Emergency Medicine - Adult and Pediatric
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Hemorrhage Control: Advances in Trauma Care
Massive hemorrhage is a devastating scenario. Early identification is essential to allow for prompt, potentially lifesaving interventions with the goal of rapid control of exsanguination.
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Four Thrombocytopenic Emergencies
Thrombocytopenia is encountered commonly in the emergency department. In most instances, the emergency physician will not be able to determine the definitive diagnosis, but it is important that the initial evaluation be started in a timely manner and that appropriate specialists be consulted from the emergency department.
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Overtesting for Medical Clearance Not Only Wasteful, It’s Also Dangerous
Still, many psychiatric facilities won’t accept patients transferred from an ED until extensive testing is complete.
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Study: Constant ED Interruptions Source of Med/Mal Exposure
EPs were interrupted 12.5 times every hour on average, according to a recent study. EPs rejected or delayed interruptions less than 2% of the time.
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Settlement Likely for Missed Diagnosis Case, Even if ED Chart Shows It’s ‘Reasonable’
Defensible cases are settled sometimes because the plaintiff is sympathetic or because the dollar value of damages is high.
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Did EP Override Safety Prompt for No Apparent Reason? It’s a Hurdle for Defense
Emergency physicians routinely override safety prompts in clinical decision support systems for very good reasons. However, a skilled plaintiff attorney can depict it as a rogue physician’s negligence.
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ED Staffing Scrutinized if Patient Experiences Bad Outcome in Waiting Room
Plaintiff attorneys allege inadequate ED staffing contributed to patients’ bad outcomes in medical malpractice cases. Typically, accusers allege the hospital allowed dangerously low staffing levels despite concerns and that triage nurses were inadequately trained.
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The Fourth Amendment: Coming to an ED Near You
ED staff work closely with municipal and state law enforcement officials as well as in-house security workers. That relationship is critical to patient, public, and provider safety. The maintenance of a cordial and functional relationship is imperative. However, it cannot happen at the expense of patients’ health, dignity, and constitutional rights.
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Wound Care Review
Traumatic lacerations are a common ED presentation. Although managing most ED lacerations is routine, some cases are complex, requiring physician judgment for effective treatment. This review will discuss the principles of laceration management, incorporating recent research in wound care.
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Recognizing Pediatric Sepsis: Early Diagnosis Critical to Recovery
Identifying pediatric sepsis and treating it quickly can be a matter of life and death.