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This issue deals with two key topics in the ongoing discussion about how critical care should be organized: rapid response systems (also called medical emergency teams or rapid response teams) for identifying patients not in ICUs who are at risk for life-threatening deterioration, and around-the-clock intensivist staffing in the ICU.
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The use of a rapid response system (RRS), or medical emergency team (MET), has become established as a patient safety measure to ensure early detection of patient compromise.
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One of the hottest topics in critical care these days is whether all ICUs should be staffed around the clock, seven days a week (24/7), by physicians with special training and qualifications in critical care (intensivists).
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In this issue: Aggressive approach to CVD reÿ
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Although lower extremity fractures are much less common than upper extremity fractures in children, the correct diagnosis and management of this type of injury is critical. In the second part of this series the authors review common lower extremity fractures, fractures common in abused children and the diagnosis and treatment of radial head subluxation. Children are much more likely to sustain fractures rather than ligamentous injuries and identification of injuries and timely management will maximize an optimal outcome. Awareness of certain unique pediatric fractures such as the triplane juvenile fracture and the juvenile Tillaux fracture will allow for prompt treatment and referral. The authors also provide a table encompassing guidelines for ED management and treatment of common pediatric orthopedic injuries.
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Utilization of computed tomography (CT) scans has increased markedly in the past decades. It is estimated that more than 75 million scans are performed annually in the United States, compared to only 3 million in 1980.
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Just as identify theft has been steadily increasing in the general populace, so has it grown in the medical setting, with the ED perhaps feeling the greatest impact of all.
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Several years ago the security plans for the ED at Miami Valley Hospital in Dayton, OH, were significantly revamped. The process required strong teamwork between ED leadership and hospital security.
