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A study published in the November 2009 issue of the Archives of Surgery1 has caused a stir in ED circles by asserting that uninsured trauma patients are more likely to die than those patients who have insurance.
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After the first year of a two-year pilot program, the ED and the community health center participants agree that it has been successful in helping Medicaid and uninsured patients find the primary care they need.
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The ED at Baptist Medical Center in San Antonio has slashed its left without treatment (LWT) rate from a high of 9.5% in spring 2009 to 2.2% at present, thanks to a "split flow" strategy it adopted in August 2009.
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When the Massachusetts legislature outlawed ambulance diversions effective Jan. 1, 2009, dire predictions were made about how overwhelmed the busy EDs would be.
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If the term "be prepared" works for the Boy Scouts, it works even better for EDs facing potential surge situations.
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When it first became clear that a hospital in Dallas, TX, had initially missed the diagnosis of Ebola virus disease (EVD) in a patient from West Africa, criticism was swift, not only of the hospital, but also of public health authorities such as the Centers for Disease Control and Prevention (CDC) in Atlanta, GA.
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Trauma patients have a wide variety of presentations and acuity, and range from healthy patients with minor injuries to patients with extensive medical histories and major trauma.
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You are working one evening, and the EMS dispatch center calls. The ambulance is bringing in a 35-year-old male motor vehicle collision victim who is unresponsive and has a BP of 80 palpable. So, what happens next in your emergency department? Who do you assemble? What equipment do you gather? Do you call the blood bank and the operating room?
