Ep 174 Is Less More? Saving EM and Traumatic Pneumothorax – Highlights from CAEP 2022
Sep 27, 2022
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Small Efficiency Gains Can Solve Large Boarding Burden
- Small operational gains like trimming inpatient length of stay by 90 minutes, faster consults, or ED discharge efficiency can free enough capacity to resolve much access block.
- Grant Innes' study of 28 hospitals estimated ~46,000 high-acuity waiting hours per urban ED annually, solvable with process improvements.
Define EM Core Mission And Prioritize True Emergencies
- Define emergency medicine’s core mission and protect it by prioritizing true emergencies over predictable, nonurgent complications.
- The 'less is more' proposal urges refocusing ED skillset on resuscitation and acute life threats rather than routine post-op or chronic care.
Where's Waldo Stroke In The Waiting Room
- Grant Innes described his mother triaged to a hallway with a stroke; a friend found her and expedited thrombectomy but outcome remained poor.
- He used this 'Where's Waldo' story to show critical patients can be hidden amid nonurgent demand.