Emergency
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Necrotizing Soft Tissue Infections
Necrotizing soft tissue infections (NSTIs) produce an intensive inflammatory state that can injure and necrose the skin and subcutaneous tissues.
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Is There a Difference Between COVID-19 and Non-COVID-19 ARDS?
Comparison of a small COVID-19 acute respiratory distress syndrome (ARDS) cohort with a historical pre-COVID-19 ARDS cohort found some differences in physiologic parameters and biomarkers, but not enough evidence to warrant deviation from known management guidelines.
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Beyond Benzodiazepines: Adjuncts for the Management of Alcohol Withdrawal in the ICU
Although benzodiazepines are the mainstay of prevention and treatment of alcohol withdrawal syndrome, adjunct medications are used increasingly, with the goal of reducing cumulative benzodiazepine exposure and decreasing both hospital and intensive care unit admission and length of stay.
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Pediatric Facial Lacerations in the Emergency Department
Pediatric facial lacerations are common, and every emergency medicine physician needs to be familiar with the approach to pediatric facial and scalp lacerations, child-friendly methods for repair, and different options for analgesia.
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Initiative Focuses on Patient Harm Caused by Diagnostic Errors
The initiative will establish a benchmarking system, which will allow EDs to find out how they compare to other facilities.
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Poor Pediatric Readiness Is Big Risk Management Worry
ED readiness is based on national guidelines for ED pediatric care. Facilities should follow these guidelines closely.
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Multiple Sclerosis in the Emergency Department
Multiple sclerosis (MS) is an inflammatory and demyelination disease of the central nervous system. Early diagnosis and treatment are important.
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Opioid Prescription in ED Can Set Patient on Dangerous Path
EPs might write an opioid prescription just to tide patients over before outpatient follow-up is possible. Yet even that single prescription puts patients at risk for a future opioid overdose, according to a recent analysis.
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Risk Factors for Physical Restraint in ED
Researchers analyzed 726,417 adult visits to three hospital EDs in the Yale-New Haven Health System that occurred from 2013-2018. A total of 7,090 patients were physically restrained. Of this group, 64.8% were male, 28.8% were Black or African American, 71% presented with either Medicare or Medicaid, and 2.3% were homeless. Visits that were higher-acuity, visits later in the day, and visits with behavioral chief concerns also were more likely to include physical restraint.
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Neurologic, Cardiovascular Conditions Most Common Diagnostic Errors in ED Claims
In an analysis of 326 closed claims from 2014-2019, researchers found 31% involved either the neurologic or vascular systems. Most diagnostic errors involved one of three issues: Ordering of diagnostic tests (53%), consult management (33%), or ongoing assessment (32%).