Canadian Emergency Department physicians call on government to set standards of care for patients

From 680 News:

Emergency room doctors are calling on the federal and provincial governments to set standards for patient treatment, including the maximum travel time to an emergency department.

The Canadian Association of Emergency Physicians says Ontario is dealing with the problem in many hospitals by keeping emergency rooms open with the help of temporary doctors.

Other provinces have started staffing their emergency rooms overnight with nurses and paramedics.

Prehospital administration of intranasal fentanyl deemed safe

From MedPage Today:

Out-of-hospital administration of intranasal fentanyl by ambulance workers was safe and effective at reducing pain, researchers found.

A Danish study of children and adults with an orthopedic condition, abdominal pain, or acute coronary syndrome and who were not effectively treated with nitroglycerin spray showed treatment with intranasal fentanyl was associated with mild adverse events in 4% of patients, according to Morten Hansen, MD, of Copenhagen University Hospital in Denmark, and colleagues.

Some 79% of participants had clinically relevant pain reduction scores of two or greater, they wrote online in the journal Annals of Emergency Medicine.


Use of Expired Auto-Injectors OK’d by FDA

From MedPage Today:

The FDA cautioned emergency medical staff to retain nearly and recently expired auto-injectors by Meridian Medical Technologies and to use them in emergencies if no other product is available. The action arises because of a supply chain disruption.

The auto-injectors involved include atropine (Atropen) and atropine/pralidoxime chloride (DuoDote), as well as morphine sulfate, pralidoxime chloride, and diazepam auto-injectors from the company “that are nearing or beyond the labeled expiration date” until the agency is able “to provide additional information regarding the continued use of these products,” the FDA said in a statement on its website.

The FDA issued a communication on Sept. 5, 2013 regarding supply issues with the DuoDote auto-injector, stating that certain lots of DuoDote can be used for another year beyond the original expiration date given by the manufacturer.

Iowa Man Accused Of Drunk Driving, Fighting Police While Naked in the ED

From Deadspin:

Police said while in the emergency room lobby, Roberts took off his pants and “caused a scene.” Later, when he was discharged from the hospital, Roberts refused to get dressed and started two fights with the deputy while he was still naked.

“Mr. Roberts was uncooperative the entire time,” the complaint states.