104-784: (Redirected from A-E ) [REDACTED] Look up A&E or a-e in Wiktionary, the free dictionary. A&E or A+E may refer to: Music [ edit ] A&E Records , a British record label A+E (album) , 2012, by Graham Coxon "A&E" (song) , 2008, by Goldfrapp "A+E" (song) , 2012, by Clean Bandit Television [ edit ] A&E Networks , an American broadcasting company A&E (TV network) , an American pay TV network A&E (German TV channel) A&E (Spanish and Portuguese TV channel) A&E (Australian TV channel) Other uses [ edit ] Accident and emergency,
208-429: A "no-knock" search warrant which led to the killing of Breonna Taylor , a 26-year-old African-American woman. For months afterward, Taylor's family, members of the local community, and people around the world protested to demand that officers involved in the shooting be fired and criminally charged. These protests and demonstrations coincided and intertwined with the international George Floyd protests , as well as
312-554: A city-county merger . The official name of this consolidated city-county government is the Louisville/Jefferson ;County Metro Government, abbreviated to Louisville Metro. Despite the merger and renaming, the term "Jefferson County" continues to be used in some contexts in reference to Louisville Metro, particularly including the incorporated cities outside the " balance " which make up Louisville proper. The city's total consolidated population as of
416-419: A play therapist whose job is to put children at ease to reduce the anxiety caused by visiting the emergency department, as well as provide distraction therapy for simple procedures. Many hospitals have a separate area for evaluation of psychiatric problems . These are often staffed by psychiatrists and mental health nurses and social workers . There is typically at least one room for people who are actively
520-455: A block designated for whites. He was prosecuted and found guilty. The second case was planned to create a test case. William Warley , the president of the local chapter of the NAACP, tendered a purchase offer on a white block from Charles Buchanan, a white real estate agent. Warley also wrote a letter declaring his intention to build a house on that lot and reside there. With the understanding that
624-451: A center of breeding high-quality livestock throughout the 19th century. Ten thousand spectators watched the first Derby, which Aristides won. On March 27, 1890, the city was devastated and its downtown nearly destroyed when what scientists now estimate was an F4 tornado tore through as part of the middle Mississippi Valley tornado outbreak . It is estimated that between 74 and 120 people were killed and 200 were injured. The damage cost
728-481: A complaint of mental illness. In many jurisdictions (including many U.S. states), patients who appear to be mentally ill and to present a danger to themselves or others may be brought against their will to an emergency department by law enforcement officers for psychiatric examination. The emergency department conducts medical clearance rather than treats acute behavioral disorders. From the emergency department, patients with significant mental illness will be transferred to
832-728: A day, 7 days a week, 365 days a year; and Type B, the rest, which are not. Many US emergency departments are exceedingly busy. A study found that in 2009, there were an estimated 128,885,040 ED encounters in US hospitals. Approximately one-fifth of ED visits in 2010 were for patients under the age of 18 years. In 2009–2010, a total of 19.6 million emergency department visits in the United States were made by persons aged 65 and over. Most encounters (82.8 percent) resulted in treatment and release; 17.2 percent were admitted to inpatient care. The 1986 Emergency Medical Treatment and Active Labor Act
936-594: A day, although staffing levels may be varied in an attempt to reflect patient volume. Accident services were provided by workmen's compensation plans, railway companies, and municipalities in Europe and the United States by the late mid-nineteenth century, but the world's first specialized trauma care center was opened in 1911 in the United States at the University of Louisville Hospital in Louisville, Kentucky . It
1040-515: A decline in local manufacturing. The West End and older areas of the South End, in particular, began to decline economically as many local factories closed. In 1974, a major (F4) tornado hit Louisville as part of the 1974 Super Outbreak of tornadoes that struck 13 states. It covered 21 miles (34 km) and destroyed several hundred homes in the Louisville area, causing two deaths. Since
1144-423: A dedicated area for this process to take place and may have staff dedicated to performing nothing but a triage role. In most departments, this role is fulfilled by a triage nurse , although dependent on training levels in the country and area, other health care professionals may perform the triage sorting, including paramedics and physicians . Triage is typically conducted face-to-face when the patient presents, or
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#17327655845221248-495: A form of triage may be conducted via radio with an ambulance crew; in this method, the paramedics will call the hospital's triage center with a short update about an incoming patient, who will then be triaged to the appropriate level of care. Most patients will be initially assessed at triage and then passed to another area of the department, or another area of the hospital, with their waiting time determined by their clinical need. However, some patients may complete their treatment at
1352-400: A healthcare professional. Patients arriving at the emergency department with a myocardial infarction (heart attack) are likely to be triaged to the resuscitation area. They will receive oxygen and monitoring and have an early ECG ; aspirin will be given if not contraindicated or not already administered by the ambulance team; morphine or diamorphine will be given for pain; sub lingual (under
