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Introduction Cardiac Emergencies01:30

Introduction Cardiac Emergencies

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Cardiac emergencies are critical situations involving the heart that require immediate medical intervention to prevent severe complications or death. These emergencies often arise from underlying heart conditions that impair the heart's ability to function correctly.Types of Cardiac EmergenciesThe most common types of cardiac emergencies include Acute Coronary Syndrome (ACS), myocardial infarction (MI), cardiac arrest, and heart failure.Acute Coronary Syndrome (ACS)Acute Coronary Syndrome (ACS)...
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Nursing Clinical Information System01:27

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Nursing Clinical Information System (NCIS)
A Nursing Clinical Information System (NCIS) is a specialized type of healthcare information system tailored to meet the unique needs of nursing practice. It incorporates the principles of nursing informatics to streamline information management and improve the quality of care delivery.
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SBAR II: Application of SBAR01:14

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SBAR is an effective communication tool used by healthcare professionals to communicate patient information accurately. SBAR stands for Situation, Background, Assessment, and Recommendation. For a better understanding, an example is given below.
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Introduction to AEDAn Automated External Defibrillator (AED) is a portable medical device that analyzes the heart's rhythm and, if necessary, delivers an electrical shock to help the heart re-establish an effective rhythm during sudden cardiac arrest (SCA). SCA occurs when the heart suddenly and unexpectedly stops beating, leading to a loss of blood flow to the brain and other vital organs. In such emergencies, time is of the essence, and using an AED, combined with Cardiopulmonary...
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Effective communication among healthcare professionals during hand-off reporting is essential to delivering safe and continuous patient care. Common professional interactions include reports to healthcare team members, hand-off, and transfer reports. Nurses routinely report information to other healthcare team members and also urgently contact healthcare providers to report changes in patient status.
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Geographic Information System (GIS) technology is essential for risk identification, action prioritization, and resource optimization in critical situations like flooding and earthquakes. By integrating spatial and demographic data, GIS provides a comprehensive framework for emergency response.GIS integrates data layers, like rainfall intensity, topography, elevation profiles, and river levels, to model high-risk flood zones. These layers assess areas susceptible to flooding based on their...
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Mobile app helps trainees manage emergencies at the bedside.

Andrew L Chu1,2,3,4, Yonatan G Keschner2, Lucinda Lai1,2,3

  • 1Department of Emergency Medicine Massachusetts General Hospital Boston Massachusetts USA.

AEM Education and Training
|November 1, 2021
PubMed
Summary

A new mobile app, EM Protocols (EMP), provides emergency department clinicians with immediate access to critical guidelines and tools at the point of care. This digital health solution improves trainee confidence and patient care during high-acuity emergencies and public health crises.

Keywords:
COVID‐19ITcoronavirusdigital healthinnovation

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Area of Science:

  • Digital Health
  • Emergency Medicine
  • Clinical Informatics

Background:

  • Emergency departments (ED) face challenges with bedside accessibility of standardized guidelines for low-frequency, high-acuity diagnoses.
  • Trainee anxiety and delayed patient care can result from inaccessible guidelines, particularly during rapidly evolving situations like pandemics.

Purpose of the Study:

  • To develop and evaluate EM Protocols (EMP), a mobile application designed to provide immediate bedside access to emergency medicine guidelines and clinical tools.
  • To enhance the management of low-frequency, high-acuity emergencies and facilitate rapid guideline dissemination during crises.

Main Methods:

  • Physician innovators utilized design thinking principles to create the EM Protocols (EMP) mobile application.
  • The application was deployed in two academic medical centers, offering features for guideline access, consultant contact, and code-running tools.

Main Results:

  • Nearly 300 ED clinicians downloaded EMP, with over 5,400 interactions recorded during the COVID-19 surge.
  • The application demonstrated sustained regular use for over 12 months post-surge, indicating positive reception and utility.
  • Plans are underway to expand EMP with additional adult and pediatric guidelines based on its success.

Conclusions:

  • Digital health tools like EMP are valuable adjuncts for managing acute, life-threatening emergencies at the point of care.
  • EMP benefits trainees during routine operations and supports clinical management during large-scale disruptions such as pandemics or mass casualty events.