Emergency Medicine Topics
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ICU Staff Report Severe Moral Distress, But Resources Are Underused
Unresolved ethical concerns not only cause individual moral distress, but can also change the staff relationships and clinical cohesiveness.
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Ethicists Hold Debriefings After Critical Patient Events
In the emotionally charged, fast-paced ICU, clinicians are faced with death and dying daily. Engaging in open, honest communication about these situations will help build a moral and ethical community.
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New Advances in Cardiac Arrest Treatment
Cardiac arrest requires emergent medical intervention, with the goal of perfusing the brain and other major organs while attempting to reverse the underlying etiology causing the arrest.
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Progress on Pediatric Readiness in EDs Continues
The pandemic slowed progress and not all emergency departments fully adhere to national guidelines, but continuous improvement is evident.
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AAP Advocates Placing Outpatient Pharmacies in Emergency Departments
The pediatrics group suggests this around-the-clock service would ensure more patients fill vital prescriptions.
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How Emergency Medicine Leaders Can Implement an Intervention to Assess Suicide Risk
EDs will need to build a multidisciplinary implementation team to review their current care delivery, build improved protocols, deploy those protocols, adjust them iteratively over time to work out the kinks, and install methods for sustaining the effort long-term.
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EDs Face OSHA Citations for Failing to Prevent Violence
OSHA cited a Texas hospital for failing to adequately protect employees from violence, after a patient assaulted a security officer who lost consciousness and was subsequently hospitalized. The agency noted the hospital had not created policies and procedures to protect employees from assault by patients who had exhibited violent behavior.
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Legal Considerations if ED Embraces Provider in Triage Approach
Implementing standing orders at triage and taking a team approach to care, with triage nurses, nurse practitioners, physician assistants, and emergency physicians all working together, are better approaches to improve the triage process.
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Fewer Delays in Sepsis Treatment via Provider in Triage Model
However, more research is needed to identify which key elements of this process can be reliably replicated using cost-effective resources to balance liabilities and risks.
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New Diagnostic Tools Expected to Revamp Sepsis Care
An expert panel agreed a test is needed to indicate the severity of dysregulated host immune response. Although there was some uncertainty over which patients would benefit most from such a test, the panel agreed the sepsis test should be conducted at triage and produce results in less than 30 minutes.