1456-416: A key part of the operation of an emergency department is the prioritization of cases based on clinical need. This process is called triage . Triage is normally the first stage the patient passes through, and consists of a brief assessment, including a set of vital signs , and the assignment of a "chief complaint" (e.g. chest pain, abdominal pain, difficulty breathing, etc.). Most emergency departments have
1560-426: A more appropriate procedure. (Information is for England; details may vary in different countries.) Cardiac arrest is a sudden (in most cases, unexpected) loss of heart function, breathing, and consciousness. This emergency usually results from an electrical disturbance in the heart that disrupts its pumping action, stopping blood flow to the rest of the body. It is different from a heart attack, where blood flow to
1664-405: A more racially progressive city than other Southern cities, although only when black citizens accepted a lower status than white citizens. Many historians have referred to this "veil" of segregation as a "polite" racism . Historian George Wright stated that polite racism "often deluded both blacks and well-meaning whites into believing that real progress was being made in their city". For example, in
1768-531: A part of the heart is blocked. Cardiac arrest may occur in the ED/A&;E or a patient may be transported by ambulance to the emergency department already in this state. Treatment is basic life support , Automated External Defibrillator (AED), and advanced life support as taught in advanced life support and advanced cardiac life support courses. Cardiac arrest is not a condition that can be self-diagnosed. It requires immediate medical attention and diagnosis by
1872-405: A psychiatric unit (in many cases involuntarily). In recent years, EmPATH units have been developed to relieve pressure on hospital emergency departments and improve the treatment of psychiatric emergencies. Emergency departments are often the first point of contact with healthcare for people who self-harm . As such they are crucial in supporting them and can play a role in preventing suicide. At
1976-556: A red background across the world, which indicates the location of the emergency department, or a hospital with such facilities. Signs on emergency departments may contain additional information. In some American states, there is close regulation of the design and content of such signs. For example, California requires wording such as "Comprehensive Emergency Medical Service" and "Physician On Duty", to prevent persons in need of critical care from presenting to facilities that are not fully equipped and staffed. In some countries, including
2080-660: A result of the training camp. In 1929, Louisville completed the lock and dam in the Falls of the Ohio and the city began referring to itself as "where Northern enterprise and Southern hospitality meet". Between the industrial boom of that year and through the Great Depression , Louisville gained 15,000 new residents, about 3% of them black, most fleeing poverty in rural areas. Throughout January 1937, 19.17 inches (48.7 cm) of rain fell in Louisville, and by January 27,
2184-513: A rise of just 3% in A&;E visits, and this trend looks set to continue. Other influential factors identified by the report included temperature (with both hotter and colder weather pushing up A&E visits), staffing and inpatient bed numbers. A&E services in the UK are often the focus of a great deal of media and political interest, and data on A&E performance is published weekly. However, this
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#17327655845222288-409: A risk to themselves or others (e.g. suicidal ). Fast decisions on life-and-death cases are critical in hospital emergency departments. As a result, doctors face great pressures to overtest and overtreat. The fear of missing something often leads to extra blood tests and imaging scans for what may be harmless chest pains, run-of-the-mill head bumps, and non-threatening stomach aches, with a high cost on
2392-431: A term for a hospital's emergency department See also [ edit ] All pages with titles beginning with A&E All pages with titles beginning with A+E AE (disambiguation) ANE (disambiguation) Topics referred to by the same term [REDACTED] This disambiguation page lists articles associated with the title A&E . If an internal link led you here, you may wish to change
2496-417: A very large number of conditions. However, if a patient presents to a free-standing clinic with a condition requiring hospital admission, he or she must be transferred to an actual hospital, as these facilities do not have the capability to provide inpatient care. The Centers for Medicare and Medicaid Services (CMS) classified emergency departments into two types: Type A, the majority, which are open 24 hours
2600-501: A year with high temperatures at or above 90 °F (32 °C). The mean annual temperature is 58.2 °F (14.6 °C), with an average annual snowfall of 12.7 inches (32 cm) and an average annual rainfall of 44.9 inches (1,140 mm). The wettest seasons are spring and summer, although rainfall is fairly constant year round. During the winter, particularly in January and February, several days of snow can be expected. January
2704-508: Is a key area in most departments. The most seriously ill or injured patients will be dealt with in this area, as it contains the equipment and staff required for dealing with immediately life-threatening illnesses and injuries. In such situations, the time in which the patient is treated is crucial. Typical resuscitation staffing involves at least one attending physician, and at least one and usually two nurses with trauma and Advanced Cardiac Life Support training. These personnel may be assigned to
2808-699: Is a medical treatment facility specializing in emergency medicine , the acute care of patients who present without prior appointment; either by their own means or by that of an ambulance . The emergency department is usually found in a hospital or other primary care center. Due to the unplanned nature of patient attendance, the department must provide initial treatment for a broad spectrum of illnesses and injuries, some of which may be life-threatening and require immediate attention. In some countries, emergency departments have become important entry points for those without other means of access to medical care. The emergency departments of most hospitals operate 24 hours
