for clear and calm leadership. Short of that, EMTs as well as patients fall prey to these forces, and personal safety and patient care are jeopardized.
{"title":"Scene control in prehospital care.","authors":"K A Neely","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Skillful scene control, sensitive communication, and grace under pressure are all necessary for safe passage in and out of the volatile field environment. These skills must be nurtured and practiced. Ideas for their mastery are presented in this article. But everyone has a different style. To some, few of these ideas will be relevant. Others may embrace most. The skills most important to everyone are recognizing and controlling the forces acting on a scene and understanding the need for clear and calm leadership. Short of that, EMTs as well as patients fall prey to these forces, and personal safety and patient care are jeopardized.</p>","PeriodicalId":80238,"journal":{"name":"Topics in emergency medicine","volume":"9 1","pages":"79-86"},"PeriodicalIF":0.0,"publicationDate":"1987-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21151845","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Acute, critical patients require a rapidly applied, highly refined diagnostic approach if their chances for survival are to be maximized. EMS systems have made great strides in addressing the management challenges confronting them, especially via the development and refinement of severity assessment instruments. EMS systems, however, must also evaluate and develop reliable prehospital communications procedures; must develop and maintain a list of needed changes and then prioritize the changes; and must enhance prehospital problem-oriented diagnostic data-gathering protocols. The methodology for the development of the latter has not yet even been explored in the EMS literature. It is hoped that this sharing of Port Worth's recent experiences will help other EMS professionals who find themselves either in the early stages of major system redesign or the initiation of a new EMS system.
{"title":"Management challenges confronting new EMS systems.","authors":"F J Papa, D D Key","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Acute, critical patients require a rapidly applied, highly refined diagnostic approach if their chances for survival are to be maximized. EMS systems have made great strides in addressing the management challenges confronting them, especially via the development and refinement of severity assessment instruments. EMS systems, however, must also evaluate and develop reliable prehospital communications procedures; must develop and maintain a list of needed changes and then prioritize the changes; and must enhance prehospital problem-oriented diagnostic data-gathering protocols. The methodology for the development of the latter has not yet even been explored in the EMS literature. It is hoped that this sharing of Port Worth's recent experiences will help other EMS professionals who find themselves either in the early stages of major system redesign or the initiation of a new EMS system.</p>","PeriodicalId":80238,"journal":{"name":"Topics in emergency medicine","volume":"9 1","pages":"51-63"},"PeriodicalIF":0.0,"publicationDate":"1987-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21151842","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Donor management and organ procurement.","authors":"V A Starnes, M E Brown, J C Baldwin","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":80238,"journal":{"name":"Topics in emergency medicine","volume":"8 3","pages":"65-70"},"PeriodicalIF":0.0,"publicationDate":"1986-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21147357","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Computers in disaster management.","authors":"A I Bern","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":80238,"journal":{"name":"Topics in emergency medicine","volume":"7 4","pages":"65-74"},"PeriodicalIF":0.0,"publicationDate":"1986-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21148543","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Community planning for hazardous materials disasters.","authors":"R B Leonard","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":80238,"journal":{"name":"Topics in emergency medicine","volume":"7 4","pages":"55-64"},"PeriodicalIF":0.0,"publicationDate":"1986-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21170466","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Disasters and disaster medicine: an introduction and overview.","authors":"B Feldstein","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":80238,"journal":{"name":"Topics in emergency medicine","volume":"7 4","pages":"1-19"},"PeriodicalIF":0.0,"publicationDate":"1986-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21170464","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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