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There are specific injury mechanisms that should lead the practitioner to suspect the presence of intra-abdominal injury, such as a handlebar injury to the upper abdomen and seat belt signs from a motor vehicle accident.
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A new study strongly suggests that for children who present to the ED with minor blunt head traumas, a short period of observation can make an important difference in helping clinicians determine whether to order computed tomography (CT) scans or not.
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While EDs are designed to respond to acute care needs, they are often inundated by patients with complex medical, social, and behavioral health problems that require comprehensive solutions. Not surprisingly, the results of this mismatch can involve long wait times, inefficient care, and less than satisfactory outcomes.
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Malpractice claims alleging missed or delayed diagnosis of sepsis, in which a patient is initially brought to the emergency department (ED) and ultimately dies or suffers a highly adverse outcome, can rarely be traced to a single mistake, according to Damian D. Capozzola, JD, of The Law Offices of Damian D. Capozzola in Los Angeles, CA.
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Since ancient times, caring for alcohol-intoxicated patients in the emergency department has always been troubling and risky for emergency physicians and hospital staff. In a high-profile case in New York, the state's highest court essentially held that physicians and hospitals are not thy intoxicated brother's keeper.
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After a patient on a psychiatric hold managed to escape restraints, he ran out of the emergency department (ED) and was hit by a truck.