2912-611: Is a separate (surgical) specialty from emergency medicine (which is itself a medical specialty, and has certifications in the United States from the American Board of Emergency Medicine). Trauma is treated by a trauma team who have been trained using the principles taught in the internationally recognized Advanced Trauma Life Support (ATLS) course of the American College of Surgeons . Some other international training bodies have started to run similar courses based on
3016-575: Is also still in use in Hong Kong. Earlier terms such as 'casualty' or 'casualty department' were previously used officially and continue to be used informally. The same applies to 'emergency room', 'emerg', or 'ER' in North America, originating when emergency facilities were provided in a single room of the hospital by the department of surgery. Regardless of naming convention, there is a widespread usage of directional signage in white text on
3120-641: Is an act of the United States Congress , that requires emergency departments, if the associated hospital receives payments from Medicare , to provide appropriate medical examination and emergency treatment to all individuals seeking treatment for a medical condition, regardless of citizenship, legal status, or ability to pay. Like an unfunded mandate , there are no reimbursement provisions. Rates of ED visits rose between 2006 and 2011 for almost every patient characteristic and location. The total rate of ED visits increased 4.5% in that time. However,
3224-433: Is claimed to have reduced aggression against hospital staff in the departments by 50 per cent. A system of environmental signage provides location-specific information for patients. Screens provide live information about how many cases are being handled and the current status of the A&E department. Waiting times for patients to be seen at A&E were rising in the years leading up to 2020, and were hugely worsened during
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3328-455: Is commonly known as the " golden hour ". Some emergency departments in smaller hospitals are located near a helipad which is used by helicopters to transport a patient to a trauma centre. This inter-hospital transfer is often done when a patient requires advanced medical care unavailable at the local facility. In such cases the emergency department can only stabilize the patient for transport. Some patients arrive at an emergency department for
3432-762: Is free of charge only to all who are "ordinarily resident" in Britain; residency rather than citizenship is the criterion (details on charges vary from country to country). In England departments are divided into three categories: Historically, waits for assessment in A&E were very long in some areas of the UK. In October 2002, the Department of Health introduced a four-hour target in emergency departments that required departments in England to assess and treat patients within four hours of arrival, with referral and assessment by other departments if deemed necessary. It
3536-679: Is included in the Louisville–Elizabethtown–Madison, KY–IN Combined Statistical Area (CSA), which also includes the Elizabethtown, KY MSA, as well as the Madison, IN Micropolitan Statistical Area . The Louisville area is near several other urban areas, especially Frankfort, Kentucky (the state's capital); Cincinnati , Ohio (the two cities' metropolitan statistical areas almost border each other); Lexington, Kentucky ; Bowling Green, Kentucky ; Nashville, Tennessee ; and
3640-688: Is not a life-threatening situation. Urgent care services include a phone consultation through the NHS111 Clinical Assessment Service, pharmacy advice, out-of-hours GP appointments, and/or referral to an urgent treatment centre (UTC) . As part of the response, walk-in Urgent Treatment Centres (UTC) were created. People potentially needing A&E treatment are recommended to phone the NHS111 line, which will either book an arrival time for A&E, or recommend
3744-534: Is not uncommon, with occasional tornado outbreaks in the region. Winter typically brings a mix of rain, sleet, and snow, with occasional heavy snowfall and icing. Louisville averages 4.5 days with low temperatures dipping to 10 °F (−12 °C); the first and last freezes of the season on average fall on November 2 and April 5, respectively. Summer is typically hazy, hot, and humid with long periods of 90–100 °F (32–38 °C) temperatures and drought conditions at times. Louisville averages 38 days
3848-449: Is only one part of a complex urgent and emergency care system. Reducing A&E waiting times therefore requires a comprehensive, coordinated strategy across a range of related services. Many A&E departments are crowded and confusing. Many of those attending are understandably anxious, and some are mentally ill, and especially at night are under the influence of alcohol or other substances. Pearson Lloyd's redesign – 'A Better A&E' –
3952-700: Is the most populous city in the Commonwealth of Kentucky , sixth-most populous city in the Southeast , and the 27th-most-populous city in the United States . By land area, it is the country's 24th-largest city , although by population density, it is the 265th most dense city. Louisville is the historical county seat and, since 2003, the nominal seat of Jefferson County , on the Indiana border. Named after King Louis XVI of France, Louisville
4056-412: Is the coldest month, with a mean temperature of 34.9 °F (1.6 °C). July is the average hottest month with a mean of 79.3 °F (26.3 °C). The highest recorded temperature was 107 °F (42 °C), which last occurred on July 14, 1936, and the lowest recorded temperature was −22 °F (−30 °C) on January 19, 1994. In 2012, Louisville had the fourth-hottest summer on record, with
