A Randomised Controlled Trial Comparing Ketamine < em > versus < /em > Fentanyl for Procedural Sedation in the Emergency Department for Adults with Isolated Extremity Injury
CONCLUSION: PSA is a safe and efficacious procedure for patients undergoing painful procedures in ED. Patients in both the groups maintained hemodynamic stability throughout the procedure. From our study, we were able to conclude that both ketamine and fentanyl are similar in efficacy for PSA in the ED for adults with isolated limb injuries. In addition, no significant cardiovascular adverse events were noted in either group in our study.PMID:38638669 | PMC:PMC11023337 | DOI:10.5704/MOJ.2403.015 (Source: Pain Physician)
Source: Pain Physician - April 19, 2024 Category: Anesthesiology Authors: M Srinivasarangan S Jagadeesh A Bheemanna A Sivasankar A Patil B Basavaraju A Sattur Source Type: research
Illuminating Emergency Department Health Policy Recommendations to an Invisible Palliative Screening Process
1. Upon successful completion, participants will self report the ability to apply examples of how to integrate palliative care into health policy and legislation.2. Utilizing a program-based approach, participants will be able to evaluate an academic medical center's innovative and invisible Emergency Department - Palliative Care screening tool. (Source: Journal of Pain and Symptom Management)
Source: Journal of Pain and Symptom Management - April 19, 2024 Category: Palliative Care Authors: Katherine E. DeMarco, Deborah Ferreira Source Type: research
“Having Everything Done” Doesn't Always Involve a Transfer: TelePalliative Care in the Rural Emergency Department
1. Utilizing a case-based approach, participants will self-report the ability to evaluate the merits and potential drawbacks of providing telepalliative care in the rural emergency department setting.2. Utilizing an evidence-based approach, participants will self-report the ability to synthesize a rationale for clarifying goals of care in the emergency department prior to potential patient transfer to a higher level of care. (Source: Journal of Pain and Symptom Management)
Source: Journal of Pain and Symptom Management - April 19, 2024 Category: Palliative Care Authors: Karl B. Bezak, Peter Adler, Kevin Murphy, Adie Goldberg, Daniel E. Hall Source Type: research
All We Need is a Hospice in Brazil
1. Utilizing an observational, cross-sectional, and multicenter approach, participants will self-report the ability to evaluate major differences in south America public and private hospital service, as an opportunity for improvement and considerations for future practices applications.2. Utilizing quality control, data visualization and comparation, participants will self-report the ability to identify key elements in the emergency service to support the decision-making of implement palliative care. (Source: Journal of Pain and Symptom Management)
Source: Journal of Pain and Symptom Management - April 19, 2024 Category: Palliative Care Authors: Carla Roballo Bertelli, Marileise Roberta Antoneli Fonseca, Fernanda Fraga Engelbrecht, Paulo Miguel Ferreira Gon çalves Caruso de Campos, Felipe Thiele Cecílio, Luana Cabrino Aranha, Miguel Moraes Gomes Damasceno Amorim, Renan Gianotto-Oliveira, Lucian Source Type: research
Refinement of the Time Limited Trial Conversation Guide for Critically Ill Older Adults in the Emergency Department
1. Understand Time Limited Trial basics – its utility and indications perceived by emergency physicians and seriously ill patients in the ED.2. Identify components of Time Limited Trials that are valued most by seriously ill patients and emergency physicians in an ED setting. (Source: Journal of Pain and Symptom Management)
Source: Journal of Pain and Symptom Management - April 19, 2024 Category: Palliative Care Authors: Katherine G. McGough, Kei Ouchi Source Type: research
An Interdisciplinary Approach to Compassionate Extubations for Emergency Medicine Residents
1. Utilizing simulation technology, participants will describe an approach to teach the pertinent required skills to perform compassionate extubations in the ED setting to be implemented for EM residents and other health care professional learners.2. Engaging with an interdisciplinary approach, participants will describe the different roles of the interprofessional health professionals in participating in compassionate extubations and providing end-of-life care for patients and their families in the ED. (Source: Journal of Pain and Symptom Management)
Source: Journal of Pain and Symptom Management - April 19, 2024 Category: Palliative Care Authors: Alice Chang, Christine Khandelwal Source Type: research
Emergency Departments as the Portal of Entry for Inpatient Geriatric Hospice and Palliative Medicine Consults
1. Recognize the Emergency Department as a primary portal of hospital entry for downstream Hospice and Palliative Medicine Consults in Geriatric patients.2. Recognize that one out of eleven geriatric ED patients in this sample received a Hospice and/or Palliative medicine consult during their hospitalization. (Source: Journal of Pain and Symptom Management)
Source: Journal of Pain and Symptom Management - April 19, 2024 Category: Palliative Care Authors: Satheesh Gunaga, Abe Al-Hage, Michael Welchans, Alyssa Buchheister, Jessica Corcoran, Kim Meeker, Brooke Buckley, Etu Egbe-Etu, Joseph Miller, Chandana Banerjee Source Type: research
