Talk:Emergency department

message: According to the peer review linked above, the article is currently lacking information on the history of the ED (inception, development, etc.) and the media impact on public perception of the ED. Any ideas on these two points? Kerowyn 02:30, 24 December 2005 (UTC)
thread_title:  Peer Review 

message: I have already commenced initial changes to this article. Clearly, it will need a great deal of work before it will be possible to consider it for featured article status. Clearly, a topic of the importance of the  emergency department which is critical to preserving the health of so many in our world will require a comprehensive article detailing the different types of ED worldwide. To commence this drive I have started a new category of emergency physician wikipedians. Please come and tell us about EDs in your part of the world and add more detail to the article.--File Éireann 19:14, 29 October 2005 (UTC)
replies: text: I'll try to contribute what I can (exams coming up). I work at a hospital now...but don't have a camera currently for a nice picture of the emergency sign.  I"ll probably be most useful for wikification/grammar. --CDN99 05:12, 24 November 2005 (UTC)
replies: text: Regarding ED worldwide, I think the best way to get that information is to search for Wikipedians who are from non-English speaking parts of the world (since that's currently where the article is focused) and who are also nurses, physicians, etc. Kerowyn 02:27, 24 December 2005 (UTC)
thread_title:  Collaboration to improve article 

message: I have made some comments on the Talk:The Golden Hour page regarding The Golden Hour and how it relates to the emergency room.  If anyone is knowledgable in this area then please read and comment.  Thank you.
I also think that there is a need to have a seperate entry for trauma center.  All trauma centers are emergency rooms but not all emergency rooms are trauma centers.  I remember, from my EMT training that there are different levels of trauma centers as well but do not remember them.  I also remember that at Denver General (a trauma center that was used as an example in my EMT class and located in Denver, Colorado) that you have something like a 90% survival rate if you still have a pulse after reaching their trauma center from suffering trauma to the heart.  In other words:  if you were to be stabbed through the heart, something that is almost always fatal, in Denver General's trauma center there would be a 90% chance that they could repair the damage.  (My memory of the actual percent comes from a nine year old memory and as such I don't feel comfortable using it in the actual entry.)
I also believe that a trauma center entry should contain the various levels of care that each level of a trauma center is able to provide care for, the needed staff to support that level of trauma center, and the various other hospital services that are required for that care beyond the trauma center.  For example: a burn unit is required to further the care that a trauma center starts on a burn victim; a quarantine area is needed to even treat someone infected by a particularly nasty contagious disease like smallpox (as well as a micro-biology lab, flaming air conditionaing exhaust systems (the exhausted air must get hot enough to destroy any possible microbes), etc.), a hazardous materials unit is required to treat exposure to some of the more nasty chemicals (possibly terrorist weapons) as the staff needs to be decontaminated after they treat the patient (hydrofluoric acid is skin soluable and may even permeate latex gloves), etc..
Tres (please email me if you make a comment at class5@pacbell.net)
copied trauma center comments over to Talk:Trauma Center
*I think the difference lies in that a hospital is designated as a trauma center, and the emergency department is a part of the hospital. But there definately needs to be a section about trauma centers and the difference between them on the ED page. Does anyone have a text source for the defination? Kerowyn 23:42, 13 November 2005 (UTC)
thread_title:  Golden hour and trauma center 

message: ER (television) links here, should it be linked back? Maybe some fiction where an emergency room figures prominently, like a section ==Emergency rooms in fiction==.
Christopherlin 02:06, 12 Apr 2004 (UTC)
thread_title:  television 

message: :This term did not gain in popularity in the United States until the TV show ER aired, and the heavy marketing of the euphemism "ED" for erectile dysfunction by former Senator/Presidential candidate Bob Dole, as a drug company spokesman.
It seems unclear to me whether "This term" is referring to emergency room or emergency department.  Also, it should be made clear that Bob Dole was a spokesman on behalf of Pfizer.  This sentence needs a rewrite.
Another issue, is the phrase "the internationally recognized term Emergency Department." Aside from the incorrect capitalization, It should be made clear by which standards body it is so recognized.
--Dforest 12:08, 31 October 2005 (UTC)
replies: text: Actually, this is the first time I've heard that the term "ED" was losing popularity because of possible confusion with erectile dysfunction.  At least in the Boston area, "ED" commonly refers to the emergency department, more so than for erectile dysfunction in fact.  Andrew73 22:16, 15 November 2005 (UTC)
replies: text:  As an American RN, I have to agree with Andrew73. All the ED physicians and staff I know, including the professional medical and nursing associations, use 'ED'. It's been that way since I started school back in the day, and nobody's told us to stop. And besides, it's not one room. It's a department that takes up a whole bunch of rooms. :-) ddlamb 04:48, 25 November 2005 (UTC)