4160-464: Is the correct pronunciation for the name of the much smaller Louisville, Colorado ). There are also acceptable hybrid ways of saying the name, such as / ˈ l uː ə v ɪ l / LOO -ə-vil , a mixture of the first and second pronunciations. The dominant local pronunciation, the LOO -ə-vəl pronunciation is widely practiced and accepted. Some even refer to it as the "only" correct way to pronounce
4264-493: The 2000 census , Louisville had a population of 256,231, down from the 1990 census population of 269,063. Due to the city-county merger that occurred in 2003, which expanded the city limits, the city's population increased to 597,337 at the 2010 census count. Louisville is the largest city in Kentucky, with 17.1% of the state's total population as of 2010; the balance's percentage was 13.8%. The 2007 demographic breakdown for
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4368-466: The 2020 census was 782,969. However, the balance total of 633,045 excludes other incorporated places within the county and is the population listed in most sources and national rankings. The Louisville-Jefferson County, KY-IN Metropolitan Statistical Area (MSA) includes Louisville-Jefferson County and 12 surrounding counties , seven in Kentucky and five in Southern Indiana . As of 2023,
4472-544: The Black Lives Matter movement and a broader movement of racial unrest . As a result of the incident, the police chief was fired and four officers received federal charges, but no significant systemic changes were made. On April 10, 2023, a mass shooting occurred at the Old National Bank , killing five people, and injuring nine others. The suspect, who was a bank employee and who officials said
4576-599: The C-46 Commando cargo plane, among other aircraft. In 1946, the factory was sold to International Harvester , which began large-scale production of tractors and agricultural equipment. In 1950, the Census Bureau reported Louisville's population as 84.3% white and 15.6% black. Throughout the 1940s, there were more black police officers than any other Southern city, though they were allowed to patrol only black districts. This, in part, made Louisville seem like
4680-422: The Falls of the Ohio . Louisville is an Upper South city located in a Southern state that is influenced by both Southern and Midwestern culture . It is sometimes referred to as either one of the northernmost Southern cities or as one of the southernmost Northern cities in the United States. Louisville is located in Kentucky's outer Bluegrass region . Its development has been influenced by its location on
4784-594: The Indianapolis, Indiana area (especially Columbus, Indiana , to the north of Southern Indiana). The downtown business district of Louisville is located immediately south of the Ohio River and southeast of the Falls of the Ohio. Major roads extend outwards from the downtown area in all directions. The airport is about 6.75 miles (10.86 km) south of the downtown area. The industrial sections of town are to
4888-666: The Southern National Bank building. The buildings of West Main Street in downtown Louisville have the largest collection of cast iron facades of anywhere outside of New York's SoHo neighborhood. Since the mid-20th century, Louisville has in some ways been divided into three sides of town: the West End, the South End, and the East End. In 2003, Bill Dakan, a University of Louisville geography professor, said that
4992-467: The United States and Canada, a smaller facility that may provide assistance in medical emergencies is known as a clinic . Larger communities often have walk-in clinics where people with medical problems that would not be considered serious enough to warrant an emergency department visit can be seen. These clinics often do not operate on a 24-hour basis. Very large clinics may operate as "free-standing emergency centres", which are open 24 hours and can manage
5096-707: The 1980s, many of the city's urban neighborhoods have been revitalized into areas popular with young professionals and college students. The greatest change has occurred along the Bardstown Road/Baxter Avenue and Frankfort Avenue corridors as well as the Old Louisville neighborhood. In recent years, such change has also occurred in the East Market District (NuLu). Since the late 1990s, Downtown has experienced significant residential, tourist and retail growth, including
5200-403: The 287,012 households, 29.6% had children under the age of 18 living with them, 45.2% were married couples living together, 14.7% had a female householder with no husband present, and 36.2% were not families. About 30.5% of all households were made up of individuals, and 10.3% had someone living alone who was 65 years of age or older. The average household size was 2.37 and the average family size
5304-710: The COVID-19 pandemic that started in 2020. In response to the year-on-year increasing pressure on A&E units, followed by the unprecedented effects of the COVID-19 pandemic, the NHS in late 2020 proposed a radical change to handling of urgent and emergency care, separating "emergency" and "urgent". Emergencies are life-threatening illnesses or accidents which require immediate, intensive treatment. Services that should be accessed in an emergency include ambulance (via 999) and emergency departments . Urgent requirements are for an illness or injury that requires urgent attention but
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#17327655845225408-578: The ED could not safely accommodate any more patients. This controversial practice was banned in Massachusetts (except for major incidents, such as a fire in the ED), effective 1 January 2009; in response, hospitals have devoted more staff to the ED at peak times and moved some elective procedures to non-peak times. In 2009, there were 1,800 EDs in the country. In 2011, about 421 out of every 1,000 people in