Implementing an End of Life Curriculum in a National Cohort of Emergency Medical Services Clinicians
1. Participants will better comprehend EMS clinician prior experience, confidence and subject knowledge caring for and communicating for patients near the end of life.2. Participants will learn strategies on how to target clinical and communication skills training for EMS clinicians. (Source: Journal of Pain and Symptom Management)
Source: Journal of Pain and Symptom Management - April 19, 2024 Category: Palliative Care Authors: Amelia Breyre, David H. Wang, Charles Dunn, Justin K. Brooten, Brian Gacioch, Michael Taigman, Zili He Source Type: research
National Emergency Department Utilization by Patients with Alzheimer's Disease and Related Dementias
1. Participants will be able to describe national patterns in dementia patients ’ emergency department utilization.2. Participants will be able to describe how dementia patients' prior site of residence / care appears to be associated with their subsequent ED utilization and costs. (Source: Journal of Pain and Symptom Management)
Source: Journal of Pain and Symptom Management - April 19, 2024 Category: Palliative Care Authors: Jason K. Bowman, James A. Tulsky, Christine S. Ritchie, Joan M. Teno Source Type: research
Stakeholder-Informed Framework to Address Financial Toxicity in Multimorbidity and Serious Illness (RP219)
1. Evaluating the presented framework, learners will be able to describe and examine the different factors contributing to financial toxicity among patients living with serious illness.2. Learners will be able to identify areas that may contribute to financial toxicity among patients with serious illness and describe how such financial toxicity contributes to unwanted emergency department visits and hospitalizations among patients with serious illness. (Source: Journal of Pain and Symptom Management)
Source: Journal of Pain and Symptom Management - April 19, 2024 Category: Palliative Care Authors: Caroline E. Sloan, Hudson Hazlewood, Cara McDermott Source Type: research
Hospice After-Hours: Is it Related and Who Pays?
1. Identify principles for determining what diagnoses and interventions are related to the terminal prognosis.2. Describe an approach to working with emergency department clinicians to ensure their patients receive goal concordant care. (Source: Journal of Pain and Symptom Management)
Source: Journal of Pain and Symptom Management - April 19, 2024 Category: Palliative Care Authors: Edward Martin, Mara Feingold-Link Source Type: research
Integrating Palliative Medicine Physician Assistant in the Emergency Room
1. Participants will be able to identify the utility and benefit of embedding a specialty level palliative care physician assistant in the ED for patients living with serious and life-limiting illnesses.2. Participants will be able to model a similar study using the validated screening tool to aid in developing like processes to demonstrate the value of embedding a PC clinician in the ED. (Source: Journal of Pain and Symptom Management)
Source: Journal of Pain and Symptom Management - April 19, 2024 Category: Palliative Care Authors: Ryan Baldeo, Rachel A. Lindor Source Type: research
Impacts of Per Diem Payment Rate Rebasing on the Medicare Hospice Benefit
1. Understand the purpose and intent of CMS's adjustment of payment rates to increase non-RHC service in the Medicare Hospice Benefit2. Describe trends in hospice service after the payment rate adjustment as well as the time period that coincided with the COVID-10 public health emergency. (Source: Journal of Pain and Symptom Management)
Source: Journal of Pain and Symptom Management - April 19, 2024 Category: Palliative Care Authors: Thomas Christian, Michael Plotzke Source Type: research
Feasibility and Acceptability of Goals of Care Elicitation in an Emergency Department Setting (RP112)
1. Participants will be able to self-report the ability to describe and evaluate the feasibility of implementing a systematic goals-of-care survey in the emergency department among older patients with serious illness.2. Participants will be able to self-report the ability to adapt and implement a systematic approach to goals-of-care elicitation in their own emergency department practice setting to facilitate opportunities to improve goal-concordant care. (Source: Journal of Pain and Symptom Management)
Source: Journal of Pain and Symptom Management - April 19, 2024 Category: Palliative Care Authors: Sophia R. Yapalater, Ibis R. Vera Urbina, Ari B. Friedman, Felix Fernandez-Penny, Nick Loh, Natasha K. Balogh, Kate Courtright, Catherine Auriemma Source Type: research
Primary Palliative Care for Emergency Medicine, a Clustered-Randomized Stepped Wedge Trial Across 29 EDs (RP323)
1. Define primary palliative care and its role in emergency medicine.2. Explain the components of a multi-level, complex palliative care intervention. (Source: Journal of Pain and Symptom Management)
Source: Journal of Pain and Symptom Management - April 19, 2024 Category: Palliative Care Authors: Corita R. Grudzen, Nina Siman, Allison Cuthel, Oluwaseun Adeyemi, Rebecca Liddicoat L. Yamarik, Keith S. Goldfeld Source Type: research
