Emergency
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Ketamine Use in Emergency Medicine
Ketamine is a medication traditionally used by emergency physicians for intubation and procedural sedation. This article will discuss many common and accepted uses of ketamine, primarily for agitation, rapid sequence intubation (RSI), sedation, and pain management.
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Targeting 100% or 70% of Enteral Calorie Requirements During Critical Illness Results in Equivalent Outcomes at Six Months
This was a multicenter, blinded, parallel-group, randomized trial of mechanically ventilated critically ill patients. Achieving 100% calorie requirements did not change outcomes at six months when compared to a more modest goal of 70% of predicted calorie requirements.
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Evaluation and Treatment of Severe Community-Acquired Pneumonia in the ICU
Community-acquired pneumonia is a common cause for hospital admission. This article serves to summarize new updates in the definition, prognosis, and treatment, specifically of bacterial, severe community-acquired pneumonia.
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Medical Groups Pool Resources to Promote Behavioral, Mental Health
Collaborative supports physicians trying to overcome barriers to integrating these services into primary practice.
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Pediatric Musculoskeletal Point-of-Care Ultrasound: Everything but the Bones
Ultrasound is an incredible tool that keeps becoming more valuable. In this article, the authors show how point-of-care ultrasound of the musculoskeletal system can help clinicians identify a diversity of diseases, including soft tissue infections, abscesses, and foreign bodies! In a later issue, the authors explore the use of ultrasound to identify bone and joint issues.
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Too Many EP Malpractice Claims Could Mean Liability for Hospital
In most states, hospitals already are vicariously liable for the actions of their hospital-based physicians. It is more difficult to defend the care of a clinician who is sued constantly.
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Specific Items, if Well-Documented, Prove ED Met EMTALA Obligations
When CMS surveyors come on site to investigate an EMTALA complaint, the outcome often comes down to documentation.
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Added Statement to NPDB Report About ED Lawsuit Is Not Always Warranted
A short statement to explain what led to a National Practitioner Data Bank (NPDB) report might be acceptable. A lengthy diatribe railing against the injustice of the lawsuit is not. Before submitting a response to a NPDB report, seek counsel.
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Suspicious Changes to ED Chart Become Central Focus of Malpractice Lawsuit
Once someone concludes an emergency physician changed the medical record after a bad outcome, credibility (and likely the case) is lost. If there really is a valid reason to correct the electronic health record, clinicians should consult their facility’s policies and procedures regarding such corrections.
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Missed Appendicitis ED Claims Follow Similar Fact Patterns
The authors of a recent study learned missing appendicitis was more likely to occur among patients with comorbidities, women, and patients who experienced abdominal pain accompanied by constipation.