Tag Archives: Emergency Rooms

Healthcare: “Rethinking How Hospitals Operate”

From the Wall Street Journal (June 8, 2020):

“We have to operate a hospital within a hospital, taking care of the needs for patients who have had strokes or a newborn delivery or need surgery while dealing with an otherwise healthy 35-year-old who picked up Covid-19 at a social event,” says James Linder, chief executive of Nebraska Medicine…

Rethinking The Hospital for the Next Pandemic - Wall Street Jouranl - June 8 2020For instance, more hospitals are remotely triaging and registering patients before they even arrive. Clinicians can consult with patients from their home via telemedicine to help determine how sick they are and if they need to come to the ER at all. From there, admissions are made with as little contact with staff or other patients as possible.

Hospitals are rethinking how they operate in light of the Covid-19 pandemic—and preparing for a future where such crises may become a grim fact of life.

Rethinking The Hospital for the Next Pandemic - Wall Street Jouranl - June 8 2020 - Illustration by Justin Metz
Illustration by Justin Metz

Rethinking The Hospital for the Next Pandemic - Wall Street Jouranl - June 8 2020 - Illustration by Justin MetzWith the potential for resurgences of the coronavirus, and some scientists warning about outbreaks of other infectious diseases, hospitals don’t want to be caught flat-footed again. So, more of them are turning to new protocols and new technology to overhaul standard operating procedure, from the time patients show up at an emergency room through admission, treatment and discharge.

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Medical Podcasts: Are Cardiovascular Patients Avoiding Emergency Rooms During Covid-19?

NEJM Journal WatchCardiovascular consults are way down. Is the threat of COVID-19 infection scaring people away from ED’s?

We caught up with Dr. Comilla Sasson, the American Heart Association’s VP for science and innovation. She’s an emergency physician who teaches at the University of Colorado. She’d traveled to New York City to “help with the response,” and she talked with us from a field hospital that had been set up on a tennis court in Central Park.

She had lots to say about what’s driving patients away from emergency departments these days and what’s likely to happen in medicine (hello, telemedicine!) once the pandemic abates.

Running time: 15 minutes

Health Podcasts: Hospital Ventilator Shortage Forces Doctors To Make Difficult Choices (WSJ)

WSJ PodcastsFacing shortages of critical equipment, medical workers must make life-or-death decisions about who receives care. WSJ’s Joe Palazzolo reports from an emergency room that’s running short on ventilators, and Chris Weaver explains the plans hospitals are putting in place to decide who gets them. 

Arthur Caplan, a bioethicist at NYU’s School of Medicine, talks about how hospitals think about these difficult choices.

Hospitals & Coronavirus: Emergency Room Doctor Discusses Preparing For Cases In Miami Area (NEJM)

NEJM talks with Dr. Julian Flores, who works in a Broward County, Florida, emergency room.

NEJM Journal WatchWhen he was interviewed, the count of Covid-19 cases stood at 412, less than 12 hours later, the new number was 505. He’s expecting the wave to hit hard there. Broward is home to Fort Lauderdale (think spring break) and Pompano Beach (think aging retirees). Couple those demographics with a lack of easy testing for the virus, and you’ve got a worrisome situation.

Hospital Care: How Improved Design Of Emergency Rooms Can Save Lives (Video)

Decentralized Nurse Workstations Hospital Design Wired Video December 2019Produced by WIRED Brand Lab with American Institute of Architects | How can design transform emergency rooms from one of the most stressful and chaotic places into a place of healing? Dr. Bon Ku and architect Billie Faircloth, AIA, break down the science behind designing a better work environment for hospitals.

Emergency Medicine: When “Treating Everyone” Meets “Triage”, Patients And Healthcare Must Wait

From a STAT online article:

Emergency Room WaitingThe specialty of emergency medicine is firmly grounded in social justice and providing access to expert care to everyone who comes in. That means treating anyone, with any condition, at any time. And yet, embedded into emergency department operations is a system that might be perceived as unjust: the concept of triage. The emergency queue isn’t “first come, first served.” It’s nonlinear by design, since triage prioritizes the severity of illness. The severely ill or injured receive immediate attention. Everyone else, to various degrees, must wait.

There are situations when waiting feels immoral to me, not merely inconvenient. Being an emergency doctor means shouldering burdens for perceived injustices that we have little, if any, control over. Most of the beds were locked up with patients boarding in the ED, which means they are waiting for an inpatient bed to become available in the hospital.

Hospitals have high expectations regarding how quickly patients are seen in the emergency department, and my colleagues and I share that goal. But there’s less urgency when it comes to discharging patients from the hospital, which would unclog the backup in the emergency department — and its waiting room.

To read more: https://www.statnews.com/2019/11/25/waiting-feels-immoral-fairness-emergency-department-empathy/?utm_source=STAT+Newsletters&utm_campaign=507f0804a2-First_Opinion&utm_medium=email&utm_term=0_8cab1d7961-507f0804a2-150443417