Emergency
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Patient passports aim to speed appropriate care for medically complex children presenting to ED
A medically complex child can decompensate quickly — even if he or she appears to be quite healthy. But grasping the urgency of such a patient’s condition can be especially difficult for triage nurses in the ED who may have never laid eyes on the child before, let alone reviewed his or her lengthy medical history. It’s a problem that Mattel Children’s Hospital at Ronald Regan UCLA Medical Center in Los Angeles, CA, is attempting to solve through the development and dissemination of what administrators are calling a patient passport.
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Mount Sinai leverages smartphone technology, aiming to boost care, coordination of ED patients while also trimming costs
Using telemedicine in the care and treatment of stroke patients is widely used and accepted at this point; the approach facilitates quick access to expert consultations when time to treatment is a critical factor.
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Early data suggest new protocol to risk-stratify chest pain patients, potentially preserving resources without compromising safety
Emergency providers are accustomed to seeing patients with chest pain. In fact, it is the second most common complaint in the ED. However, while more than half of these patients are either admitted or placed in an observation unit for rounds of expensive tests, a cardiac cause is ruled out most of the time.
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Acute Shoulder Injury
MONOGRAPH: Musculoskeletal injuries or pain complaints comprise a large portion of visits to EDs every year.
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Updates in Pediatric Trauma, Part I
MONOGRAPH: New advances in diagnostic evaluation and treatment for the No. 1 cause of death and disability in children and adolescents.
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A Guide to When and How to Stop CPR
In cardiopulmonary arrest situations, the mnemonic CEASE (Clinical features, Effectiveness, Ask, Stop, Explain), provides a guide for clinicians on how to discontinue resuscitative efforts and effectively communicate with other clinicians and families.
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Survival in ARDS Can Be Predicted By Driving Pressure
Statistical models were applied to several large trials of ARDS patients undergoing lung protective ventilation strategies and found that decreases in driving pressure, or Δ P, were strongly associated with increased survival.
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Multiple Factors Contribute to Recovery of Physical Function After Critical Illness
Physical function after critical illness is influenced by clinical, physiological, and psychological factors that suggest a need for comprehensive interventions to promote recovery and quality of life.
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Nasal Screening for MRSA: The New Basis for De-escalation of Empiric Antibiotics?
The high negative predictive value of a negative nasal screen for methicillin-resistant Staphylococcus aureus suggests these patients do not have lower respiratory tract infections caused by the organism.
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Post-ICU Stress Symptoms Are Associated with Increased Acute Care Service Utilization for at Least One Year
In this prospective, longitudinal study of adult medical-surgical ICU patients, in-hospital substantial acute stress symptoms were associated with a greater risk of rehospitalization within 1 year post-ICU discharge; those with substantial post traumatic stress disorder symptoms at 3 months post-ICU also had a greater risk of future emergency department visits within the year.