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Social Emergency Medicine: Principles and Practice

✍ Scribed by Harrison J. Alter (editor), Preeti Dalawari (editor), Kelly M. Doran (editor), Maria C. Raven (editor)


Publisher
Springer
Year
2021
Tongue
English
Leaves
371
Edition
1st ed. 2021
Category
Library

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✦ Synopsis


Social Emergency Medicine incorporates consideration of patients’ social needs and larger structural context into the practice of emergency care and related research. In doing so, the field explores the interplay of social forces and the emergency care system as they influence the well-being of individual patients and the broader community. Social Emergency Medicine recognizes that in many cases typical fixes such as prescriptions and follow-up visits are not enough; the need for housing, a safe neighborhood in which to exercise or socialize, or access to healthy food must be identified and addressed before patients’ health can be restored. While interest in the subject is growing rapidly, the field of Social Emergency Medicine to date has lacked a foundational text – a gap this book seeks to fill.  

This book includes foundational chapters on the salience of racism, gender and gender identity, immigration, language and literacy, and neighborhood to emergency care. It provides readers with knowledge and resources to assess and assist emergency department patients with social needs including but not limited to housing, food, economic opportunity, and transportation. Core emergency medicine content areas including violence and substance use are covered uniquely through the lens of Social Emergency Medicine. Each chapter provides background and research, implications and recommendations for practice from the bedside to the hospital/healthcare system and beyond, and case studies for teaching. Social Emergency Medicine: Principles and Practice is an essential resource for physicians and physician assistants, residents, medical students, nurses and nurse practitioners, social workers, hospital administrators, and other professionals who recognize that high-quality emergency care extends beyond the ambulance bay.

