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There have been multiple advances in evaluation and management of kidney stones in recent years. This article will provide the emergency physician with an understanding essential for timely diagnosis, management, and disposition of kidney stones in the ED.
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Promising New Weight Loss Drug?; Treating Shift-Work Disorder; Another Flu Vaccine Shortage?; FDA Actions
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As a major cause of traumatic death and disability, head injuries require timely diagnosis and management. Because survivors of serious head injuries often have varying degrees of permanent disability, head injury litigation is not uncommon. Furthermore, epidural hematomas may present subtly and progress rapidly toward serious brain injury and death.
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According to some sources, there only may be about a dozen of them in operation in the United States, but ED managers had better familiarize themselves with the term freestanding ED. The trend appears to be growing steadily. Within just the past few weeks:
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ED physicians who have the greatest fear of malpractice suits are more likely than their colleagues to admit and order tests for patients with chest pain or other heart symptoms, even if those patients are at low risk for actual problems, according to a study led by David Katz, MD, associate professor of internal medicine in the Roy J. and Lucille A. Carver College of Medicine at the University of Iowa in Iowa City.
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Should EDs offer comprehensive care such as screenings and vaccinations to patients who may not be able to get it elsewhere, or should they emphasize providing efficient, but not comprehensive, care to all patients?
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Acute care hospitals will receive a 3.2% inflation update in Medicare payment rates in 2006 for outpatient services under a proposed Outpatient Prospective Payment System (OPPS) rule announced by the Centers for Medicare & Medicaid Services (CMS), a slight change from the 3.3% update in the final rule for 2005. Experts say that when you read between the lines of the latest proposal, the results are quite similar: Not much has changed.
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The U.S. Department of Health and Human Services Agency for Healthcare Research and Quality (AHRQ) has just released Emergency Severity Index (ESI) Version 4, an updated tool to help ED staff manage the flow of patients more effectively.