5512-704: The ED has reduced the requirement for tracheal intubation in many cases of severe exacerbations of COPD. An ED requires different equipment and different approaches than most other hospital divisions. Patients frequently arrive with unstable conditions, and so must be treated quickly. They may be unconscious, and information such as their medical history, allergies, and blood type may be unavailable. ED staff are trained to work quickly and effectively even with minimal information. ED staff must also interact efficiently with pre-hospital care providers such as EMTs , paramedics , and others who are occasionally based in an ED. The pre-hospital providers may use equipment unfamiliar to
5616-448: The EDs operating at an average of 116% of capacity (meaning there were more patients than available treatment spaces) with insufficient beds to accommodate victims of a terrorist attack the size of the 2004 Madrid train bombings . Three of the five Level I trauma centres were on "diversion", meaning ambulances with all but the most severely injured patients were being directed elsewhere because
5720-648: The East End has been seen as middle and upper class . According to the Greater Louisville Association of Realtors, the area with the lowest median home sales price is west of Interstate 65, in the West and South Ends. The middle range of home sales prices are between Interstates 64 and 65 in the South and East Ends, and the highest median home sales price are north of Interstate 64 in the East End. Immigrants from Southeast Asia tend to settle in
5824-472: The Louisville ordinance made it illegal for him to live there, Warley withheld payment, setting in motion a breach of contract suit by Buchanan. By 1917 the U.S. Supreme Court agreed to hear the case of Buchanan v. Warley . The court struck down the Louisville residential segregation ordinance, ruling that it violated the Fourteenth Amendment 's due process clause. In 1917, shortly after
5928-540: The MSA had a population of 1,365,557, the 43rd largest in the nation . The correct pronunciation of the name of Louisville is heatedly debated. The three most popular pronunciations are, in order: All three are generally considered acceptable; the Louisville Visitor Center says that only the rare / ˈ l uː ɪ s v ɪ l / LOO -iss-vil is completely unacceptable (though it
6032-403: The Ohio River crested at a record 57.15 feet (17.42 m), almost 30 feet (9.1 m) above flood stage. These events triggered the "Great Flood of 1937" , which lasted into early February. The flood submerged 60–70 percent of the city, caused complete loss of power for four days, and forced the evacuation of 175,000 or 230,000 residents, depending on sources. Ninety people died as a result of
6136-428: The Ohio River, which spurred Louisville's growth from an isolated camp site into a major shipping port. Much of the city is located on a very wide and flat floodplain surrounded by hill country on all sides. Much of the area was swampland that had to be drained as the city grew. In the 1840s, most creeks were rerouted or placed in canals to prevent flooding and disease outbreaks. Areas generally east of I-65 are above
6240-512: The QualityWatch research programme published in-depth analysis which tracked 41 million A&E attendances from 2010 to 2013. This showed that the number of patients in a department at any one time was closely linked to waiting times, and that crowding in A&E had increased as a result of a growing and ageing population, compounded by the freezing or reduction of A&E capacity. Between 2010/11 and 2012/13 crowding increased by 8%, despite
6344-673: The South End, while immigrants from Eastern Europe settle in the East End. Louisville has a humid subtropical climate ( Köppen Cfa ), typical of the Upper South , and is located in USDA plant hardiness zones 6b and 7a. Springlike conditions typically begin in mid-to-late March, summer from mid-to-late-May to late September, with fall in the October–November period. Seasonal extremes in both temperature and precipitation are not uncommon during early spring and late fall; severe weather
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#17327655845226448-580: The United Kingdom are financed and managed publicly by the National Health Service (NHS of each constituent country: England , Scotland , Wales and Northern Ireland ). The term "A&E" is widely recognised and used rather than the full name; it is used on road signs, official documentation, etc. A&E services are provided to all, without charge. Other NHS medical care, including hospital treatment following an emergency,
6552-480: The United States visited the emergency department; five times as many were discharged as were admitted. Rural areas are the highest rate of ED visits (502 per 1,000 population) and large metro counties had the lowest (319 visits per 1,000 population). By region, the Midwest had the highest rate of ED visits (460 per 1,000 population) and Western States had the lowest (321 visits per 1,000 population). In addition to
6656-489: The United States' entry into World War I , Louisville was selected as the site of Camp Zachary Taylor. Camp Taylor was one of the country's largest World War I training camps. It was home of the 84th Infantry Division and trained over 150,000 men by the end of war, including F. Scott Fitzgerald . The camp was closed in 1921. Many of the buildings and infrastructure in the Camp Taylor neighborhood of Louisville are there as
6760-543: The West End, west of 7th Street and north of Algonquin Parkway, is "a euphemism for the African American part of town" although he points out that this belief is not entirely true, and most African Americans no longer live in areas where more than 80% of residents are black. Nevertheless, he says the perception is still strong. The South End has long had a reputation as a white, working-class part of town, while
6864-493: The addition of major sports complexes KFC Yum! Center , Lynn Family Stadium and Louisville Slugger Field , conversion of waterfront industrial sites into Waterfront Park , openings of varied museums (see Museums, galleries and interpretive centers below), and the refurbishing of the former Galleria into the bustling entertainment complex Fourth Street Live! , which opened in 2004. On March 13, 2020, four plainclothed officers from Louisville Metro Police Department executed
