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By locating a social worker in a hospital ED to help members overcome barriers to primary care, Horizon NJ Health, a West Trenton, NJ-based managed care organization, was able to decrease ED visits by 45% among its members who had a face-to-face conversation with the social worker.
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Haywood Emergency Physicians, which had managed the ED at Haywood Regional Medical Center in Clyde, NC, since 1991, was ousted by a unanimous vote of the hospital's board in late December 2006 and replaced by the corporate physicians staffing firm Phoenix Physicians following a heated contract dispute.
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By creating inexpensive fever kits and providing them free of charge to parents of children between 3 months and 5 years of age who presented and were discharged, the ED at Presbyterian Hospital of Dallas has saved approximately $300,000 since the initial pilot program began in July 2004.
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Harried ED managers who are trying their best to get patients upstairs apparently have some strong allies in this battle: The patients themselves.
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An adult patient arrives at the ED in the middle of the night with a presenting complaint of head trauma of unknown origin, and associated pain and dizziness.
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Abdominal pain in female patients can pose a diagnostic challenge to emergency physicians. There are a number of emergent clinical conditions that must be recognized in a timely fashion to reduce morbidity and mortality in these patients.
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Trauma is the leading cause of death in patients between the ages of 1 and 44 years and is the fifth leading cause of overall deaths in the United States.
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Patients with chronic pain can be some of the most difficult patients to deal with. They are often miserable and demanding, and their quest for pain relief can lead to addiction.
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The authors of this issue discuss three types of drug-resistant bacteria that can colonize or infect emergency department patients. Community-associated methicillin-resistant Staphylococcus aureus and, to a lesser extent, vancomycin-resistant enterococci are known to most emergency physicians.
