Emergency Medicine - Adult and Pediatric
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ED Misdiagnosis Case Alleged Failure to Use Decision Tool
Failure to obtain an ordered ECG, failure to use a decision tool, and anchoring bias were factors in a recent ED malpractice claim alleging missed pulmonary embolism.
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Is ED Patient’s Conduct a Viable Defense Strategy?
The plaintiff in one malpractice claim had been seen in the ED for injuries he sustained while fleeing the scene of a crime. However, it was unclear whether a jury would ever get to hear about the patient’s criminal conduct.
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Study: Electronic Medical Record Design Flaws Can Hurt Patients
Patients can be harmed when there are problems in electronic medical records related to how information is conveyed to other providers and how test results get displayed, according to a recent study.
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Update on the Management of Hypertension in the Emergency Department
This article will provide emergency physicians with a roadmap to help navigate the evaluation and management of hypertension in the emergency department.
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Trauma Mythology: Looking Beyond the ABCD and ATLS
This article examines some commonly held assumptions related to the emergency care and stabilization of trauma patients. It provides the practicing clinician with information needed to inform important clinical decisions about spinal immobilization, thromboelastography, direct oral anticoagulants (DOACs), and the Focused Abdominal Sonography in Trauma (FAST) exam.
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Chronic Abdominal Pain Disorders: Chronic Pancreatitis and Cyclic Vomiting Syndrome
It is important for emergency providers to understand the pathophysiology and management of chronic abdominal pain disorders. This article will review two common chronic abdominal pain disorders encountered in the ED: chronic pancreatitis and cyclic vomiting syndrome.
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Pediatric Abdominal Ultrasound: A Comprehensive Guide to Making the Diagnosis — Part II
Ultrasound is evolving rapidly as the ideal imaging modality for many common pediatric complaints. In the second part of this series, the authors discuss point-of-care use of ultrasound for concerns regarding the kidneys, ovaries, testicles, gallbladder, and small bowel obstruction. The ability to make critical diagnoses safely and rapidly with ultrasound is an invaluable clinical tool to facilitate and improve pediatric care.
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Is Intoxicated Patient ‘Just Another Drunk,’ or Someone With Unsuspected Critical Illness?
About 1% of patients who arrived to the ED for uncomplicated alcohol intoxication required critical care resources during their encounter, according to a recent study.
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EP’s Independent Contractor Status Doesn’t Always Limit Hospital Malpractice Exposure
Often, hospitals and EPs are named jointly in malpractice litigation. The EP defendant’s status, as either a hospital employee or independent contractor, can determine whether the hospital is liable.
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Beware Exposure if ‘Bouncebacks’ Don’t Return to Same ED
Most EDs track return visits — cases in which patients come back with new or worsening symptoms. But what if that patient goes to a different ED? Investigators recently examined this question.