SECT Clinical practice guideline on the management of patients with spontaneous pneumothorax.

This clinical practice guideline (CPG) emerges as an initiative of the scientific committee of the Spanish Society of Thoracic Surgery. We formulated PICO (patient, intervention, comparison, and outcome) questions on various aspects of spontaneous pneumothorax. For the evaluation of the quality of evidence and preparation of recommendations we followed the guidelines of the Grading of recommendations, Assessment, Development and Evaluation (GRADE) working group.

Emergency physician sex and emergency department resource use.

Objective: We investigated whether there are differences in emergency department (ED) patient management associated with emergency physician (EP) sex, specifically in terms of ordering investigations and hospital admissions.

Methods: We included all EPs working as consultants for at least 24 consecutive months at a Spanish ED during an 8-year period. Every annual period was considered independently.

[Differences in practice among physicians staffing an emergency department in relation to years of experience].

Objectives: To determine differences in certain variables reflecting clinical practice in a group of emergency physicians with varying levels of experience and to explore whether differences are associated with experience.

Material And Methods: Retrospective observational study of differences in variables reflecting emergency physicians' practice between 2005 and 2012. We studied work variables (months worked, patients treated, caseload distribution according to triage levels), patient management variables (consultation with other specialists, admissions, ambulance requests), diagnostic procedures ordered (simple radiographs, laboratory tests, ultrasound or computed tomography imaging), and time patients discharged home spent in the department (arrival to discharge).

Analysis of the characteristics of interconsultations performed by emergency physicians to other hospital specialists and their evolution over time.

Objective: The objective of this study was to describe the type of interconsultations carried out in the Emergency Department (ED) to hospital specialists and analyze their pattern over time.

Methods: The study was carried out during the period from 2006 to 2012. It was carried out at EDs attending to all types of interconsultations except pediatrics and obstetrics-gynecology.

Multicenter assessment of the revisit risk for a further drug-related problem in the emergency department in cocaine users (MARRIED-cocaine study).

Introduction And Objectives: Emergency departments (EDs) in Spanish hospitals daily attend a large number of patients for adverse reactions or clinical complications resulting from cocaine use. After discharge, some of these patients revisit the ED for the same reason within a year. The objective of the present study was to quantify the rate of such revisits and identify the factors associated with them.

[Computerization in urgency and emergency care].

The health services are undergoing a significant transformation due to information and communications technologies (ICT). Computerized clinical history in hospital emergency department (ED) is improving care in this area of medicine, increasing the security of the information, access to it and favoring the implementation of clinical management. In this aspect, the EDs present certain distinctive characteristics, such as management of care times, secure management of care areas and rapid acquisition of relevant information on the patient.