6968-600: The average physician, but ED physicians must be expert in using (and safely removing) specialized equipment, since devices such as military anti-shock trousers ("MAST") and traction splints require special procedures. Among other reasons, given that they must be able to handle specialized equipment, physicians can now specialize in emergency medicine, and EDs employ many such specialists. ED staff have much in common with ambulance and fire crews, combat medics , search and rescue teams, and disaster response teams. Often, joint training and practice drills are organized to improve
7072-495: The city Jim Crow practices were not maintained by law so much as by custom. Similar to many other older American cities, Louisville began to experience a movement of people and businesses to the suburbs in the 1960s and 1970s. Middle class residents used newly built freeways and interstate highways to commute to work, moving into more distant but newer housing. Because of tax laws, businesses found it cheaper to build new rather than renovate older buildings. Economic changes included
7176-547: The city $ 2.5 million (equivalent to $ 69 million in 2019). Established in 1896, Neighborhood House Louisville was the first settlement movement house in the state. Following the Civil War and the Emancipation Proclamation, freed slaves settled in a neighborhood of Louisville called Little Africa, nicknamed "the gateway to the South," near the present neighborhood of Park DuValle . The neighborhood
7280-555: The city is known as the home of boxer Muhammad Ali , the Kentucky Derby , Kentucky Fried Chicken , the University of Louisville and its Cardinals , Louisville Slugger baseball bats, and Fortune 500 company Humana . Louisville Muhammad Ali International Airport , the city's main commercial airport, hosts UPS's worldwide hub. Since 2003, Louisville's borders have been the same as those of Jefferson County, after
7384-429: The coordination of this complex response system. Busy EDs exchange a great deal of equipment with ambulance crews, and both must provide for replacing, returning, or reimbursing for costly items. Cardiac arrest and major trauma are relatively common in EDs, so defibrillators , automatic ventilation and CPR machines, and bleeding control dressings are used heavily. Survival in such cases is greatly enhanced by shortening
7488-477: The entire Louisville Metro area was 74.8% White (71.7% non-Hispanic), 22.2% African American, 0.6% Native American, 2.0% Asian, 0.1% Hawaiian or Pacific islander, 1.4% other, and 1.6% multiracial. About 2.9% of the total population was identified as Hispanic of any race. During the same year, the area of premerger Louisville consisted 60.1% White, 35.2% African American, 1.9% Asian, 0.2% Native American, and 3.0% other, with 2.4% identified as Hispanic of any race. Of
7592-430: The falls. By 1828, the population had grown to 7,000 and Louisville became an incorporated city. Early Louisville was a major shipping port and enslaved African Americans worked in a variety of associated trades. The city was often a point of escape for fugitive slaves to the north, as Indiana was a free state. During this point in the 1850s, the city was growing and vibrant, but that also came with negativity. It
7696-463: The first one was "correct". LUUV -əl is a less common, particularly rural way of saying the name. While it is considered acceptable, it is not as widely heard as the others. The history of Louisville spans hundreds of years, and has been influenced by the area's geography and proximity to the Falls of the Ohio River . Since the Falls created a barrier to river travel, settlements grew at this portage point. The first European settlement in
7800-506: The flood plain, and are composed of gently rolling hills. The southernmost parts of Jefferson County are in the scenic and largely undeveloped Knobs region , which is home to Jefferson Memorial Forest . The Louisville-Jefferson County, KY-IN Metropolitan Statistical Area (MSA), the 43rd largest in the United States, includes the Kentucky county of Jefferson ( coterminous with Louisville Metro), plus twelve outlying counties—seven in Kentucky and five in Southern Indiana . Louisville's MSA
7904-575: The flood. It led to dramatic changes in where residents lived. Today, the city is protected by numerous flood walls . After the flood, the areas of high elevation in the eastern part of the city had decades of residential growth. Louisville was a center for factory war production during World War II. In May 1942, the U.S. government assigned the Curtiss-Wright Aircraft Company, a war plant located at Louisville's air field, for wartime aircraft production. The factory produced
8008-430: The health care system. Emergency department became commonly used when emergency medicine was recognized as a medical specialty, and hospitals and medical centres developed departments of emergency medicine to provide services. Other common variations include 'emergency ward', 'emergency centre' or 'emergency unit'. Accident and emergency (A&E) is deprecated in the United Kingdom but still in common parlance. It
8112-596: The largest operator, Adeptus Health , declared bankruptcy. Patients may visit the emergency room for non-emergencies , which typically costs the patient and the managed care insurance company more, and therefore the insurance company may apply utilization management to deny coverage. In 2004, a study found that emergency room visits were the most common reason for appealing disputes over coverage after receiving service. In 2017, Anthem expanded this denial coverage more broadly, provoking public policy reactions. All accident and emergency (A&E) departments throughout