✦ Table of Contents


Foreword
Preface
References
Contents
Contributors
Part I: Underpinnings of Social Emergency Medicine
1: Social Emergency Medicine: History and Principles
Social Medicine as a Political and Clinical Movement
The Specialty of Emergency Medicine and Its Social Mission
The Horizon Expands: The Emergence of Social Epidemiology
Social Emergency Medicine Comes Together
Social EM: Current State and Future Aspirations
References
Part II: Social Constructs, Structural Determinants, and Individual Identity
2: Race and Racism in Social Emergency Medicine
Foundations
Background
Race and Structural Racism
Implicit Bias and Interpersonal Racism
Evidence Basis
Emergency Department and Beyond
Bedside
Hospital/Healthcare System
Societal Level
Recommendations for Emergency Medicine Practice
Basic
Intermediate
Advanced
Teaching Case
Clinical Case
References
3: Immigration as a Social and Structural Determinant of Health
Foundations
Background
Evidence Basis
Limited Access to Healthcare
Limited Access to Health Protective Resources
Emergency Department and Beyond
Bedside
Hospital/Healthcare System
Societal Level
Recommendations for Emergency Medicine Practice
Basic
Intermediate
Advanced
Teaching Case
Clinical Case
References
4: Language and Literacy
Foundations
Background
Evidence Basis
Language
Health Literacy
Culture
Emergency Department and Beyond
Bedside
Hospital/Healthcare System
Societal Level
Recommendations for Emergency Medicine Practice
Basic
Intermediate
Advanced
Teaching Case
Clinical Case
References
5: Neighborhood and the Built Environment
Foundations
Background
Evidence Basis
Exposure to Risk
Emergency Department and Beyond
Bedside
Hospital/Healthcare System
Societal Level
Recommendations for Emergency Medicine Practice
Basic
Intermediate
Advanced
Teaching Case
Clinical Case
References
6: Queering the ED: Lesbian, Gay, Bisexual, and Queer Health in Emergency Medicine
Foundations
Background
Evidence Basis
Emergency Department and Beyond
Bedside
Hospital/Healthcare System
Societal Level
Recommendations for Emergency Medicine Practice
Basic
Intermediate
Advanced
Teaching Case
Clinical Case
References
7: Competent ED Care of Gender-Diverse Patients
Foundations
Background
Evidence Basis
Emergency Department and Beyond
Bedside
Communication
Privacy
Competency
Social (Nonmedical, Nonsurgical) Gender-Affirming Practices
Binding
Definition
Possible Complications
Appropriate Clinical Interventions
Packing
Tucking
Definition
Possible Complications
Appropriate Clinical Interventions
Gender-Affirming Medications
Transmasculine Gender-Affirming Medications
Transfeminine Gender-Affirming Medications
Gender-Affirming Surgeries
Transmasculine Gender-Affirming Surgeries
Transfeminine Gender-Affirming Surgeries
Hospital/Healthcare System
Nondiscrimination Policy
Privacy
Electronic Health Record & Charting
Rooming
Billing
Societal Level
Lack of Systematic Recognition
Systemic Discrimination, Trauma, and Poverty Negatively Impact Health
The Old Is New Again
Recommendations for Emergency Medicine Practice
Basic
Intermediate
Advanced
Teaching Case
Clinical Case
References
Part III: Health Care Delivery
8: Access to Care: Access Is a Prerequisite to Quality
Foundations
Background
Access as a Multidimensional Concept
Emergency Medical Treatment and Active Labor Act (EMTALA)
Access to Outpatient Care and ED Utilization
Evidence Basis
Primary Care
Pediatric Care
Limitations
Measuring Access to Care
Improving Follow-Up and Transitions in Care After an ED Visit
Emergency Department and Beyond
Bedside
Hospital/Healthcare System
Societal Level
Recommendations for Emergency Medicine Practice
Basic
Intermediate
Advanced
Teaching Case
Clinical Case
References
9: Frequent Emergency Department Use: A Social Emergency Medicine Perspective
Foundations
Background
Evidence Basis
Emergency Department and Beyond
Bedside
Hospital/Healthcare System
Societal Level
Recommendations for Emergency Medicine Practice
Basic
Intermediate
Advanced
Teaching Case
Clinical Case
References
10: Substance Use: A Social Emergency Medicine Perspective
Foundations
Background
Evidence Basis
Emergency Department and Beyond
Bedside
Hospital/Healthcare System
Societal Level
Recommendations for Emergency Medicine Practice
Basic
Intermediate
Advanced
Teaching Case
Clinical Case
References
Part IV: Social Needs
11: Education and Employment
Foundations
Background
Evidence Basis
Emergency Department and Beyond
Bedside
Hospital/Healthcare System
Societal Level
Recommendations for Emergency Medicine Practice
Basic
Intermediate
Advanced
Teaching Case
Clinical Case
References
12: Financial Insecurity
Foundations
Background
Evidence Basis
Impact of Financial Insecurity on Health
Impact on Healthcare Utilization
Emergency Department and Beyond
Bedside
Hospital/Healthcare System
Social Determinant of Health Screening
Clinical Programs
Financial Assistance
The Anchor Mission
Societal Level
Recommendations for Emergency Medicine Practice
Basic
Intermediate
Advanced
Teaching Case
Clinical Case
References
13: Food Insecurity: Hidden Problems, Real Remedies
Foundations
Background
Defining and Measuring Food Insecurity
Programs That Address Food Insecurity
Evidence Basis
Food Insecurity and Health
Food Insecurity and ED Utilization
Food Insecurity and Health-Related Social Problems
Food Insecurity and Medical Cost
Emergency Department and Beyond
Bedside
Hospital/Healthcare System
Benefit Assistance and Referrals
Societal Level
Recommendations for Emergency Medicine Practice
Basic
Intermediate
Advanced
Teaching Case
Clinical Case
References
14: Homelessness
Foundations
Background
Evidence Basis
Emergency Department and Beyond
Bedside
Hospital/Healthcare System
Societal Level
Recommendations for Emergency Medicine Practice
Basic
Intermediate
Advanced
Teaching Case
Clinical Case
References
15: Housing Instability and Quality
Foundations
Background
Definitions of Housing Instability
Definitions of Housing Quality
Epidemiology
Evidence Basis
Emergency Department and Beyond
Bedside
Hospital/Healthcare System
Societal Level
Recommendations for Emergency Medicine Practice
Basic
Intermediate
Advanced
Teaching Case
Clinical Case
References
16: Transportation
Foundations
Background
Evidence Basis
Ambulatory Care Access Barriers and Interventions
ED Disposition and Transportation
Emergency Medical Services (EMS) Disparities
Emergency Department and Beyond
Bedside
Hospital/Healthcare System
Societal Level
Recommendations for Emergency Medicine Practice
Basic
Intermediate
Advanced
Teaching Case
Clinical Case
References
17: Legal Needs and Medical Legal Partnerships
Foundations
Background
Evidence Basis
Emergency Department and Beyond
Bedside
Hospital/Healthcare System
Societal Level
Recommendations for Emergency Medicine Practice
Basic
Intermediate
Advanced
Teaching Case
Clinical Case
Case Resolution
References
Part V: Individual and Structural Violence
18: Community Violence and Its Implications for Emergency Providers
Foundations
Background
Evidence Basis
Emergency Department and Beyond
Bedside
Hospital/Healthcare System
Societal Level
Recommendations for Emergency Medicine Practice
Basic
Intermediate
Advanced
Teaching Case
Clinical Case
References
19: Firearm Injury Prevention in the Emergency Department
Foundations
Background
Evidence Basis
Emergency Department and Beyond
Bedside
Hospital/Healthcare System
Societal Level
Recommendations for Emergency Medicine Practice
Basic
Intermediate
Advanced
Teaching Case
Clinical Case
References
20: Incarceration: The Intersection of Emergency Medicine and the Criminal Justice System
Foundations
Background
Evidence Basis
Emergency Department and Beyond
Bedside
The Standard of Care
Request for Body Cavity Searches
The Right of Refusal of Care
Privacy
Hospital/Healthcare System
Societal Level
Recommendations for Emergency Medicine Practice
Basic
Intermediate
Advanced
Teaching Case
Clinical Case
References
21: Human Trafficking
Foundations
Background
Evidence Basis
Emergency Department and Beyond
Bedside
Hospital/Healthcare System
Societal Level
Recommendations for Emergency Medicine Practice
Basic
Intermediate
Advanced
Teaching Case
Clinical Case
References
Index


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