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The practice of emergency medicine is unique in that an emergency medicine physician acts as a gatekeeper: while treatment of a patient may be brief, initial examination and assessment will often dictate the course of the patient's treatment after admission to the hospital.
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Your ED patient's bad outcome might have nothing to do with the fact that he or she was held in the hallway while awaiting an inpatient bed. However, it could impact the outcome of subsequent litigation against the ED.
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Misdiagnosis of aneurysmal subarachnoid hemorrhage in the ED has been reported to occur in a significant proportion of cases, due in part to a wide spectrum of presentations and subtle initial signs.
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The use of high-tech diagnostic imaging in EDs has quadrupled since the mid-1990s, says a new report from the Centers for Disease Control and Prevention.
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If a CT scan of your ED patient isn't medically necessary, can the patient sue you for ordering one?
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Palliative care refers to patient- and family-centered care that optimizes quality of life by anticipating, preventing, and treating suffering. Palliative care throughout the continuum of illness involves addressing physical, intellectual, emotional, social, and spiritual needs and facilitating patient autonomy, access to information, and choice.
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In light of "substantial attention in both professional and popular literature" regarding ethical oversight of quality improvement initiatives, researchers at Johns Hopkins University sought systematic data on this topic and they believe that's what they found.
