Emergency
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When Do Ventilator Modes Matter?
Although pressure-controlled ventilation and volume-controlled ventilation approach mechanical breath delivery differently in terms of inspiratory flow and airway pressure characteristics, this comprehensive review found no significant differences in terms of their impact on breathing mechanics or gas exchange in patients with various forms of acute respiratory failure.
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Inferior Vena Cava Filters and Recurrent Pulmonary Embolism
Even in patients who seem most vulnerable to additional embolism, retrievable inferior vena cava filter placement plus anticoagulation did not improve outcomes vs. anticoagulation alone.
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Decreasing Cross-Transmission of Carbapenemase-Producing Enterobacteriaceae
The implementation of a bundled infection control intervention was able to significantly decrease cross-transmission of a multi-drug-resistant pathogen and decrease healthcare-associated infections in an long-term acute care hospitals population.
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Is Fresh Blood Better?
The Age of Blood Evaluation trial supports the notion that the relative expiration date of red blood cells is not important.
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See No Lights, Hear No Alarms: Sleeping in the ICU
ABSTRACT & COMMENTARY: Sleep quality in the ICU can improve. Here's how.
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Diagnostic Tests and Disposition Decisions
Using some type of simulation can identify opportunities for improvement before arriving at the point where a near miss or event occurs.
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Informed Consent Can Become an Issue During ED Medical/Malpractice Litigation
While EPs often fail to discuss risks of treatments and interventions, their failure to obtain diagnostic tests is a far more common allegation in malpractice lawsuits.
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How Can Emergency Physician Counter Patient’s Claim that Exam Was Rushed?
Documentation showing the patient appeared well before discharge can make or break a case.
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High Payouts Make Missed Meningitis Cases Very Appealing to Plaintiff Attorneys
Meningitis claims are likely to be settled, even if the EP’s care was entirely appropriate and well-documented because of the extremely high payouts associated with meningitis cases.
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Simple Actions Before Discharge Can Prevent Some ED Claims
Lack of specific personalized discharge instructions and no indication of the EP’s rationale complicated the defense of a recent malpractice claim involving a 38-year-old woman who presented to an ED with abdominal pain, nausea, and a fever that resolved in the ED.