Try a new search

Format these results:

Searched for:



Total Results:


Initial Evaluation of The Patient: Vital Signs and Toxic Syndromes

Chapter by: Nelson, Lewis S; Howland, Mary Ann; Lewin, Neal A; Smith, Silas W; Goldfrank, Lewis R; Hoffman, Robert S
in: Goldfrank's toxicologic emergencies by Nelson, Lewis; et al (Ed)
New York : McGraw-Hill Education, [2019]
pp. 28-31
ISBN: 1259859614
CID: 3697852

Principles of Antidote Stocking

Chapter by: Smith, Silas W; Goldfrank, Lewis R; Howland, Mary Ann
in: Goldfrank's toxicologic emergencies by Nelson, Lewis; et al (Ed)
New York : McGraw-Hill Education, [2019]
pp. ?-?
ISBN: 1259859614
CID: 3697872

Goldfrank's toxicologic emergencies

Hoffman, Robert S; Howland, Mary Ann; Lewin, Neal A; Nelson, Lewis; Goldfrank, Lewis R; Smith, Silas W
New York : McGraw-Hill Education, [2019]
Extent: 1 v.
ISBN: 1259859614
CID: 3697842


Chapter by: Goldfrank, Lewis R
in: Goldfrank's toxicologic emergencies by Nelson, Lewis; et al (Ed)
New York : McGraw-Hill Education, [2019]
pp. ?-?
ISBN: 1259859614
CID: 3700362


Chapter by: Nelson, Lewis S; Goldfrank, Lewis R
in: Goldfrank's toxicologic emergencies by Nelson, Lewis; et al (Ed)
New York : McGraw-Hill Education, [2019]
pp. ?-?
ISBN: 1259859614
CID: 3700372

A Novel Approach to Patient Education: Emergency Physicians in the Classroom [Meeting Abstract]

Johnson, L.; Hultgren, A.; Su, M. K.; Goldfrank, L. R.; Laskowski, L. K.
ISSN: 0196-0644
CID: 4155982

Unintentional use of the word "accident"?

Bigham, Blair L; Harding, Alex; Goldfrank, Lewis R
PMID: 30004272
ISSN: 1556-9519
CID: 3192692

Vulnerability of Older Adults in Disasters: Emergency Department Utilization by Geriatric Patients After Hurricane Sandy

Malik, Sidrah; Lee, David C; Doran, Kelly M; Grudzen, Corita R; Worthing, Justin; Portelli, Ian; Goldfrank, Lewis R; Smith, Silas W
OBJECTIVE:Older adults are a potentially medically vulnerable population with increased mortality rates during and after disasters. To evaluate the impact of a natural disaster on this population, we performed a temporal and geospatial analysis of emergency department (ED) use by adults aged 65 years and older in New York City (NYC) following Hurricane Sandy's landfall. METHODS:We used an all-payer claims database to analyze demographics, insurance status, geographic distribution, and health conditions for post-disaster ED visits among older adults. We compared ED patterns of use in the weeks before and after Hurricane Sandy throughout NYC and the most afflicted evacuation zones. RESULTS:We found significant increases in ED utilization by older adults (and disproportionately higher in those aged ≥85 years) in the 3 weeks after Hurricane Sandy, especially in NYC evacuation zone one. Primary diagnoses with notable increases included dialysis, electrolyte disorders, and prescription refills. Secondary diagnoses highlighted homelessness and care access issues. CONCLUSIONS:Older adults display heightened risk for worse health outcomes with increased ED visits after a disaster. Our findings suggest the need for dedicated resources and planning for older adults following a natural disaster by ensuring access to medical facilities, prescriptions, dialysis, and safe housing and by optimizing health care delivery needs to reduce the burden of chronic disease. (Disaster Med Public Health Preparedness. 2018;12:184-193).
PMID: 28766475
ISSN: 1938-744x
CID: 3061432

Material Needs of Emergency Department Patients: A Systematic Review

Malecha, Patrick W; Williams, James H; Kunzler, Nathan M; Goldfrank, Lewis R; Alter, Harrison J; Doran, Kelly M
BACKGROUND:Interest in social determinants of health (SDOH) has expanded in recent years, driven by a recognition that such factors may influence health outcomes, services use, and health care costs. One subset of SDOH is material needs such as housing and food. We conducted a systematic review of the literature on material needs among emergency department (ED) patients in the United States. METHODS:We followed PRISMA guidelines for systematic review methodology. With the assistance of a research librarian, four databases were searched for studies examining material needs among ED patients. Two reviewers independently screened titles, abstracts, and full text to identify eligible articles. Information was abstracted systematically from eligible articles. RESULTS:Forty-three articles were eligible for inclusion. There was heterogeneity in study methods; single center, cross-sectional studies were most common. Specific material needs examined included homelessness, poverty, housing insecurity, housing quality, food insecurity, unemployment, difficulty paying for health care, and difficulty affording basic expenses. Studies overwhelmingly supported the notion that ED patients have a high prevalence of a number of material needs. CONCLUSIONS:Despite some limitations in the individual studies examined in this review, the plurality of prior research confirms that the ED serves a vulnerable population with high rates of material needs. Future research is needed to better understand the role these needs play for ED patients and how to best address them.
PMID: 29266523
ISSN: 1553-2712
CID: 2893962

Expert Consensus Guidelines for Stocking of Antidotes in Hospitals That Provide Emergency Care

Dart, Richard C; Goldfrank, Lewis R; Erstad, Brian L; Huang, David T; Todd, Knox H; Weitz, Jeffrey; Bebarta, Vikhyat S; Caravati, E Martin; Henretig, Fred M; Delbridge, Theodore R; Banner, William; Schneider, Sandra M; Anderson, Victoria E
We provide recommendations for stocking of antidotes used in emergency departments (EDs). An expert panel representing diverse perspectives (clinical pharmacology, medical toxicology, critical care medicine, hematology/oncology, hospital pharmacy, emergency medicine, emergency medical services, pediatric emergency medicine, pediatric critical care medicine, poison centers, hospital administration, and public health) was formed to create recommendations for antidote stocking. Using a standardized summary of the medical literature, the primary reviewer for each antidote proposed guidelines for antidote stocking to the full panel. The panel used a formal iterative process to reach their recommendation for both the quantity of antidote that should be stocked and the acceptable timeframe for its delivery. The panel recommended consideration of 45 antidotes; 44 were recommended for stocking, of which 23 should be immediately available. In most hospitals, this timeframe requires that the antidote be stocked in a location that allows immediate availability. Another 14 antidotes were recommended for availability within 1 hour of the decision to administer, allowing the antidote to be stocked in the hospital pharmacy if the hospital has a mechanism for prompt delivery of antidotes. The panel recommended that each hospital perform a formal antidote hazard vulnerability assessment to determine its specific need for antidote stocking. Antidote administration is an important part of emergency care. These expert recommendations provide a tool for hospitals that offer emergency care to provide appropriate care of poisoned patients.
PMID: 28669553
ISSN: 1097-6760
CID: 2962812