text: Historical terminology still exists across the English-speaking world, especially in vernacular usage. The previously accepted formal term 'Accident and Emergency' or 'A&E' is still the accepted term in the United Kingdom[by whom?], Commonwealth countries and the Republic of Ireland, [...]
So the United Kingdom, the Irish and some other use a "previously accepted formal term", that is "vernacular" and "historical terminology"? Also, they "still" accept such a historical term... When will they finally accept the US standard? This sentence sounds condescending toward these countries (and I'm not from there, not even a native English speaker, hence I will not modify the page). Yves Dubugnon 0:39, 13 December 2014 (UTC)
thread_title:  Nomenclature 

message: Part of the photo caption reads:
:Even from a distance, the red-and-white emergency sign is prominent.
I don't think it is prominent at all.  IMO, it is barely recognizable as a hospital, especially in the thumbnail.  I think we should get a new photo or crop the existing one. Dforest 12:56, 6 November 2005 (UTC)
thread_title:  Photo 

message: I think that we need to have references for many of these things which most of us know from experience, including layout, etc. Quick pubmed searches haven't been helpful. If someone has an emergency medicine text or journal which gives some basic stats, that would be nice. We could probably add a history section and discuss the move towards EM residencies, etc. The critical conditions needs to be expanded, but the information on MI seems to be too extensive for this article. Probably could divide into different medical categories with one example in each, i.e. neurology - stroke, surgery - AAA, trauma - MVA/gunshot, etc. Brief discussion of the disease with information as to why the emergency room is important for coordinating care which often actually happens elsewhere in the hospital (ie surgery). Just thoughts, I'm going to have a hard time implementing anything because of the holiday, unfortunately! InvictaHOG 12:46, 22 November 2005 (UTC)
thread_title:  References, ideas 

message: I think this section should not have long descriptions of the ED management of every condition. That would bulk the page up pretty badly. Every related article contains (or should contain) a paragraph on the emergency management. Asthma, the cardiac arrhythmias, all sorts of major and minor trauma, etc etc etc can simply be listed with bullets. JFW | T@lk 20:47, 26 November 2005 (UTC)
replies: text: I agree - Even a bulleted list would probably end up being too long.  But the section as is doesn't seem appropriate, since it only lists 4 conditions. Leuko 18:54, 7 August 2006 (UTC)
thread_title:  Critical conditions handled 

message: thumb
Would this cropped image of the ED be better? ---- Astrokey44|talk 05:35, 13 December 2005 (UTC)
thread_title:  cropped photo 

message: What on earth has the current picture at the top of the article got to do with emergency departments in particular? It is simply a picture of a hospital in Germany that doesn't show any signs, definitely not very helpful to the article. We need to show the emergency department interior and the signs, not the wide exterior of a Germany hospital. — Wackymacs 07:50, 15 December 2005 (UTC)
thread_title:  Picture at the top 

message: I think there should be some recognition of the fact that (In the UK, at least), major trauma accounts for only 1% of the patients seen; even if it is the bit focused on in medical dramas and the press, I think we should adopt a more balanced view here! --John24601 20:25, 5 January 2006 (UTC)
replies: text: I think the same goes for the US. I don't know who would have data on that sort of thing though. Maybe the CDC or the Department of Health? Kerowyn 03:11, 18 January 2006 (UTC)
thread_title:  Cases handled 

message: This article was formerly listed as a good article, but was removed from the listing because fails Good Article Criteria 1, 2 & 4. In particular, many Yankocentric terms are left unexplained, and citations are needed to verify ALL claims; eg the assertion that UK A&E departments are popular, that they must treat patients within four hours. Furthermore, the article gives the impression that A&E departments have every magical aid on hand, and that there are very few problems within any department. Finally, there is a poor use of logic when describing the cause and effect of events.
 --die Baumfabrik 08:32, 16 June 2006 (UTC)
thread_title: Article removed from [[Wikipedia:Good articles]]

