Heterogeneous emergency department management of published recommendation defined hypotension in patients with acute traumatic spinal cord injury: A multi-centre overview.
Lisa Nicole SharwoodAnthony JosephCici GuoOliver FlowerJonathon BallJames W MiddletonPublished in: Emergency medicine Australasia : EMA (2019)
Hypotensive patients' post-TSCI experienced heterogeneous ED care discordant with published guidelines; varying by hospital type. Specialist care and more severe injury increased likelihood of guideline adherence. Lack of adherence may influence patient outcomes. Level 1 evidence is needed along with consistent guideline implementation and clinician training to likely improve TSCI management and outcomes.
Keyphrases
- emergency department
- spinal cord injury
- healthcare
- palliative care
- quality improvement
- end stage renal disease
- ejection fraction
- chronic kidney disease
- newly diagnosed
- primary care
- spinal cord
- pain management
- prognostic factors
- glycemic control
- early onset
- randomized controlled trial
- neuropathic pain
- systematic review
- affordable care act
- type diabetes
- metabolic syndrome
- meta analyses
- electronic health record