Emergency department visits for undiagnosed pelvic organ prolapse

The American Journal of Emergency Medicine, Journal Year: 2025, Volume and Issue: 90, P. 164 - 168

Published: Jan. 23, 2025

Language: Английский

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Association between patient primary language, physical restraints, and intramuscular sedation in the emergency department

Academic Emergency Medicine, Journal Year: 2025, Volume and Issue: unknown

Published: Feb. 13, 2025

Despite the importance of effective communication during verbal de-escalation, research regarding patient primary language management agitation symptoms is limited. We evaluated associations between and use physical restraints intramuscular (IM) sedation in emergency department (ED). This was a retrospective cohort analysis evaluating restraint IM characteristics using electronic medical records from 13 EDs affiliated with large regional health care network located northeast United States. Data were collected for ED visits 2013 to 2023 all adult patients ages 18 older. performed logistic regression models presence orders as outcomes, adjusting language, sex assigned at birth, age, race ethnicity, chief complaints. In our 3,406,474 visits, 3,086,512 included English speakers, 250,912 Spanish 9,057 Portuguese 6,616 Arabic 6,425 Italian 39,303 other 7,649 unknown speakers; 18,546 48,277 sedation. After demographic clinical adjusted for, Spanish- Portuguese-speaking had reduced likelihood compared odds ratios (95% confidence intervals) 0.70 (0.65-0.76) 0.82 (0.79-0.87) speakers 0.39 (0.20-0.68) 0.84 (0.66-1.05) respectively. found have lower sedation, while Arabic, Italian, other, language-speaking higher odds. Factors contributing linguistic differences use, such cultural interpretations behavior, quality interactions, patient-clinician strategies, merit further investigation.

Language: Английский

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Racial Disparities in the Use of Physical Restraints and Intramuscular Medications for Patients Awaiting Psychiatric Hospitalization in the Emergency Department

Journal of the Academy of Consultation-Liaison Psychiatry, Journal Year: 2025, Volume and Issue: unknown

Published: March 1, 2025

Language: Английский

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Unmasking Racial and Ethnic Disparities in Prehospital Sedation and Restraint Practices—Beyond the Straps

JAMA Network Open, Journal Year: 2025, Volume and Issue: 8(3), P. e251289 - e251289

Published: March 20, 2025

Diana M. Bongiorno, MD, MPH; Gregory A. Peters, MD; Margaret E. Samuels-Kalow, MPhil, MSHP; Scott Goldberg, Remle P. Crowe, PhD; Anjali Misra, Rebecca Cash, PhD, MPH

Language: Английский

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Comparative Safety of Medications for Severe Agitation: A Geriatric Emergency Department Guidelines 2.0 Systematic Review

Journal of the American Geriatrics Society, Journal Year: 2025, Volume and Issue: unknown

Published: April 24, 2025

ABSTRACT Background Managing undifferentiated, severe agitation in older adults may require antipsychotic or sedative medications to prevent harm self others. Unfortunately, these are associated with serious adverse events adults, and little is known about their comparative safety. Methods We conducted a systematic review identify effectiveness studies on the safety of used treatment among prehospital emergency department (ED) setting. searched eight databases including PubMed, EMBASE, SCOPUS, Cochrane library, CINAHL, Proquest Central, Ageline, PsycInfo published before February 2024. Studies were included if they examined 1st generation antipsychotics, 2nd benzodiazepines, ketamine. Data extracted respiratory (apnea, hypoxemia, intubation) other (arrhythmia, hypotension, worsening delirium, cardiac arrest, mortality). report aggregate occurrence any pooled by drug odds ratios (ORs) using haloperidol as reference group. Results Among 8600 identified, observational one randomized clinical trial met eligibility for further qualitative quantitative analysis. The 838 receiving ( n = 117), droperidol 129), lorazepam 350), midazolam 68), olanzapine 101), quetiapine 56), ziprasidone 17). Any observed 16.8% patients (141/838). Adverse most common (53%; 36/68). Relative haloperidol, significantly increased risk (OR 5.25 [95% CI: 2.64–10.45]). Quetiapine was only have lower frequency 0.27 0.08, 0.97]). Conclusions anxiolytic agitation. Benzodiazepines, particularly midazolam, pose an excessive requiring pharmacologic

Language: Английский

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Reply to “Reconsidering the validity of the PROM‐OTED tool in geriatric emergency care transitions”

Academic Emergency Medicine, Journal Year: 2025, Volume and Issue: unknown

Published: April 26, 2025

Language: Английский

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