Emergency Medicine - Adult and Pediatric
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Patient’s Signature on AMA Form Won’t Stop Successful Lawsuit
Supporting documentation in ED chart is vital.
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Keep in Mind Legal Risks When Transferring ED Psychiatric Patients
Most EDs lack the facilities to properly care for emergency psychiatric patients, which is of particular concern if the patient was brought to the hospital on a legal hold, or if one was imposed after the patient arrived.
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Who’s Ultimately Responsible for Bad Outcomes?
Whoever saw the patient last generally bears the brunt of the blame.
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Identify, Counsel EPs Frequently Targeted in Med/Mal Suits
Very small number of EPs account for vast majority of litigation.
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What if a Plaintiff Can’t Prove an EP Was Negligent?
Liability exposure still exists with ‘loss of chance’ claims.
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Spinal Cord Injury
The spinal cord, although well protected, can be injured in a variety of ways, including motor vehicle collisions and sporting events. The inability of the neurons to regenerate, and their sensitivity to anoxia and hypoperfusion, makes the timely diagnosis and treatment of spinal cord injury imperative to preserve as much function as possible. This article will cover the basic epidemiology, physiology, and treatments for spinal cord injury in an attempt to prepare the reader to manage these complex injuries.
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Alternatives to Opioids for Acute Pain Management in the Emergency Department: Part II
As emergency physicians, we want to ensure our patients are not suffering severe pain. But, at the same time, we clearly need to reduce the use of opioids. Balancing these two priorities is difficult but important to our patients and society as a whole.
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Alternatives to Opioids for Acute Pain Management in the Emergency Department: Part I
Using therapy designed specifically for several different painful conditions that commonly present to the ED, patients frequently achieve significant pain relief without the use of opioids.
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Pediatric Sports-Related Injuries of the Lower Extremity: Ankle
Pediatric lower extremity injuries are common in the emergency department, especially with increasing sports specialization in young athletes. Acute care providers need to be familiar with common injury patterns, indications for radiographs, and more specialized imaging. Recognizing and maintaining a high degree of suspicion for high-morbidity injuries that may masquerade as an ankle sprain is critical. The authors review common injuries and also injuries that cannot be missed including Maisonneuve fracture, talar fractures, navicular fractures, Jones or pseudo-Jones fractures, Lisfranc injuries, and Salter-Harris fractures.
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Study: EMTALA Violations Found 40% of Time
But only 3% triggered fines.