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Several years ago, walking through the waiting room at Baystate Medical Center in Springfield, MA, on her way to triage, Ellen Smithline, RN, CEN, TNCC-I, ENPC-I, an ED clinical educator, noticed a woman in her 30s who looked pale and was rubbing her chest.
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Observing an elderly man's shaking extremities, ED nurses at St. John's Mercy Medical Center in St. Louis first suspected undiagnosed Parkinson's disease. He actually was having mild seizure activity.
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Drug or dosage near misses are common in EDs, but these tend to be swept aside by nurses. How can you call attention to these near-disasters so others can learn from them?
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(Editor's note: This is the first of a two-part series on caring for potentially suicidal adolescents. This month, we give strategies for assessing the risk of self-harm and avoiding overmedicating patients. Next month, we will cover steps to take after an ingestion and questions to ask if you suspect an overdose.)
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This engaging epidemiologic survey assessed microbial contamination of soda-fountain drinks, dispensed from nine different fountain machines, relative to current U.S. drinking water standards.
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Resting QRS duration is an independent predictor of cardiac death and/or myocardial infarction in patients with suspected CAD.
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The U.S. Advisory Committee on Immunization Practices (ACIP) has published its annual updated recommendations for routine immunizations of adults.
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The syllogism seemed so simple: 1) The CV risk reduction of aspirin (ASA) in primary prevention is linearly related to baseline risk; 2) DM is a high-risk population for CV events; and therefore, 3) ASA should be really good for primary prevention in diabetics. Well, it's not quite so simple.
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The first interleukin-6 (il-6) receptor antagonist has been approved for the treatment of rheumatoid arthritis (RA).
