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Value of the TTM risk score for early prognostication of comatose patients after out-of-hospital cardiac arrest in a Swiss university hospital

Original article
Kägi E, Weck A, Iten M, Levis A, Haenggi M
Swiss Med Wkly. 2020;150:w20344

Since the TTM followed strict inclusion and exclusion criteria, the validity in a general ICU population of cardiac arrest patients is unknown. With this study, the authors aimed to confirm and assess the usefulness in a Swiss population suffering from out-of-hospital cardiac arrest outside a clinical trial.

Barriers to seeking emergency care during the COVID-19 pandemic may lead to higher morbidity and mortality – a retrospective study from a Swiss university hospital

Original article
Hautz WE, Sauter TC, Exadakytlos AK, Krummrey G, Schauber S, Müller M
Swiss Med Wkly. 2020;150:w20331

Barriers to seeking emergency care during the COVID-19 pandemic may lead to higher morbidity and mortality. Healthcare authorities and hospitals must ensure low barriers to treatment and business as usual for patients with chronic or acute on chronic illnesses.

Age, comorbidity, frailty status: effects on disposition and resource allocation during the COVID-19 pandemic

Viewpoint
Nickel CH, Rueegg M, Pargger H, Bingisser R
Swiss Med Wkly. 2020;150:w20269

Three aspects are of utmost importance: first, determination of frailty status (and not just the patient’s age), second, balancing of benefits and harms while considering the most likely outcome taking comorbidity into account, and third, shared decision-making focusing on the individual’s goals of care.

Pain – the fifth vital sign

Viewpoint
Christ M
Swiss Med Wkly. 2020;150:w20215

An encouraging article recently published in Swiss Medical Weekly reported that that the fundamental basis of adequate pain management is available in almost all Swiss emergency departments. What could be valuable next steps for excellent pain management within EDs?

Prevalence and practice of opioid prescription at a Swiss emergency department: 2013–2017

Original article
Gaertner K, Wildbolz S, Speidel V, Exadaktylos AK, Hautz WE, Müller M
Swiss Med Wkly. 2020;150:w20202

Information about the prevalence and characteristics of patients who are taking or receiving opioids and consult an emergency department (ED) may be useful in increasing clinical awareness and in providing data for policymakers.

Availability of advance directives in the emergency department

Original article
Slankamenac K, Rütsche N, Keller DI
Swiss Med Wkly. 2020;150:w20184

Emergency departments are crowded with critically ill patients, many of whom are no longer able to communicate with the emergency staff. The availability of advance directives among Swiss ED patients has not been evaluated.

Let’s talk about violence – more!

Viewpoint
Exadaktylos AK, Müller M
Swiss Med Wkly. 2020;150:w20172

If we are to detect and prevent physical and psychological violence, we must discuss the problems intensively with our patients. Even modest investment might lead to consistent and sustainable changes. We must be determined to fulfill our role in the fight against violence.

Characteristics of emergency department presentations requiring consultation of the national Poisons Information Centre

Original article
Liakoni E, Berger F, Klukowska-Rötzler J, Kupferschmidt H, Haschke M, Exadaktylos AK
Swiss Med Wkly. 2019;149:w20164

According to data from European hospitals, about 1% of all emergency department (ED) admissions are related to poisoning. Poison information centres (PICs) can provide valuable support to ED personnel and help to optimise patient management in such cases.

Pain management policies and reported practices in Swiss emergency departments: a national survey

Original article
Bourgeois M, Carron PN, Ernst S, Exadaktylos A, Guigli Poretti M, Keller D, Meier K, Nickel CH, Rutschmann OT, Sieber R, Steuer S, Tabakovic S, Hugli O
Swiss Med Wkly. 2019;149:w20155

Acute pain is the most common complaint of patients presenting to emergency departments. Effective pain management is a core ED mission, but numerous studies have pointed to insufficient pain treatment or oligoanalgesia.

The capacity of baseline patient, injury, treatment and outcome data to predict reduced capacity to work and accident insurer costs – a Swiss prospective 4-year longitudinal trauma centre evaluation

Original article
Gross T, Morell S, Scholz SM, Amsler F
Swiss Med Wkly. 2019;149:w20144

Return to work after an injury is an important longer-term outcome measure, ­albeit a complicated issue. Information on the relation between baseline patient, injury and treatment data and the longer-term outcomes for the survivors of significant trauma is lacking.

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