Emergency
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Does Dexmedetomidine Improve Patient Outcomes in Sepsis?
In patients with sepsis requiring mechanical ventilation, use of dexmedetomidine compared with no dexmedetomidine did not result in an improvement in 28-day mortality or ventilator-free days.
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Resilience in the ICU: A Valuable Asset for Families
Interventions that teach resilience may improve family members’ experiences in the ICU.
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Management of Pulmonary Embolism in the ICU
Small, low-risk pulmonary embolism can be treated as an outpatient procedure or with heparin infusion alone, but higher-risk pulmonary embolism cases are managed properly in an ICU. With the introduction of newer modalities of treatment, appropriate risk stratification and the choice of treatment are increasingly complex.
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Study: Individual EPs Rarely Fined for EMTALA Violations
Almost all civil monetary penalties are against facilities.
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Missed Spinal Epidural Abscess: ‘Lightning Rod for Litigation’
In these cases, EPs are the second most commonly sued physicians.
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Some Plaintiffs Face Higher Burden of Proof
Two Texas physicians weigh in on how tort reform, in their view, has affected the practice of emergency medicine and malpractice litigation in their state.
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Test Ordered in ED, but Patient Discharged or Admitted?
The EP can be held liable for failure to "close the loop” on non-emergent abnormal findings. The hospital can be held liable for not instituting a reconciliation process to flag discrepancies between the EP’s readings and those of the radiologist.
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Anaphylaxis: The Underrecognized Killer
This article will cover the presentation and emergency department (ED) management of allergic reactions in children, focusing on anaphylaxis. The current definition and recommended guidelines are reviewed.
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Patient Could Allege Opioids Given by EP Sparked Addiction
Experts say that as time passes, EPs should increasingly expect to be included as potential targets of malpractice claims alleging that opioids were prescribed without adequate indication or in excessive amounts.
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Updates on Zika Virus Disease
Zika virus disease is a global issue. While not technically an emergency, concerned patients will come to our departments seeking advice and diagnostic testing.