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Related Concept Videos

Pulse rhythm01:30

Pulse rhythm

934
Pulse rhythm refers to the pattern of pulsations within specific intervals, offering valuable insights into the regularity or irregularity of the heart's beats as observed through the pattern of pulsation within specific intervals. A regular pulse exhibits a consistent heart rate with uniform waveforms and pulsation force, variations of which can be classified as normal, weak, or bounding.
Conversely, an irregular pulse pattern is termed dysrhythmia, stemming from disruptions in cardiac...
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Cardiopulmonary Resuscitation III: AED Use01:23

Cardiopulmonary Resuscitation III: AED Use

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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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Acute Coronary Syndrome V: Nursing Management01:26

Acute Coronary Syndrome V: Nursing Management

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Nursing Assessment:Nursing management of acute coronary syndrome (ACS) involves taking the patient's history, focusing on primary complaints such as chest pain, dyspnea, and excessive sweating (diaphoresis), as well as other symptoms like back or jaw pain, nausea, vomiting, palpitations, dizziness, and fatigue. The nurse also reviews the patient's history of cardiac events, risk factors such as hypertension, diabetes, smoking, family history, and current medications.In the objective assessment,...
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Pulmonary Embolism II: Diagnostic Studies and Interprofessional Care01:29

Pulmonary Embolism II: Diagnostic Studies and Interprofessional Care

46
Diagnosing Pulmonary EmbolismDiagnosing pulmonary embolism (PE) involves clinical assessment and advanced imaging tests. The preferred diagnostic tool is the spiral (helical) CT scan or CT angiography (CTA), which uses intravenous contrast media to visualize the pulmonary vasculature and identify emboli.A ventilation-perfusion (V/Q) scan is an alternative for patients unable to receive contrast media. This scan includes both perfusion and ventilation scanning. Perfusion scanning involves...
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Chronic Kidney Disease IV: Nursing Management01:18

Chronic Kidney Disease IV: Nursing Management

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Nursing management is essential for preventing complications, maintaining stability, and improving patients' quality of life in chronic kidney disease (CKD). By using a structured approach, nurses help slow CKD progression and support effective patient care​.1. Comprehensive patient assessmentEffective management begins with nurses reviewing the patient’s medical history, and identifying key risk factors like diabetes, hypertension, and nephrotoxic drug use. Nurses assess signs of...
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Acute Coronary Syndrome III: Diagnostic Studies01:30

Acute Coronary Syndrome III: Diagnostic Studies

25
Diagnosing acute coronary syndrome or ACS begins with a thorough patient history. Notable symptoms include central, crushing chest pain radiating to the left arm, neck, jaw, or back, along with shortness of breath, sweating (diaphoresis), nausea, vomiting, dizziness, and palpitations.It is crucial to note any history of cardiac illnesses and assess risk factors, including age, gender, smoking, hypertension, diabetes, hyperlipidemia, and a sedentary lifestyle.During physical examination, vital...
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Updated: Sep 16, 2025

Expired CO2 Measurement in Intubated or Spontaneously Breathing Patients from the Emergency Department
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Care Alert Program in Chronic Emergency Department Using Patients: Expanded Study.

Jonathan Leggett1, Kaitlyn Phelps1, David Nuñez1

  • 1Grand Strand Medical Center, Myrtle Beach, South Carolina.

HCA Healthcare Journal of Medicine
|July 11, 2025
PubMed
Summary
This summary is machine-generated.

The Care Alert Program (CAP) effectively reduces Emergency Department (ED) visits and hospital admissions for high-utilizing patients. This program achieved significant decreases in both metrics, improving patient care and resource management.

Keywords:
care alertcare alert programcrowdingfrequent ED visitsfrequent admissionshospital emergency service/statistics and numerical datahospital utilizationmedical overusepatient admissionpatient dropoutspatientsquality improvementresource utilization

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Area of Science:

  • Healthcare Management
  • Patient Care Coordination
  • Public Health

Background:

  • High-utilizing patients strain Emergency Department (ED) resources.
  • These patients often have complex chronic conditions and limited access to outpatient care.
  • Individualized care plans are crucial for managing this population.

Purpose of the Study:

  • To evaluate the effectiveness of the Care Alert Program (CAP) in reducing ED visits and hospital admissions.
  • To assess the impact of individualized care plans on high-utilizing patient populations.
  • To expand on previous pilot study findings regarding CAP's efficacy.

Main Methods:

  • The study reviewed 46 cases enrolled in the Care Alert Program (CAP).
  • Data on Emergency Department (ED) visits and hospital admission rates were collected and analyzed.
  • The program involves multidisciplinary committee approval of individualized patient care plans.

Main Results:

  • A 42.3% decrease in patient Emergency Department (ED) visits was observed.
  • Average hospital admission rates declined by 50.4% within the first 8 months post-enrollment.
  • The CAP demonstrated significant reductions in healthcare utilization for high-need patients.

Conclusions:

  • The Care Alert Program (CAP) is an effective strategy for reducing hospital admissions.
  • Implementing CAP significantly decreases average Emergency Department (ED) visits among high utilizers.
  • CAP offers a viable solution for managing complex patient populations and optimizing healthcare resources.