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Estrogen for Younger Postmenopausal Women; Warfarin Better for Atrial Fibrillation Patients; FDA Actions
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Abdominal trauma is the most frequently initially missed fatal injury in pediatrics. A high degree of suspicion is critical and early diagnosis is essential to minimize the morbidity and mortality associated with these injuries.
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While the media may be treating the recent death of Elizabeth Rodriguez in an ED waiting room in Los Angeles as an isolated incident, a new survey by the American College of Emergency Physicians (ACEP) would indicate that is far from the case.
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In a memo of clarification that should have ED managers breathing a sigh of relief, the Centers for Medicare & Medicaid Services (CMS) has informed state survey agency directors that there is no prohibition under the Emergency Medical Treatment and Labor Act (EMTALA) against ED physicians using telecommunications in consultation with specialists who are not present in their hospital or critical access hospital (CAH).
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The investigations over "homeless dumping" spread to the California legislative arena in 2006 with a bill that prohibits hospitals from transporting a homeless patient across county lines in the absence of consent from a receiving shelter.
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Nurses and physicians are at high risk for communication lapses during change of shift, says Francis L. Counselman, MD, chairman and program director for the Department of Emergency Medicine at Eastern Virginia Medical School in Norfolk, VA.
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A growing number of EDs are allowing family members to be present during resuscitation, as a result of multiple research articles that consistently report that families want to be present and generally have a positive experience.
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When emotional family members are in the ED, what if they hear or see something that they misinterpret and later tearfully tell a jury that the staff were unprofessional or uncaring?
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Two studies published online in the Annals of Emergency Medicine describe new methods of achieving the door-to-balloon time of 90 minutes recommended by the American Heart Association.
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What are the critical factors to a successful medication reconciliation process? "For us, the keys have been ease of use of forms, staff education about the forms, and follow-up to make sure that things are getting done properly," says Ann Morrill, RN, a staff nurse in the ED at Massachusetts General Hospital (MGH) in Boston.
