Emergency
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Survey: More Than Half of EPs Sued for Malpractice at Least Once
Fifty-one percent of EPs have been sued during their career, according to a recent report on medical liability claims frequency, the third highest percentage of all the specialties examined by the study’s authors.
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Many ED Visits Documented on Cellphones
Whether such recordings are admissible in court depends on many different factors.
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Sickle Cell Emergencies
This article provides an overview of the most frequently encountered complications associated with sickle cell disease seen in the emergency department. It will discuss recent guidelines and novel approaches to the treatment of entities such as acute chest syndrome, vaso-occlusive crisis, and stroke, as well as new treatments on the horizon.
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Hospitals Leverage Safety Huddle to Reduce Patient Harm, Boost Transparency, and Drive Culture Change
When implemented effectively, safety huddles can reduce harm and foster a culture of safety and accountability. Hospitals that have been successful with this process recommend that huddles be driven by executive leadership and include a structure that provides for accountability.
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Providers Address Homelessness to Reduce ED, Hospital Use
Recognizing that chronically homeless patients typically present with multiple medical problems that lead to excessive ED and hospital use, hospitals are working with community partners to develop programs aimed at providing these patients with stable housing and the kind of supportive services that can better meet their needs.
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New Four-step Protocol Boosts Care, Outcomes for STEMI Patients
Investigators have developed a protocol that not only improves outcomes for patients with ST elevation myocardial infarction (STEMI), but also reduces gender disparities that have been observed in both the care and outcomes of patients who present with the condition. Researchers note that although the protocol is different than common practices in most U.S. hospitals, the results show that further improvements are possible in the care of STEMI patients.
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High-sensitivity Troponin Test Finally Available to U.S. Emergency Providers
Some emergency providers in the United States finally can access a high-sensitivity troponin assay that enables them to detect heart attacks and other cardiac problems faster than older troponin tests. While it can take several months to safely and effectively switch to the new test, the benefits to both patients and providers are considerable. Although evidence from Europe suggests the tests uncover more evidence of cardiac disease, follow-up is required.
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Chest Pain in Young Adults
Chest pain is one of the most common reasons that patients present to the emergency department. The underlying disease processes can range from benign to life-threatening. The purpose of this article is to discuss the diagnosis, treatment, and management of the common causes of chest pain that can present in a young adult.
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Routine Chest Radiographs After Ultrasound-guided Central Line Placement May Be Unnecessary
Catheter misplacement and pneumothorax after routine ultrasound-guided catheter placement are rare, and routine post-procedural chest radiographs may not be cost-effective.
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Real-time Tracking of Influenza-related ICU Use
Surrogate markers of influenza severity, specifically trends in ICU use, were collected and revealed differences from current influenza reporting.