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Consider making your ED more kid-friendly with these tips from Janice Frohman, MS, RN, administrative director for emergency services at WakeMed in Raleigh, NC, and Betty Jo Torres, RN, clinical director of the ED at Verdugo Hills Hospital in Glendale, CA:
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What can we say to an ambulance crew who bring a patient to our hospital when we think the patient would be better cared for at another facility? If we have a good reason, can we tell them to take the patient elsewhere without risking an EMTALA violation?
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It was a tragic story that received national media attention: A 9-month-old died of a morphine overdose administered in a hospital, and the error was traced back to an unseen decimal point in a physicians order.
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Children often present to the emergency department complaining of headaches. While most headaches in children are not signs of serious, underlying disorders, some headaches may be the first presentation of a migraine headache. Migraine is the most common cause of recurrent, intermittent headaches in children. However, migraine headaches often are underdiagnosed and undertreated in children.
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The ED physician and trauma surgeon must have evidence-based
information on indications for emergency department thoracotomy that
can be determined rapidly, easily accessible equipment, and the ability
to recognize situations in which EDT clearly is not in the patients
best interest.
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The ED physician and trauma surgeon must have evidence-based information on indications for emergency department thoracotomy that can be determined rapidly, easily accessible equipment, and the ability to recognize situations in which EDT clearly is not in the patients best interest.
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EMTALA: The Essential Guide to Compliance from Thomson American Health Consultants, publisher of Trauma Reports, explains how the changes to EMTALA will affect emergency departments and off-campus clinics. In-depth articles, at-a-glance tables, and Q-and-A discussions of real-life situations are presented, and key differences between the old EMTALA and the new changes are succinctly explained.
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The ED physician and trauma surgeon must have evidence-based
information on indications for emergency department thoracotomy that
can be determined rapidly, easily accessible equipment, and the ability
to recognize situations in which EDT clearly is not in the patients
best interest.
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Trepidation about litigation among emergency practitioners is a significant concern. Every patient encounter presents the chance for an adverse outcome. The standard of care is defined by experts as a well-established, set path with only one logical approach and outcome; in reality, the standard of care may be a tortuous path with many choices that may lead to dissimilar conclusions. This issue of ED Legal Letter outlines the problems with determining the standard of care and how courts will interpret the standard of care.
