Emergency Medicine - Adult and Pediatric
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Pediatric Procedural Sedation
Procedural sedation is a critical skill to facilitate the performance of necessary diagnostic and therapeutic procedures in children. The clinician must have knowledge of the preparatory steps, indications, pharmacologic agents, monitoring, and recovery phase to safely and effectively perform this necessary adjunct to many common procedures. The authors review steps, current recommendations, and options to utilize procedural sedation skillfully in children. In addition, they present guidelines for managing adverse events that may be associated with the administration of procedural sedation.
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EP’s Defensive Response to Peer Review Inquiry Complicates Matters
Feeling personally attacked during peer review inquiries, EPs might claim the investigation is a sham, is harassment, or that the investigator holds a personal grudge.
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Does ED Chart Leave AMA Patient Free to Claim, ‘If Only I’d Known the Risks?’
Give solid evidence patient was fully informed before discharge.
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Plagiarized Passages in ED Chart Cause Legal Problems
Copied and pasted information complicates defense for EP.
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Surprising Number of ED Cases End Up Settled
Even if standard of care was met, many factors, including the EP’s emotions, come into play.
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Hospital Mergers Usher in Changes for Healthcare Providers
ED staff would be affected more than other medical staff by institutional changes that result from a merger and acquisition.
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Hepatitis C Treatment: Issues for the Emergency Physician
This issue is written to provide you with the knowledge to be able to ask and educate patients with hepatitis C about the highly effective treatment available for most all infected patients.
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Abdominal Compartment Syndrome in the Emergency Department
Intra-abdominal hypertension and abdominal compartment syndrome are common occurrences in both ICU and surgical patients. It is important for emergency physicians to have a general working knowledge of abdominal compartment syndrome so they can identify risk factors and decrease morbidity and mortality for the duration of the patient’s hospitalization.
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Common Pediatric Upper Extremity Overuse Injuries
Pediatric overuse injuries are becoming very common as the intensity of athletic competition extends to our younger population. Acute care providers must include these injuries in their differential as they listen to and examine young athletes. Identification and coordination of care with a sports medicine expert will optimize the long-term outcomes for these children.
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Anticoagulation in the Trauma Patient
The number and variety of anticoagulants have expanded greatly during the past decade. Because of the large number of individuals on anticoagulation for various conditions, anticoagulated patients assuredly will present as trauma patients.