Emergency
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Investigators Narrow Culprit List in Vaping Injury Cases
As research continues, vitamin E acetate keeps popping up as a suspect in the mystery of what is causing vaping-related lung injuries.
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Infectious Disease Experts Call for Measles Outbreak Response Plans
Considering measles cases in the United States have been surging to numbers not seen since 1992, infectious disease experts are urging hospitals and EDs to devise response plans that they can trigger quickly should a patient with measles present.
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Evidence-Based Approach to Psychosis in the Emergency Department
This article will review psychosis within myriad differentials and discuss the potential workup and medication options for the management of these patients to help equip the emergency provider with the tools necessary to care for this unique population.
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Early Dexmedetomidine Provides Similar 90-Day Mortality Compared to Usual Care in Mechanically Ventilated Critically Ill Adults
When the early use of continuous infusion dexmedetomidine was compared to usual care for sedation in mechanically ventilated critically ill adults, there was no difference in 90-day mortality. Dexmedetomidine may not be an ideal sedative for mechanically ventilated critically ill adults requiring deeper sedation, although its use may result in greater ventilator-free, coma-free, or delirium-free days.
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Acute Kidney Injury in Patients With Cirrhosis
Acute kidney injury and hepatorenal syndrome are common conditions found in patients with cirrhosis, due to the systemic vasodilation and systemic inflammation frequently found in this population.
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Diagnosis and Management of Infants With Critical Congenital Heart Disease in the Emergency Department
Critical congenital heart disease (CCHD) is a significant cause of morbidity and mortality in children. When children with undiagnosed congenital heart disease (CHD) present acutely, the challenge of diagnosis and the importance of timely management can be daunting for any physician in an emergency setting. The children with the highest morbidity and mortality from critical congenital heart disease are infants younger than 1 year of age.
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EMTALA, Malpractice Implications for Patients Transferred 100 Miles Away
There are some situations in which hospitals violate EMTALA, or the standard of care, by making unreasonable transfer arrangements that result in untoward outcomes. Potential liability exposure for the transferring hospital makes it important to document that the closer hospitals rejected the transfer and why the benefits of transferring the patient to a particular hospital outweigh the risks.
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Higher Emotional Intelligence Linked to Less Malpractice Litigation
Researchers have found an indirect negative correlation between a physician’s emotional intelligence and litigation risk. One possible explanation: Better communication skills mean happier patients.
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Abnormal Vital Signs Often Found in ED Chart During Malpractice Litigation
If abnormal vital signs are documented clearly, but are unexplained and seemingly unnoticed, it complicates malpractice defense.
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Legal Exposure for ED When Overdose Patients Refuse Care
One concern is that whatever the patient overdosed on, which often is unknown, will outlast the duration of the reversal agent.