2.50
Hdl Handle:
http://hdl.handle.net/10755/162615
Type:
Presentation
Title:
Evaluation of the Patient with Suspected Blunt Cardiac Injury
Abstract:
Evaluation of the Patient with Suspected Blunt Cardiac Injury
Conference Sponsor:Emergency Nurses Association
Conference Year:1999
Author:Beth, , Broering
Contact Address:Carolinas Medical Center, Trauma Service, P.O. Box 32861, Charlotte, NC, 28232
Contact Telephone:USA
Co-Authors:Michael H. Thomason
Clinical Topic: The spectrum of cardiac injury can range from minimal cardiac impairment to frank cardiac rupture depending on the amount of energy incurred and the location of injury. There is considerable controversy in the literature regarding the evaluation and treatment of blunt cardiac injury. While the reported incidence varies widely, the true incidence is unknown due to lack of ôgold standardö for diagnosis. The purpose of this project was to develop and implement standard guidelines for the evaluation of patients with suspected blunt cardiac injury.

Implementation: A committee of physicians and nurses from the Trauma Service and Department of Emergency Medicine reviewed the literature for evaluation of blunt cardiac injury. The Trauma Practice Guidelines from Eastern Association of the Surgery of Trauma (EAST) were used as a resource and basis for our guideline. A guideline was then developed and approved by multidisciplinary committee composed of representatives from the Trauma Service, Department of Emergency Medicine, Cardiothoracic Department, Nursing, and other ancillary services. This guideline was disseminated to the Department of Emergency Medicine and Trauma Services.

Outcomes: Our goals for this guideline include: (a) identifying patients at highest risk for blunt cardiac injury, (b) reduce variability in practice, (c) reduce unnecessary use of laboratory and other diagnostic tests, (d) reduced use of intensive care and monitored beds, and ultimately (e) reduce costs. Adherence to the guideline is concurrently monitored by the trauma case managers and surgeons as well as by retrospective chart review by the trauma case manager.

Recommendations: Evidence-based practice guidelines are tools that can reduce variance in practice, improve patient care and customer satisfaction, and reduce unnecessary costs. Continued evaluation of the guideline provides the cost to benefit ratio of selected diagnostic modalities for patients with blunt cardiac injury and for those patients who develop complications. [Clinical Poster Presentation]
Repository Posting Date:
27-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Emergency Nurses Association

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleEvaluation of the Patient with Suspected Blunt Cardiac Injuryen_GB
dc.identifier.urihttp://hdl.handle.net/10755/162615-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Evaluation of the Patient with Suspected Blunt Cardiac Injury</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Emergency Nurses Association</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">1999</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Beth, , Broering</td></tr><tr class="item-address"><td class="label">Contact Address:</td><td class="value">Carolinas Medical Center, Trauma Service, P.O. Box 32861, Charlotte, NC, 28232</td></tr><tr class="item-phone"><td class="label">Contact Telephone:</td><td class="value">USA</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Michael H. Thomason</td></tr><tr><td colspan="2" class="item-abstract">Clinical Topic: The spectrum of cardiac injury can range from minimal cardiac impairment to frank cardiac rupture depending on the amount of energy incurred and the location of injury. There is considerable controversy in the literature regarding the evaluation and treatment of blunt cardiac injury. While the reported incidence varies widely, the true incidence is unknown due to lack of &ocirc;gold standard&ouml; for diagnosis. The purpose of this project was to develop and implement standard guidelines for the evaluation of patients with suspected blunt cardiac injury.<br/><br/>Implementation: A committee of physicians and nurses from the Trauma Service and Department of Emergency Medicine reviewed the literature for evaluation of blunt cardiac injury. The Trauma Practice Guidelines from Eastern Association of the Surgery of Trauma (EAST) were used as a resource and basis for our guideline. A guideline was then developed and approved by multidisciplinary committee composed of representatives from the Trauma Service, Department of Emergency Medicine, Cardiothoracic Department, Nursing, and other ancillary services. This guideline was disseminated to the Department of Emergency Medicine and Trauma Services.<br/><br/>Outcomes: Our goals for this guideline include: (a) identifying patients at highest risk for blunt cardiac injury, (b) reduce variability in practice, (c) reduce unnecessary use of laboratory and other diagnostic tests, (d) reduced use of intensive care and monitored beds, and ultimately (e) reduce costs. Adherence to the guideline is concurrently monitored by the trauma case managers and surgeons as well as by retrospective chart review by the trauma case manager.<br/><br/>Recommendations: Evidence-based practice guidelines are tools that can reduce variance in practice, improve patient care and customer satisfaction, and reduce unnecessary costs. Continued evaluation of the guideline provides the cost to benefit ratio of selected diagnostic modalities for patients with blunt cardiac injury and for those patients who develop complications. [Clinical Poster Presentation]</td></tr></table>en_GB
dc.date.available2011-10-27T10:31:10Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-27T10:31:10Z-
dc.description.sponsorshipEmergency Nurses Associationen_GB
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