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About one-third of stethoscopes used by emergency medical services is contaminated with methicillin-resistant Staphylococcus aureus (MRSA) bacteria, according to a new study. When researchers at the University of Medicine and Dentistry of New Jersey swabbed 50 stethoscopes, 16 had MRSA colonization.1 This is a frightening prospect for both ED nurses and their patients.
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Five employees from Redlands (CA) Community Hospital recently obtained training in fundamentals of emergency management at the Center for Domestic Preparedness based in Anniston, AL, operated by the Department of Homeland Security's Federal Emergency Management Agency (FEMA). ED leaders say this valuable training has made them much better prepared for any disasters they might face.
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Remember how you were told in medical school that history is 90% of diagnosis? Was it usually ascribed to William Osler or another such legendary figure? Do you still believe it?
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In three years, the ED at Dameron Hospital in Stockton, CA, has achieved total savings of $650,000 through a combination of staffing optimization, creation of atypical shifts and a flexible internal pool, and providing staff the option to take open shifts, all while still meeting the challenging nursing ratios required by the state. These changes were made in concert with The Optime Group, a consulting firm based in Evanston, IL.
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Even with the outbreak of H1N1 influenza in its relative infancy, and no one knowing for certain how dire the situation might become, ED managers and their staffs are taking the situation very seriously.
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A process improvement project addressing the entire emergency service line at The Medical Center of Central Georgia in Macon is expected to increase hospital revenues by $20 million $24 million this year, according to DeLanor Doyle, MD, FACEP, the medical director of the emergency center.
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A new plan for admitting patients from the ED at Johns Hopkins Bayview Medical Center in Baltimore jointly developed by an ED physician and a hospitalist, decreased ED throughput for admitted patients 98 minutes (from 458 minutes to 360 minutes) from the same period a year earlier, despite an 8.8% increase in the ED census.
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Fluid therapy is an integral aspect of trauma resuscitation. With advances in resuscitation research, controversies abound regarding approaches to the initial fluid management.
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