8216-542: The link to point directly to the intended article. Retrieved from " https://en.wikipedia.org/w/index.php?title=A%26E&oldid=1154146201 " Category : Disambiguation pages Hidden categories: Short description is different from Wikidata All article disambiguation pages All disambiguation pages Emergency department An emergency department ( ED ), also known as an accident and emergency department ( A&E ), emergency room ( ER ), emergency ward ( EW ) or casualty department ,
8320-406: The local indigenous population, but they moved out by the late 1780s. In 1803, explorers Meriwether Lewis and William Clark organized their expedition across America in the town of Clarksville, Indiana at the present-day Falls of the Ohio opposite Louisville, Kentucky. The city's early growth was influenced by the fact that river boats had to be unloaded and moved downriver before reaching
8424-505: The mortality of myocardial infarction. Many centers are now moving to the use of PTCA as it is somewhat more effective than thrombolysis if it can be administered early. This may involve transfer to a nearby facility with facilities for angioplasty . Major trauma, the term for patients with multiple injuries, often from a motor vehicle crash or a major fall, is initially handled in the Emergency Department. However, trauma
8528-581: The name of the city. LOO -ee-vil , while respecting the proper pronunciation of the name of the French king who gave Louisville its name, is significantly less common among locals. It is, however, frequently used by those not from the area. In 2001, local journalist and historian George H. Yater noted that older natives tended toward the second pronunciation, and that both the first and second pronunciations were used equally in local radio and television broadcasting; however, new personalities were taught that
8632-543: The normal hospital based emergency departments a trend has developed in some states (including Texas and Colorado) of emergency departments not attached to hospitals. These new emergency departments are referred to as free standing emergency departments. The rationale for these operations is the ability to operate outside of hospital policies that may lead to increased wait times and reduced patient satisfaction. These departments have attracted controversy due to consumer confusion around their prices and insurance coverage. In 2017,
8736-689: The patient's condition will also be given. Depending on underlying causes of the patient's chief complaint, he or she may be discharged home from this area or admitted to the hospital for further treatment. Patients whose condition is not immediately life-threatening will be sent to an area suitable to deal with them, and these areas might typically be termed as a prompt care or minors area. Such patients may still have been found to have significant problems, including fractures , dislocations , and lacerations requiring suturing . Children can present particular challenges in treatment. Some departments have dedicated pediatrics areas, and some departments employ
8840-569: The rate of visits for patients under one year of age declined 8.3%. A survey of New York area doctors in February 2007 found that injuries and even deaths have been caused by excessive waits for hospital beds by ED patients. A 2005 patient survey found an average ED wait time from 2.3 hours in Iowa to 5.0 hours in Arizona. One inspection of Los Angeles area hospitals by Congressional staff found
8944-453: The resuscitation area for the entirety of the shift or may be "on call" for resuscitation coverage (i.e. if a critical case presents via walk-in triage or ambulance, the team will be paged to the resuscitation area to deal with the case immediately). Resuscitation cases may also be attended by residents , radiographers , ambulance personnel , respiratory therapists , hospital pharmacists and students of any of these professions depending upon
9048-437: The same principles. The services that are provided in an emergency department can range from x-rays and the setting of broken bones to those of a full-scale trauma centre . A patient's chance of survival is greatly improved if the patient receives definitive treatment (i.e. surgery or reperfusion) within one hour of an accident (such as a car accident) or onset of acute illness (such as a heart attack). This critical time frame
9152-670: The same time, according to a study conducted in England, people who self-harm often experience that they do not receive meaningful care at the emergency department. Higher ambient temperature may also increase mental illness related emergency department presentations, particularly in females. Acute exacerbations of chronic respiratory diseases, mainly asthma and chronic obstructive pulmonary disease (COPD), are assessed as emergencies and treated with oxygen therapy , bronchodilators , steroids or theophylline , have an urgent chest X-ray and arterial blood gases and are referred for intensive care if necessary. Noninvasive ventilation in
9256-633: The skill mix needed for any given case and whether or not the hospital provides teaching services. Patients who exhibit signs of being seriously ill but are not in immediate danger of life or limb will be triaged to "acute care" or "majors", where they will be seen by a physician and receive a more thorough assessment and treatment. Examples of "majors" include chest pain, difficulty breathing, abdominal pain and neurological complaints. Advanced diagnostic testing may be conducted at this stage, including laboratory testing of blood and/or urine, ultrasonography , CT or MRI scanning. Medications appropriate to manage
9360-484: The south and west of the airport, while most of the residential areas of the city are to the southwest, south, and east of downtown. In 2010, the 22,000-seat KFC Yum! Center was completed. Twelve of the 15 buildings in Kentucky over 300 feet (91 m) are located in downtown Louisville. Another primary business and industrial district is located in the suburban area east of the city on Hurstbourne Parkway. Louisville's late 19th- and early 20th-century development
