A Study On Emergency Care

PHYSICAL EXAMINATION: Vital Signs. TEMPERATURE: 101.0, Blood Pressure- 127/179, Heart Rate-129, Respirations- 185, Weight-215. Situations 96% on room air. Pain Scale- 8/10. HEENT-Normal cephalic, atrumatic pupils equally round and reactive to light. Extra ocular motions intact. ORAL: Shows oral pharynx clear but slightly dry mucosal membranes. TMS: Clear. NECK: Supple, No thrangegally or JVD. No cervical, subclavicular, axilarry or lingual lymphinalpathy.

He admits to a 25 pound weight gain over the last few months. The patient was

When focusing on the Centers for Medicare and Medicaid Systems strategies for improvement with unnecessary emergency room visits, a major key area is accessibility to health care at the appropriate health care setting. For many years, there has been the perception that the emergency department is the only place for someone who is uninsured or underinsured can go to receive the needed and appropriate health care, and in some situations that may be the case. (Rhodes et al, 2013, p.394) Due to the decreases in reimbursements for the publicly funded, more and more physicians are opting out to treating these patients, thus leading to an increase in emergency department utilization. According to a study conducted by Rhodes, Bisgaier, Lawson, Soglen, Krug, and Haitsma, this is becoming a greater concern for the

Physical Examination: General: The patient is an alert, oriented male appearing his stated age. He appears to be in moderate distress. Vital signs: blood pressure 132/78 and pulse 68 and regular. Temperature is 38.56 oC (101.4 oF). HEENT:Normocephalic, atraumatic. Pupils were equal, round, and reactive to light. Ears are clear. Throat is normal. Neck: The neck is supple with no carotid bruits. Lungs: The lungs are clear to auscultation and percussion. Heart: Regular rate and rhythm. Abdomen:Bowel sounds are normal. There is rebound tenderness with maximal discomfort on palpation in the right lower quadrant. Extremities: No clubbing, cyanosis, or edema.

S (situation): Hi, my name Kelsey and I am a nurse in the emergency department. I am calling about Shannon O’Reilly’s most recent laboratory results.

In transport, patient received O2 at 4 liters via nasal cannula, baseline EKG, Normal Saline IV started in left hand, 325 mg aspirin by mouth (po). Patient complained she was short of breath and experiencing severe pain between her shoulder blades. She stated that she has been feeling nasuseated for the past 3 hours. She states she has a history of stable angina and is currently taking medication as needed. She states she did not take the nitroglycerin because she was not experiencing chest pain, just back pain. She states that her last check-up with the Pulmonologist showed that her EKG did not show any changes since her last visit. She denies episodes of syncope. The patient does report that she tripped over something on the floor, which resulted in her falling and hitting her back on a large table. In addition, she states that her heart rate has been ranging from 130/ 90 to 140/92. Patient states her Primary care physician placed her on blood pressure medication 2 months ago due to the increase.

Patient was in the ER room when first seen. PT was with her family members and family states that she speaks little English and that she has had abdominal pain for the past day along with bloody stools. Family states that she is on calcium supplements and no other medications. Last oral intake is 24 hours ago. Family states no known past medical history. Pt is in the hospital bed in the fetal position and towards the right side. Patient's airway is clear and breathing is normal. Skin is warm and dry. Patent is AAOx4. Assessment of head, neck, and chest show no signs of deformities. Abdominal area not assessed due to severe pain. Back is without deformity. The upper extremity shows no sign of deformities or trauma. The lower extremity shows

On Exam:  BP today was 140/86. Head and neck exam was all clear. She had no oral or nasal ulcers. She had no lymphadenopathy or bruits. Heart sounds were normal and the chest seemed clear, as did the abdominal exam. Musculoskeletal exam disclosed widespread Heberden's and Bouchard's nodes. She had no swelling or stress pain at the MCPs. She was not tender at the CMC joints. She had no swelling in the wrist, elbows or shoulders. She had no soft tissue tender points. She has bilateral knee crepitus but only slight instability and no effusions. She had actually good range of movement of both hips. She was tender in the lumber spine and has a scar at the lower lumbar spine from her previous operations. Her feet are somewhat flat with tenderness across the

