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Age, comorbidity, frailty status: effects on disposition and resource allocation during the COVID-19 pandemic
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.
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?
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.
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.
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
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.
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
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.
Current prevalence of self-reported interpersonal violence among adult patients seen at a university hospital emergency department in Switzerland
The emergency department is the usual place of care for victims of violence. Nonetheless, the prevalence of violence remains underestimated in the emergency department, especially as patients do not spontaneously mention that they are victims. Often this is considered shameful, even taboo.
The last decade of symptom-oriented research in emergency medicine: triage, work-up, and disposition
Symptom-oriented research has become the domain of emergency medicine research, as most other specialities have strongly focused diagnostic and prognostic research on individual disease entities.