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The health care organization is an important resource for the continued functioning of a community. An organizations ability to deliver care, treatment, or services is threatened when it is ill-prepared to respond to an epidemic or infections likely to require expanded or extended care capabilities over a prolonged period.
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A new report from the Urgent Matters Learning Network titled Bursting at the Seams: Improving Patient Flow to Help Americas Emergency Departments, describes the experiences of 10 hospitals selected for an initiative to help hospitals eliminate ED overcrowding. Of the 10, four received a special $250,000 grant for demonstrator projects.
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A 73-year-old woman who lives at home with her husband presented at the ED with progressive weakness and difficulty walking. Her chief complaint: My legs just feel weak. After an extensive work-up, including a CAT scan, there were no clear answers, and she was admitted for further evaluation.
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Part II of this two-part series focuses on facial nerve palsies and oropharyngeal infections. The authors present a systematic approach to differential diagnosis and identification of etiologic agents responsible for such conditions as peritonsillar abscess, epiglottitis, and pharyngeal infections. Radiographic and bacteriologic findings are emphasized, and appropriate antibiotic therapy is presented. The authors have provided treatment tables that direct emergency practitioners toward outcome-effective therapy.
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Parts I and II of this series discussed general facial wound repair, forehead and scalp trauma, eye trauma, nasal trauma, and midface fractures. This third and final part of the series covers mandible, mouth, ear, and pediatric trauma.
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Although cervical spine injury is uncommon, the implications of a missed injury are profound and may result in many serious complications for the patient and the physician. This issue presents the physician with a thorough discussion of the imaging alternatives available and facilitates clinical decision-making for diagnostic imaging. The author also provides a comprehensive discussion of the evaluation of a patient with a potential ligamentous injury to the cervical spine.
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