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Newbornsinfants younger than 28 days of ageare particularly challenging to emergency medicine physicians. The most important tool for recognizing a newborn with a problem or potential problem is a strong foundation of knowledge about normal infant rashes, feeding patterns, and expected variations. The authors review common newborn problems with an emphasis on normal variations and deviations that require a more thorough evaluation.
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Emergency department physicians must be vigilant to accurately assess,
rapidly stabilize, and appropriately transport a severely injured
patient to the level of trauma care the patient requires. Instead of
viewing missed injuries as occurrences that result from inexperience or
incompetence, strategies to minimize the occurrence of missed injuries
and the resulting consequences are needed. All aspects of a trauma
system must work together to improve patient care.
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Emergency department physicians must be vigilant to accurately assess, rapidly stabilize, and appropriately transport a severely injured patient to the level of trauma care the patient requires. Instead of viewing missed injuries as occurrences that result from inexperience or incompetence, strategies to minimize the occurrence of missed injuries and the resulting consequences are needed. All aspects of a trauma system must work together to improve patient care.
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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.
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The recognition of non-accidental injury is critical for a pediatric
trauma patient. In the year 2000, almost 3 million reports of child
abuse were made to social service agencies. Forty-four percent of the
fatalities were children younger than 1 year of age. Not only are these
statistics alarming, but they point out the need for emergency
department and trauma physicians and nurses to recognize non-accidental
injury and aggressively protect the children who seek our medical
expertise and protection.
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The final version of the recently proposed changes to the Emergency Medical Treatment and Labor Act (EMTALA) takes effect on Nov. 10. To provide you with critical information on the updated regulations from the Centers for Medicare and Medicaid Services, Thomson American Health Consultants offers "New EMTALA Regulations: Are They Too Good to be True?" an audio conference on Tuesday, Oct. 21, from 2:30-3:30 p.m., EST.
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In practice, the ability of medical staff to detect delirium may not always be straightforward. In a typical busy emergency department, constraints on time can impair the collection of salient historical points and observation of the more subtle clinical signs. Therefore, delirium often is missed, overlooked as senescence, or incorrectly diagnosed as a psychiatric disorder or dementia.
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Sleep was more fragmented during ventilation with PSV than A/C in a small group of critically ill patients studied with polysomnography.
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A 3-part intervention (guideline development, computerized order templates, and education) led to an overall 17% reduction in test ordering without a change in clinical outcomes.
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The fact that Californias Safe Hospital Staffing Law (AB 394) isnt getting much support from the American Association of Critical Care Nurses hasnt stopped other nursing associations that support the law from encouraging nurses throughout the country to lobby for similar staffing ratio laws.
