Checklists and »crowdsourcing« for Increased Patient Safety in the Emergency Department [Swedish]

Checklists and »crowdsourcing« for Increased Patient Safety in the Emergency Department [Swedish]

Checklists make it easier to do the right thing in the emergency room. That’s the idea behind a website launched this month. It will contain proposals for checklists on what information should be obtained for the assessment of different conditions at the emergency department. All emergency personnel are invited to participate in this development project.

Routine Rectal Palpation in Acute Abdomen has no Proven Value: A Review of the Literature [Swedish]

Routine Rectal Palpation in Acute Abdomen has no Proven Value: A Review of the Literature [Swedish]

A digital rectal examination (DRE) is standard practice in cases of acute abdomen in adult patients. We analyzed the evidence for this by a systematic literature search, and identified 16 relevant original studies. These studies showed that there is no evidence for a diagnostic value of DRE in adult patients with acute abdomen. We should…

Likelihood of acute coronary syndrome in emergency department chest pain patients varies with time of presentation

Likelihood of acute coronary syndrome in emergency department chest pain patients varies with time of presentation

Background There is a circadian and circaseptal (weekly) variation in the onset of acute coronary syndrome (ACS). The aim of this study was to elucidate whether the likelihood of ACS among emergency department (ED) chest pain patients varies with the time of presentation. Methods All patients presenting to the Lund ED at Skåne University Hospital…

An artificial neural network to safely reduce the number of ambulance ECGs transmitted for physician assessment in a system with prehospital detection of ST elevation myocardial infarction

An artificial neural network to safely reduce the number of ambulance ECGs transmitted for physician assessment in a system with prehospital detection of ST elevation myocardial infarction

Background Pre-hospital electrocardiogram (ECG) transmission to an expert for interpretation and triage reduces time to acute percutaneous coronary intervention (PCI) in patients with ST elevation Myocardial Infarction (STEMI). In order to detect all STEMI patients, the ECG should be transmitted in all cases of suspected acute cardiac ischemia. The aim of this study was to…