Emergency
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Convalescent Plasma Therapy Does Not Affect Time to Clinical Improvement in Patients with Severe and Life-Threatening COVID-19
This was a randomized, open-label, multicenter trial of intravenous convalescent plasma infusion (4 mL/kg to 13 mL/kg) therapy. Convalescent plasma therapy was not associated with improvements in mortality or time to clinical improvement.
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A Review of Current Therapeutics for Severe COVID-19 Pneumonia
The aim of this special feature is to review therapeutic options for hospitalized patients with COVID-19 pneumonia.
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Pediatric Bony Knee Injuries
Pediatric knee injuries are common and seen frequently in the emergency department. The injuries range from minor to significant, but all have the potential to affect the patient's future participation in athletics — as well as normal childhood, and then adult, activities. The authors comprehensively cover pediatric bony knee injuries, including diagnostic testing, management, and referrals.
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Biden-Harris Healthcare Team
Takes ShapeFauci moves front and center, Obama-era surgeon general returns.
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Emergencies in the Second and Third Trimesters of Pregnancy
Common emergencies specific to the second and third trimesters will be reviewed in this paper, including preterm labor, causes of antepartum bleeding in late pregnancy, and the hypertensive disorders of pregnancy. It is important to emphasize that obstetrics consultation is recommended in most emergencies that occur in the second and third trimesters prior to initiating therapies.
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EDs See Decrease in Low-Severity Illnesses, More Advanced Imaging
Perceived litigation risk has been often cited as one of the top reasons for ordering low-value imaging in many settings, including the ED. Higher costs and more radiation exposure (and hospitalizations) probably could have been avoided in many cases. Yet EPs know it is possible they will be sued for failing to order a diagnostic test.
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Home Monitoring to Determine Hospitalization Needs Among Discharged COVID-19 Patients
Discharging patients with a low-cost tool to monitor their own health can improve patient safety outcomes.
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ED Boarding Prolongs Length of Stay for Trauma Patients
One department changed its processes to reduce the number of patients who left without being seen — specifically, working to put a patient in front of a clinician faster. When the ED fixed this issue, door-to-doctor times and door-to-disposition times shortened significantly, and leave without being seen rates declined sharply.
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Substance Abuse and Suicidal Ideation Commonly Coexist in ED Patients
Appropriate discharge planning, including tracking patients and measuring outcomes of follow-up tactics, is a key aspect of the emergency management of this population.
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Vascular Complications Common Allegation in Lawsuits Against ED Nurses
It is unclear whether the claims involved IV infiltration, thrombophlebitis, pain caused by multiple sticks, or inadvertent arterial placement. Prevention efforts might include procedural training, integration of ultrasound in IV placement, or escalation of patients with difficult access to providers who specialize in IV access.