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Clinical Question: How do I measure frailty in the Emergency Department?

In Clinical Questions by Karyssa HamannLeave a Comment

Mrs. Vivianne Dubois is an 84-year-old female presenting to your Emergency Department with her daughter. She tells you that she is here because she has been feeling weak and has had a fall. You speak to her daughter and find out that in the past year since her husband’s death, Vivienne has been struggling to take care of herself, requiring assistance with bathing and cooking. Recently, she has had several falls, and her …

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Approach to Unhoused Patients Presenting to the Emergency Department with a History of Opioid Use Disorder

In Knowledge Translation by Richard ChengLeave a Comment

Editor’s Note: This is part 2 of a 2-part series on homelessness. Check out Part I about the Ottawa Inner City Health Initiative. ‘Ken’ is a 47-year-old unhoused man presenting to the Emergency Department (ED) with severe opioid withdrawal symptoms. After taking his history, you learn that he has been unhoused for the past 2 years and using non-prescribed fentanyl for the past 8 months. His last dose was 28 hours ago. You …

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Substance use in the ED: Alcohol Use Disorders and the Emergency Department

In Clinical Questions, Medical Concepts by Gaibrie StephenLeave a Comment

Think back to your last three shifts. Did you see an alcohol related condition? You might even notice a pattern— the same patient, the “regular” who returns time and time again with the same presentation. You may even find yourself writing “discharge home when ambulatory” as you’ve “reached your wits end” and don’t know what to do anymore.  The use of alcohol is common and the emergency department is often where we see …

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FLOW Hacks 5 – Bed Utilization in the ER

In Education & Quality Improvement, FLOW Hacks by David SavageLeave a Comment

To continue our  FLOW Hacks series, Dr. Lucas Chartier and nurse Barb McGovern write about their team’s innovation called BED-UP: Bed in the Emergency Department Utilization Project. FLOW Hacks: The Concept The FLOW (Featured Leadership & Organizational Workplace) Hacks Series highlights innovative strategies for increasing patient flow in the emergency department (ED).  This series is unique given its focus on the administrative aspect of emergency medicine. We are interested in small or large interventions that …