Emergency
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Pediatric Sports-Related Injuries of the Lower Extremity: Ankle
Pediatric lower extremity injuries are common in the emergency department, especially with increasing sports specialization in young athletes. Acute care providers need to be familiar with common injury patterns, indications for radiographs, and more specialized imaging. Recognizing and maintaining a high degree of suspicion for high-morbidity injuries that may masquerade as an ankle sprain is critical. The authors review common injuries and also injuries that cannot be missed including Maisonneuve fracture, talar fractures, navicular fractures, Jones or pseudo-Jones fractures, Lisfranc injuries, and Salter-Harris fractures.
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Study: EMTALA Violations Found 40% of Time
But only 3% triggered fines.
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‘Brief, Superficial’ ED Interactions Spur Litigation
If patients think ED providers were rushed, inattentive, or disregarded their symptoms and complaints, they’re much more likely to second guess the care and explore legal remedies.
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How Much Protection Do ‘Good Samaritan’ Laws Really Offer EPs?
The answer depends on where the care took place, if the EP received compensation, and in what state the EP is located, among other factors, according to legal experts.
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Is Psychiatric Boarding an Unconstitutional Necessity?
The decision by the Washington Supreme Court to declare the practice of psychiatric boarding unconstitutional presents a novel approach to fighting the practice and advocating for our patients. However, in doing so, the court created new avenues of risk for providers and put patients in harm’s way if the court eliminated the practice of psychiatric boarding without adequate resources in place.
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Warm Handoffs Connect Substance Abuse Patients to Vital Services
A good warm handoff program includes several components, all designed to ensure patients with addiction problems are connected to a treatment plan as soon as their medical emergency has been addressed.
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Guide Patients into Treatment Through Outreach Visits
A community approach leverages law enforcement, medical personnel, and addiction treatment providers, bringing resources to patients and families who are struggling with an addiction problem.
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A Second Look at ED-initiated Buprenorphine for Opioid Addiction
Based on new research, administrators at Yale New Haven Hospital have worked to bolster infrastructure in the ED to initiate buprenorphine for patients who present with opiate addictions and are candidates for medication-assisted therapy.
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New Initiative Slashes Opioid Prescriptions, Boosts Community Response
Emergency providers take a leading role in developing pain management guidelines, linking patients to care for underlying issues.
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Drug Interactions
MONOGRAPH: Drug-to-drug interactions represent one of the most significant risks of polypharmacy in our increasingly complex and aging populations.