Emergency Medicine - Adult and Pediatric
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Despite Excessive Testing for Low-Risk Chest Pain, EDs Still Miss Some Myocardial Infarctions
There are some fresh recommendations for EDs treating patients with suspected non-ST-elevation acute coronary syndromes. A new clinical policy from the American College of Emergency Physicians addresses the evaluation and management of these patients.
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Missed STEMI Suit Could Succeed if Plaintiff’s Expert Sees No ECG, Troponins, or Cardiology Consult
When a plaintiff attorney’s expert reviews the ED medical records on a potential missed ST-elevation myocardial infarction (STEMI) case, certain “smoking guns” immediately become apparent.
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Transient Ischemic Attack
Recent research on transient ischemic attacks (TIA) has changed how emergency medicine providers evaluate and manage this sometimes difficult diagnosis. This article provides readers with current information and relevant studies pertaining to TIAs.
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Intimate Partner Violence
Domestic violence and abuse is a national and global healthcare problem with massive consequences, affecting men, women, and children. Awareness, recognition, and resource allocation, in addition to trauma management, is an important aspect of emergent care of the trauma patient possibly injured in a domestic violence incident.
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Making Sense of Delirium in the Emergency Department
Delirium is a complex disorder marked by the acute onset of mental status change with an associated fluctuating course. Despite the fact that delirium is a common clinical entity in elderly hospitalized patients, the condition may present in any patient regardless of medical comorbidities. Recognition within the emergency setting is becoming increasingly important, as the diagnosis frequently is missed.
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Speech Recognition Technology for EDs May Increase Malpractice Risks
Seven out of 100 words in speech recognition-generated documents contain errors, many of which involve clinical information, according to the authors of a recent study.
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After Malpractice Allegations, EP Productivity Decreases
One researchers says the results of one study suggest legal reforms surrounding damage caps may not fully address liability pressure for physicians and other healthcare providers. In other ongoing work, investigators are studying whether EPs adjusted practice patterns equally for all patient types after a malpractice litigation, or whether EPs used information from the allegation to adjust care for clinically relevant patients.
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Negligence or Innocent Mistake? Either Can Trigger Investigation of ED Nurse
The best way for an ED nurse to protect his or her license against both disciplinary action and malpractice allegations? Practice according to the standard of care with every patient encounter.
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Is EMR to Blame for Bad Outcome? Possible Liability Exists for EP, Hospital, and Vendor
Not uncommonly, an ED patient’s bad outcome can be traced back in some way to the EMR. If so, multiple parties may find themselves defendants in malpractice litigation. Insiders break down some factors one can use when determining who is ultimately found liable.
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New E-Triage Tools Unlikely to Face Standard of Care Challenge
New e-triage tools have produced some solid data demonstrating their validity. But what are the liability implications for EDs who are early adopters?