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To improve population health, CMs find “it takes a community”
As the Affordable Care Act nudges health care organizations toward preventive care and efficient, holistic solutions, some case managers are finding that they can do more for their patients if they seek help from all available community resources.
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Patient passports aim to speed appropriate care for medically complex children presenting to ED
A medically complex child can decompensate quickly — even if he or she appears to be quite healthy. But grasping the urgency of such a patient’s condition can be especially difficult for triage nurses in the ED who may have never laid eyes on the child before, let alone reviewed his or her lengthy medical history. It’s a problem that Mattel Children’s Hospital at Ronald Regan UCLA Medical Center in Los Angeles, CA, is attempting to solve through the development and dissemination of what administrators are calling a patient passport.
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Mount Sinai leverages smartphone technology, aiming to boost care, coordination of ED patients while also trimming costs
Using telemedicine in the care and treatment of stroke patients is widely used and accepted at this point; the approach facilitates quick access to expert consultations when time to treatment is a critical factor.
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Early data suggest new protocol to risk-stratify chest pain patients, potentially preserving resources without compromising safety
Emergency providers are accustomed to seeing patients with chest pain. In fact, it is the second most common complaint in the ED. However, while more than half of these patients are either admitted or placed in an observation unit for rounds of expensive tests, a cardiac cause is ruled out most of the time.
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The Vitals - April 2015
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ED Push - April 2015 First Issue
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A Regular SVT with Marked ST Depression
The patient is a previously healthy 60-year-old man who presented with palpitations and new-onset chest pain
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Updates
Clinical Briefs discussing: Reducing Drug-induced Xerostomia with Sorbet, The Ongoing Search for Cognitive Impairment Biomarkers, and Bipolar Disorder is Associated with New-onset CVD.
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Angiotensin Receptor Blockade, Renal Function, and Outcomes in Chronic Heart Failure
The authors concluded that compared with 50 mg losartan, 150 mg losartan is associated with an increased risk of early WRF, but this appears to be a benign event.
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Are Atrial Premature Complexes Benign?
The authors concluded that in a general population free of AF or cardiovascular disease, the presence of APCs on a routine ECG is associated with AF and cardiovascular death.