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A recent study has revealed that 28% of 509 emergency physicians (EPs) surveyed were not at all familiar, or only somewhat familiar, with the 2004 American College of Cardiology (ACC)/American Heart Association (AHA) guidelines for the Management of Patients with ST-Elevation Myocardial Infarction (STEMI).
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Apnea is a frightening event for the parent and a challenging diagnostic evaluation for the emergency department (ED) physician.
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Tuberculosis (TB) is the second most common infectious cause of death in adults worldwide after HIV/AIDS. Approximately one-third of the world's population, or approximately 2 billion people, are infected with Mycobacterium tuberculosis.
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When a gentleman of Middle Eastern appearance entered the ED at Warren Hospital in Phillipsburg, NJ, March 11, 2004, he began asking the duty nurse atypical questions relating to the hospitals bed capacity, the means by which care was delivered, and how many patients the department had at certain times.
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Heres the other side of the impostors coin or to put it another way, an incident that proves things arent always what they seem.
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In the fall of 2001, ED diversion hours in San Diego County, CA, were averaging 4,006 a month, with a monthly average of 1,320 diverted ambulance patients. Area hospitals were on diversion status an average of one out of every four hours.
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Could an ambulance diversion program work in your area? The answer is yes, according to one ED manager who co-chaired the San Diego Emergency Medical Service (EMS) Medical Oversight Committee (EMOC) that created a successful new diversion program in San Diego County.
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Prior to spring 2004, the ED staffs at Ocean Springs (MS) Hospital and Singing River Hospital in Pascagoula, MS, would diagnose patients the old-fashioned way when treating unusual skins rashes. They would refer to medical texts which, if they were lucky, contained photographs of the rashes in question, and then make their diagnosis.
