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Sickle cell disease is a common condition seen throughout the spectrum of ages. Emergency department (ED) physicians must be aware of the range of presentations and the vulnerability of these patients to certain clinical conditions.
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Change is sometimes difficult to detect, especially if it happens gradually. Psychologists call it creeping normalcy. With slow change, we become conditioned with each incremental step and do not appreciate the overall change. Then, sometimes, when we stop and look back, we are struck with the contrast.
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On Oct. 24, 2009, President Barack Obama signed a national emergency declaration to help the nation's health care providers to better respond to the H1N1 pandemic.
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With Congress seriously considering several pieces of health care reform legislation, two studies conducted in Massachusetts by the American College of Emergency Physicians (ACEP) have some observers worried that reform will mean even worse crowding conditions for the nation's already overburdened EDs.
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Proponents of telemedicine have long touted its ability to provide expert consultation for rural facilities that otherwise must deal with a dearth of subspecialists, and nowhere is such help more critical than in stroke care, where time is such a vital element.
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[Editor's note: This is the first part of a two-part series on staff training at the chest pain center at Oregon Health & Science University Hospital. In this issue, we tell you about training for the valet, patient access service clerk, and triage nurses. In next month's issue, we'll tell you how they enhanced their care for ST-segment elevation myocardial infarction (STEMI) and how atomic clocks were purchased to synchronize door-to-balloon times.]
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According to a new study published online and ahead of print in the journal Urology1, medical expulsive therapy (MET) for urinary stones is underused in American EDs despite evidence of its safety and efficacy.
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Having an ED physician as its president might not have been the only reason that Aurora BayCare Medical Center in Green Bay, WI, became the first U.S. hospital to be verified as an emergency center of excellence, but it sure didn't hurt.
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The 2010 outpatient prospective payment system/ambulatory surgery centers (OPPS/ASC) final rule, just issued by the Centers for Medicare & Medicaid Services (CMS) as we go to press, is basically unchanged from the proposed rule in areas impacting EDs, according to observers.
