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When it comes to EMTALA, you dont want to just toe the line, says Bryan Liang, PhD, a professor of law, medicine, and public policy at California Western School of Law in San Diego. You want to be so far away from the line that no one could even suggest you crossed it.
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Kim YH. Mindulness meditation and chronic pain. Altern Med Alert 2004;7(3):33-35.
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Greenfield RH. Fat intake and breast cancer risk. Altern Med Alert 2004;7(3):36.
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Q&A: Food and Drug Administration's actions on dietary supplements containing ephedrine alkaloids. Altern Med Alert 2004;7(3 Suppl):S1-S2.
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Question: Were debating two questions in our hospital regarding when EMTALA applies. First, does the law apply to patients who only are holding in the ED because there are no beds available in the hospital? And does it apply when an air ambulance uses our helipad but does not bring the patient to our ED?
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The first step in formalizing your list of drug seekers or other frequent visitors to your ED is to avoid any disparaging names for them or the list, says Joel Geiderman, MD, FACEP, co-chair of the ED at Cedars-Sinai Medical Center in Los Angeles.
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Whether you use a list or not, the best way to deal with drug seekers in your ED is to get tough with them, says John Burke, commander of the Warren County (OH) Drug Task Force in Cincinnati, and a former police officer.
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To illustrate how EDs set themselves up for malpractice liability when treating head injuries, Diane M. Sixsmith, MD, MPH, FACEP, chairman of emergency medicine at New York Hospital Medical Center of Queens in Flushing, tells the story of a 22-year-old boxer who was knocked out in a training session.
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Patient satisfaction improves dramatically if your staff pay more attention to the soft skills of ED care, such as the way you talk to people, while simultaneously improving the physical surroundings.