Implementation of a Novel Concept of Emergency Department Management: e-Boss.

Hospital-based emergency services are frequently criticized worldwide for their management, which can lead to a decrease in staff motivation, with a potential impact on patient safety. This article describes how harnessing the power of social networks can facilitate the management of emergency department teams. Beyond teaching, promoting emergency medicine and recruiting health professionals, these tools can unite employees around a virtual leader and help develop a true service culture. The concept of management through social networks is a novel manner to reach out to staff and should be further explored for use in the health care context.

[Demystifying the intraosseous infusion technique]. / Tous les secrets de l'accès vasculaire intra-osseux.

Intraosseous infusion provides a safe and effective access to the vascular system that allows for administration of urgent therapies in both adults and children. It has few contraindications and complications are rare. The needle is most commonly inserted in the proximal tibia or anterior humerus. Different devices are available but those with a traditional drill are the most widespread. The intraosseous infusion procedure is easy and the learning curve is short, making it the best alternative when traditional intravenous access is not possible or delayed.

Le cathétérisme intra-osseux permet un accès vasculaire rapide, facile, sûr et efficace pour l'administration de thérapeutiques urgentes, chez l'enfant comme chez l'adulte. Il présente peu de contre-indications et ses complications sont rares. Les sites d'implantation privilégiés sont les abords tibial proximal et huméral chez l'adulte. Différents systèmes de cathétérisme sont disponibles ; les plus répandus et probablement les plus simples d'utilisation sont maintenant motorisés. La technique d'utilisation de ces cathéters est facilement acquise après une courte formation. Ils représentent la première alternative à l'accès veineux périphérique dans la gestion des urgences vitales lorsque celui-ci n'est pas disponible.