message: Is it just me or is the whole "Non-emergency use" section completely opinionated? None of it is cited, including statements like "no other choice" and mentioning that poor people have no other choice. This whole section needs to be cited, drastically, or deleted. That's not to say there's no ER abuse, but it needs bad repairing. Cs92 03:19, 7 March 2007 (UTC)
thread_title: Non-Emergency Use

message: I've heard from friends in the medical profession that hospitals are closing their ERs because they are too costly. I know that EMTALA was recently (last year or two) expanded to include hospitals that don't have ERs which seems to indicate that trend. I did a google search, but couldn't find any solid references. Can someone more knowledgeable perhaps address this? Doctorfluffy 22:50, 28 July 2007 (UTC)
thread_title: Decline of Emergency Rooms

message: The popular term casualty is no longer considered appropriate by emergency physicians in Australia, the United Kingdom and Ireland.
Stobhill Hospital still calls it Casualty, although it does not receive blue light emergencies. Panthro (talk) 14:54, 14 August 2008 (UTC)
thread_title: Casualty in UK

message: I have just made a small change to clarify that of the UK doctors in training some will be on an F2 rotation and others on emergency medicine of GP training schemes but the earlier wording seemed to suggest that they were the only ones: they aren't from personal experience. I also know that there were people on other types of training schemes in the US but am not up to date on that. --Doctormonkey (talk) 15:08, 12 January 2009 (UTC)
thread_title: Doctors in Training in Emergency Departments

message: Is that supposed to mean "the lowest point" or the "worst time period", both of which are definitions of "nadir". Honestly don't know the answer, but I'd assume the former. Someone...please...use a more appropriate word that does not find it's most common usage in Astronomy. Wow. 76.24.169.192 (talk) 01:44, 23 January 2010 (UTC)
thread_title:  "nadir between 2:00 am and 6:00 am"? 

message: I notice this article's title still resides at "Emergency department" and disregards the otherwise agreed on proper title "Emergency Department" within the article. I'm pretty sure even MOS:CAPS would have us move the article. It's not just stylization or something. Pixel Eater (talk) 04:17, 30 March 2011 (UTC)
replies: text: I would disagree here, the capitalised version is a style adopted in some places, but a 'Casualty' or 'A&E' operation is an example of an emergency department (sic) and is not an example of an 'Emergency Department'.  It should only be capitalised where it is a proper name - "The Cityville Hospital Emergency Department".  The use of 'Emergency Department' is not universal and as noted, there are a number of other naming styles and conventions, meaning that for the purposes of an international encyclopaedia, it should be lower case descriptive.  I would say for consistency, we should lower case the article, and keep the title as is. OwainDavies (about)(talk) edited at 12:57, 30 March 2011 (UTC)
thread_title:  Capitalization 

message: I was in default for student loans so I have bad credit but can a ER Refuse treatment because of,bad credit  — Preceding unsigned comment added by 192.159.150.62 (talk) 18:51, 11 October 2015 (UTC)
thread_title:  Can ER refuse treatment if someone has bad credit 

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thread_title:  External links modified 

message: I added the Worldview tag as the article is primarily about Emergency Departments in Canada, the US and the UK, with references that appear to support passages about these countries. Rewrites should address emergency services globally and identify what countries a source is discussing, if not all of them. --Airborne84 (talk) 12:59, 1 July 2018 (UTC)
thread_title:  Worldview Tag 

message: 14 Febr. 2023: The golden hour and the worst waits in the uk. (By Nick Triggle, Libby Rogers and Rob England 4 BBC News)
The BBC analysis of data for December and January shows Hull University Hospitals, Wye Valley and Shrewsbury and Telford were worst for A&E waits.
The best trust out of the 107 providing data, Northumbria Healthcare, had fewer than 10% waiting more than four hours. 
But it is not just the waits in A&E that have proved to be problematic this winter.
Outside hospitals, ambulance crews have faced delays handing over patients to A&E staff, while patients who have been seen in A&E and need to be admitted to a ward for further care - by their nature the very frailest - have been forced to endure further long waits to get a bed. HsMstrServ (talk) 20:45, 14 February 2023 (UTC)
thread_title:  worst waits in the uk

message: I am using an Android tablet to read this article in the app.  Virtually none of the pictures are showing.  Only the caption shows and changing the theme doesn't help. Rpsenft (talk) 01:59, 17 April 2023 (UTC)
thread_title:  Photos not showing