9464-546: The temperature rising up to 106 °F (41 °C) in July and the June all-time monthly record high temperature being broken on two consecutive days. As the city exemplifies the urban heat island effect, temperatures in commercial areas and in the industrialized areas along interstates are often higher than in the suburbs, often as much as 5 °F (2.8 °C). Between 1970 and 2000, Louisville lost population each decade. As of
9568-551: The tongue) or buccal (between cheek and upper gum) glyceryl trinitrate ( nitroglycerin ) (GTN or NTG) will be given, unless contraindicated by the presence of other drugs. An ECG that reveals ST segment elevation suggests complete blockage of one of the main coronary arteries. These patients require immediate reperfusion (re-opening) of the occluded vessel. This can be achieved in two ways: thrombolysis (clot-busting medication) or percutaneous transluminal coronary angioplasty (PTCA). Both of these are effective in reducing significantly
9672-442: The triage stage, for instance, if the condition is very minor and can be treated quickly, if only advice is required, or if the emergency department is not a suitable point of care for the patient. Conversely, patients with evidently serious conditions, such as cardiac arrest, will bypass triage altogether and move straight to the appropriate part of the department. The resuscitation area, commonly referred to as "Trauma" or "Resus",
9776-638: The vicinity of modern-day Louisville was on Corn Island in 1778 by Col. George Rogers Clark, credited as the founder of Louisville. Several landmarks in the community are named after him. Two years later, in 1780, the Virginia General Assembly approved the town charter of Louisville. The city was named in honor of King Louis XVI of France, whose soldiers were then aiding Americans in the Revolutionary War . Early residents lived in forts to protect themselves from raids from
9880-413: The wait for key interventions, and in recent years some of this specialized equipment has spread to pre-hospital settings. The best-known example is defibrillators, which spread first to ambulances, then in an automatic version to police cars and fire apparatus, and most recently to public spaces such as airports, office buildings, hotels, and even shopping malls. Louisville, Kentucky Louisville
9984-554: The war was over. The first Kentucky Derby was held on May 17, 1875, at the Louisville Jockey Club track (later renamed Churchill Downs ). The Derby was originally shepherded by Meriwether Lewis Clark Jr. , the grandson of William Clark of the Lewis and Clark Expedition, and grandnephew of the city's founder George Rogers Clark. Horse racing had a strong tradition in Kentucky, whose Inner Bluegrass Region had been
10088-533: Was a major stronghold of Union forces , which kept Kentucky firmly in the Union. By the end of the war, the city of Louisville itself had not been attacked, although skirmishes and battles, including the battles of Perryville and Corydon , took place nearby. After the war, returning Confederate veterans largely took political control of the city, leading to the jibe that Louisville joined the Confederacy after
10192-461: Was described as a "thriving community" by the 1920s, and declined between the 1940s and 1950s. In 1914, the city of Louisville passed a racially based residential zoning code, following Baltimore, Atlanta, and a handful of cities in the Carolinas. The NAACP challenged the ordinance in two cases. Two weeks after the ordinance enacted, an African-American named Arthur Harris moved into a house on
10296-658: Was expected that the patients would have physically left the department within the four hours. Present policy is that 95% of all patient cases do not "breach" this four-hour wait. The busiest departments in the UK outside London include University Hospital of Wales in Cardiff, The North Wales Regional Hospital in Wrexham, the Royal Infirmary of Edinburgh and Queen Alexandra Hospital in Portsmouth. In July 2014,
10400-554: Was founded in 1778 by George Rogers Clark , making it one of the oldest cities west of the Appalachians . With the nearby Falls of the Ohio as the only major obstruction to river traffic between the upper Ohio River and the Gulf of Mexico , the settlement first grew as a portage site. It was the founding city of the Louisville and Nashville Railroad , which grew into a 6,000-mile (9,700 km) system across 13 states. Today,
10504-409: Was further developed in the 1930s by surgeon Arnold Griswold, who also equipped police and fire vehicles with medical supplies and trained officers to give emergency care while en route to the hospital. Today, a typical hospital has its emergency department in its own section of the ground floor of the grounds, with its own dedicated entrance. As patients can arrive at any time and with any complaint,
10608-503: Was livestreaming the rampage, was killed by the police after exchanging fire with them. Louisville and Jefferson County have a combined area of 397.68 square miles (1,030.0 km ), of which 380.46 square miles (985.4 km ) is land and 17.23 square miles (44.6 km ) (4.33%) is covered by water. Louisville is southeasterly situated along the border between Kentucky and Indiana , the Ohio River , in north-central Kentucky at
10712-493: Was spurred by three large suburban parks built at the edges of the city in 1890. The city's architecture contains a blend of old and new. The Old Louisville neighborhood is the largest historic preservation district solely featuring Victorian homes and buildings in the United States; it is also the third-largest district containing such architectural distinctions in the United States. Many modern skyscrapers are located downtown, as well as older preserved structures, such as
10816-483: Was the center of planning, supplies, recruiting, and transportation for numerous campaigns, especially in the Western Theater . Ethnic tensions rose, and on August 6, 1855, known as " Bloody Monday ", Protestant mobs attacked German and Irish Catholic neighborhoods on election day, resulting in 22 deaths and widespread property damage. Then by 1861, the civil war had broken out. During the Civil War , Louisville
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