This is an 82-year-old gentleman, who was referred from Dr. Gretchen Marsh’s office because the patient’s BUN and creatinine were high, as he has acute kidney injury. The patient went to Dr. Marsh’s office yesterday and was having generalized weakness. He does not have any vomiting. No diarrhea. No fever. No cough with expectoration. No sharpness. No wheezing. No headache. No dizziness. No passing out. No rectal bleeding. No hematemesis. No abdominal pain. No sore throat. No stuffy nose. No cough with expectoration. No burning, frequency, or

Mr Brown is a 76 year old male, which presented to the emergency department via ambulance with thoracic back pain, which commenced two days prior to the presentation. The triage assessment stated the patient is alert, orientated, distressed, chest clear and equal, neurovascular intact with equal strength in all extremities and good strong regular pulses. The nil injury stated patient said he ‘just woke up with it’. The patient’s observation displayed a temperature of 36.9°C, blood pressure of 169/105, pulse rate of 99 beats per minute, respiratory rate of 20 breaths per minute, Glasgow coma score of 15, and a blood glucose level of 5.4. Mr Brown’s has a past medical history of atrial fibrillation, asthma, emphysema, hypertension, chronic back pain, lumbar fusion (L1), total

Urine screen done in the office today showed specific gravity of 1.015, moderate blood, trace leukocyte esterase, otherwise negative.

Pets will suffer a variety of health issues throughout their lives, but not all of these issues call for a trip to the animal emergency clinic instead of a regular veterinarian. To understand better which problems require an emergency veterinarian clinic, check the following information.

Ellen, a 19 year old college student, has been experiencing some abdominal pain and a burning sensation when urinating when coming home from spring break. Later that week, she observed a small amount of abnormal yellowish vaginal discharge. Ellen remembered, during sexual activity she forgot to urinate afterwards; she had always been told to urinate after having sex, so she believed it to be a Urinary Tract Infection. Ellen, once before had a UTI, so she went to her local pharmacy, and obtain some over-the-counter medicine. Once she started an AZO Urinary Pain Relief the pain during urinating was gone, but the discharge started to get worse and she began to itch around her vagina. After talking to her sorority sister, she began to worry that

Mrs R (female), age 79, came to the emergency (ER) on October 6th, 2015 at 17:30 due to burning/aching abdominal pain. Upon her admission, she had no fever, no shortness of breath, no sign of bowel obstruction. In the morning of October 7th, the patient couldn’t tolerate ambulation due to pain, saying that it worsens with movement (bed rest). There is presence of verbal and behavioural indicators of pain such as frowning of the eyebrows, grimacing and a pain level of 8/10. The patient states that, at home, pain was always present but tolerable and started to increase since late August. In the beginning, Tylenol was effective but one or two weeks before being admitted to the ER, she reported a worsening of pain and she decided to come to the

The world hospital comes from Latin word hopes, which means a visitor or host who receives a visitor. That is why in the early century, the primary goal of the hospital was to serve the poor. Torrens (1993) states, “In the early 20 the century, with the establishment of consistent medical education, hospitals became more accepted across socioeconomic classes and became the symbol of medicine.” Since hospitals now requires more training and specialization for workers, furthermore, need sophisticated material to delivery services, hospitals passed the poorhouses to the symbol of the institutionalizations of health care said Niles (1994). Hospitals almost lost the duty to provide care to people in emergency because they turned patients away who cannot pay or indigents. That is why many people are afraid to dial 911 now even though they have an important emergency to go to the hospital emergency because of fear to turn way. This situation if not remedy can cause people to die when they could be saved if they would admit to the hospital emergency.