Publications by authors named "E Mercier"
Background: Multifaceted interventions that address barriers and facilitators have been shown to be most effective for increasing the adoption of high-value care, but there is a knowledge gap on this type of intervention for the de-implementation of low-value care. Trauma is a high-risk setting for low-value care, such as unnecessary diagnostic imaging and the use of specialized resources. The aim of our study was to develop and assess the usability of a multifaceted intervention to reduce low-value injury care.
View Article and Find Full Text PDFBackground: This study aims to evaluate the impact of Quebec's first hospital-at-home-inspired mobile Seniors' Clinic, the "Clinique des Ainés (CDA)", on frail older adults' returns to the Emergency Department (ED), mortality, and hospital Length Of Stay (LOS) and rehospitalizations.
Methods: Design: Quasi-experimental pre-post implementation cohort study.
Population: Patients aged ≥ 75 years admitted to the short-term geriatric unit after an ED consultation (control) or included by the CDA (intervention).
Wastewater-based surveillance (WBS) is increasingly used for monitoring disease targets in wastewaters around the world. This study, performed in Ottawa, Canada, identifies a decrease in SARS-CoV-2 wastewater measurements during snowmelt-induced sewer flushing events. Observations first revealed a correlation between suppressed viral measurements and periods of increased sewage flowrates, air temperatures above 0 °C during winter months, and solids mass flux increases.
View Article and Find Full Text PDFArticle Synopsis
- Head injuries are the most common trauma cases in Emergency Departments, prompting a study in France to analyze the demographics and severity of these cases among adults visiting EDs.
- The study, involving 1,070 patients over three days, found that ground-level falls were the most frequent cause of head injuries, and most patients had either simple head trauma or mild traumatic brain injury (TBI).
- Results indicated that the median age of patients was 68.5 years, with a significant portion arriving at the ED within 2 hours of injury; however, the use of anticoagulants did not increase the risk of traumatic intracranial hemorrhage.
Article Synopsis
- The study investigates the experiences of ICU healthcare professionals regarding controlled donation after circulatory death (cDCD), amid ethical concerns between end-of-life care and organ donation.
- Conducted in 32 ICUs in France, the study surveyed 206 physicians and nurses after the deaths of patients considered potential cDCD donors, measuring their anxiety levels and feelings of tension related to the donation process.
- Results show that cDCD does not significantly increase anxiety for healthcare professionals compared to regular end-of-life situations, with a general positive perception of cDCD among them, suggesting a need for better support in balancing life support decisions and organ donation.