Abstract:
:The objective is to describe the characteristics of mechanically restrained patients in the emergency department (ED) of a university hospital and to evaluate the quality of restraint documentation that was filled out according to the dedicated protocol with respect to the law on restraint. All adult patients (≥16 years) who were admitted to the ED from January 2009 to December 2010 and were mechanically restrained were included. We assessed medical and demographic characteristics, the completeness of the dedicated protocol, and the concomitant use of chemical sedation. 72,844 patients were admitted to the ED. Of these, 593 (0.81%) were mechanically restrained. Two types of patients were restrained: young patients under the influence of psychoactive substances who were usually discharged home, and confused older patients who were hospitalized. 186 dedicated protocols were missing (31.4%). From the 407 filled-out protocols, only 119 (29.2%) were complete. Of the mechanically restrained patients, 215 (36.2%) received additional chemical sedation. Even though restraint is strictly regulated by law, many protocols justifying the privation of liberty were not filled out. This emphasizes the need for strict respect of the dedicated protocol and the use of guidelines and training sessions for nursing and medical staff that address specific procedures for the two categories of patients needing to be restrained.
journal_name
Intern Emerg Medjournal_title
Internal and emergency medicineauthors
Beysard N,Yersin B,Carron PNdoi
10.1007/s11739-017-1697-6subject
Has Abstractpub_date
2018-06-01 00:00:00pages
575-583issue
4eissn
1828-0447issn
1970-9366pii
10.1007/s11739-017-1697-6journal_volume
13pub_type
杂志文章abstract::A meta-analysis to determine the impact of gender on mortality in patients with non-ST-segment elevation acute coronary syndromes (NSTE-ACS): PubMed, EMBASE, and Cochrane Library, was systematically searched. Two investigators independently reviewed retrieved articles and assessed eligibility. Unadjusted mortality rat...
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pub_type: 杂志文章,meta分析,评审
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abstract::The primary study objective is to compare the outcomes of patients taking oral anticoagulant medications in two distinct populations treated according to different management models (comprehensive vs. usual care). (Design: regional prospective cohort study; setting: hospital admission data from two regions). Eligible ...
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abstract:OBJECTIVE:To determine the feasibility of using the internet to track the spread of emergency medicine internationally. METHODS: OVERVIEW:This was an attempt to perform a descriptive cross-sectional study employing a web-based survey. SUBJECTS:Potential respondents were identified from multiple sources. OBSERVATION...
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journal_title:Internal and emergency medicine
pub_type: 杂志文章,评审
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journal_title:Internal and emergency medicine
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doi:10.1007/s11739-011-0522-x
更新日期:2012-06-01 00:00:00
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journal_title:Internal and emergency medicine
pub_type: 杂志文章
doi:10.1007/BF02934762
更新日期:2006-01-01 00:00:00
abstract::The authors have investigated the incidence of acute kidney injury (AKI) and short-term mortality following an activated STEMI and stroke alert at a tertiary referral and academic center. A single center, retrospective chart review of STEMI and stroke activation patients from January 2010 to March 2012. Data was colle...
journal_title:Internal and emergency medicine
pub_type: 杂志文章
doi:10.1007/s11739-016-1407-9
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pub_type: 杂志文章
doi:10.1007/s11739-017-1696-7
更新日期:2017-10-01 00:00:00
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pub_type: 杂志文章
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更新日期:2010-02-01 00:00:00
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journal_title:Internal and emergency medicine
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doi:10.1007/s11739-015-1333-2
更新日期:2016-02-01 00:00:00
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journal_title:Internal and emergency medicine
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doi:10.1007/s11739-013-0969-z
更新日期:2013-09-01 00:00:00
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journal_title:Internal and emergency medicine
pub_type: 杂志文章,多中心研究
doi:10.1007/s11739-013-1006-y
更新日期:2014-09-01 00:00:00
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journal_title:Internal and emergency medicine
pub_type: 杂志文章,meta分析
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更新日期:2019-04-01 00:00:00
abstract:BACKGROUND AND AIMS:Patients with decompensated cirrhosis frequently require hospital admissions, which are associated with worse prognosis. The aim of this study was to analyze the effect of TIPS on the need for hospital care. Secondary objectives were to assess the clinical and biological impact of TIPS and to identi...
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journal_title:Internal and emergency medicine
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abstract::Non-alcoholic fatty liver disease is recognized as the most common and emerging chronic liver disease in western countries. The disease has been traditionally interpreted as a possibly progressing condition to liver fibrosis and cirrhosis. However, recently, a large number of publications have demonstrated that people...
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pub_type: 杂志文章,评审
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