Emergency
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Telehealth Booming in EDs, but Poses Some Unique Liability Risks
EDs are using telehealth for screening visits before arrival or for follow-up re-evaluations on COVID-19-positive patients. It is important to know what can be excluded safely in a telemedicine consult, and what requires urgent and/or emergent in-person follow-up.
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Many Charts Lack Any Evidence of Thorough H&P
Often, a portion of the history, assessment, or evaluation was handled, but for whatever reason does not make it into the emergency medicine record. This makes it appear as though a poor or incomplete assessment was conducted. Double check these items to see they are included.
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Essential ED Documentation Often Missing from Chart
Certain pieces of information, if omitted from the ED medical record, instantly raise concerns about the quality of the care provided. These missing items in particular complicate malpractice defense.
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Assessment, Documentation, and Protocols: All Tied to ED Malpractice Payouts
Malpractice claims are more likely to succeed if documentation is insufficient, if an assessment was inadequate, or if something was not handled according to policy or protocol.
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Teen Pregnancy Part 2: Obstetrical Complications in Adolescents
Teen pregnancies are at high risk of obstetrical complications with an increased rate of adverse maternal and fetal outcomes. Acute care clinicians should be familiar with, and adept at, caring for the common or emergent obstetrical complications that may occur in a pregnant teenager.
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Health System Improves Stroke-to-Treatment, Door-to-Groin Times
University of Michigan Health in Grand Rapids has dramatically improved metrics for stroke treatment, using communication tools to connect EMS teams with specialists in neurology, radiology, nursing, laboratory, and pharmacy. The improved communication makes it possible for the hospital to activate the appropriate personnel in the ED before stroke patients arrive.
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Mechanical Ventilation for Pneumonia, Acute Respiratory Distress Syndrome, and COVID-19
This article discusses mechanical ventilation for patients with pneumonia, acute respiratory distress syndrome, and COVID-19.
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Natural History Study Focuses on Unlocking Mysteries of Acute Flaccid Myelitis
Non-polio enteroviruses have been suspected as the primary culprits causing acute flaccid myelitis. However, it is clear now that other viruses can cause the illness.
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Another Outbreak of Acute Flaccid Myelitis Could Complicate COVID-19 Response
If previous patterns hold true, there could be an outbreak this year of acute flaccid myelitis, the frightening polio-like condition the CDC has been studying since 2014. Public health experts advise frontline providers to be particularly attuned to patients presenting with the hallmark limb weakness, and to report such cases promptly to their state health department.
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Study: Considerable Room for Improvement in Telemedicine Adoption
For all the reports regarding how much telehealth has advanced during the COVID-19 pandemic, it may have gone without notice that robust telehealth capabilities still are not deployed on a large scale in the United States.