Emergency Medicine - Adult and Pediatric
RSSArticles
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Moral Distress When Caring for Patients on Mechanical Circulatory Support
Clinicians pointed to palliative care and ethics consults as ways to mitigate moral distress.
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Pediatric Tuberculosis
Mycobacterium tuberculosis (MTB) is a significant challenge to children's health. Barriers exist at multiple levels of the care system for MTB. Early recognition and involvement of MTB specialists is critical to facilitate the best outcome for pediatric patients. The authors provide a thorough review of the current standards for care of these challenging patients.
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Evaluation and Management of Hypertension in Adults
Hypertension, defined by most major societies as > 140/90 mmHg, is common and the prevalence is increasing.
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Discussions on Patient Care Could Become Discoverable
Evidence indicating the emergency physician conducted peer review diligently and in good faith could help the defense. Still, considering the possibility of discoverability, providers should avoid inaccurate, sarcastic, or unnecessary comments during peer review.
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Patients Offer Insight on ED Providers’ Communication Skills
With better communication, ED patients are more likely to follow recommendations and experience better outcomes.
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Cardiology, Stroke Malpractice Cases Involve ED Providers’ Communication Gaps
Cutting corners with poor communication can lead to devastating patient outcomes.
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Time Spent in ED Hallways Raises Risk of Developing Delirium
Researchers analyzed 25,162 patients, including 1,920 who met delirium criteria. Patients with delirium spent a greater percentage of time in the ED hallway than other patients and stayed in the ED longer. Patients developed delirium in the ED more often than patients on the inpatient units. Out of the 1,920 patients who developed delirium, 1,488 did so while in the ED.
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With ED Provider at Triage, Fewer Patients Leave Without Being Seen
Leaders are trying to find effective ways to prevent high-risk patients from waiting too long for critical treatment — or from simply walking out the door forever.
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Legal Exposure Regarding Recurrent Low-Risk Chest Pain
The most important actions an emergency physician can take are to gather a thorough medical history and correctly interpret the ECG.
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Updated Guidelines on Recurrent, Low-Risk Chest Pain Fill in Some Treatment Gaps
Eight specific recommendations can help emergency providers make good decisions for patients who have visited the ED and undergone a diagnostic workup that showed no evidence of coronary stenosis, only to return with similar complaints within 12 months.