Factors affecting critical care outcomes in the emergency department.

Abstract

Purpose of review: Emergency department (ED) outcomes of the critically ill and injured patient are intricately linked with timeliness of care, advances in resuscitation skills and technology, and the cohesive function of a dedicated team of multiprofessionals. This review highlights the most recent developments in ED resuscitation and their impact on outcomes for critically ill and injured patients, emphasizing the crucial interplay between technological advancements, organizational strategies, and team dynamics in optimizing emergency care.

Recent findings: The literature reveals notable enhancements in resuscitation techniques and protocols, integrating technologic advances, such as artificial intelligence and machine learning, which have shown promising improvement in efficiency, diagnostics, and timeliness to therapeutics. Optimization of the physical ED environment to expedite delivery of care, with an emphasis on effective communication, standardized protocols and guidelines, and teamwork are crucial elements in improving overall patient outcomes. Significant challenges persist, despite these advancements, particularly in ED overcrowding, clinician burnout, and delays in definitive treatment.

Summary: The findings highlight the importance of a collaborative multidisciplinary approach to resuscitation in the ED. Implementing a multifaceted approach involving technology, diagnostic accuracy, therapeutic interventions, and education offers an opportunity to improve outcomes in the ED. Future research should continue to focus strategies to address the systematic issues that impact overall patient care in the emergency setting.