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Acute Coronary Syndromes

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  • Prevent infections caused by contaminated ED equipment

    If a tuberculosis patient just left your ED to go to a negative pressure room, housekeeping must come and disinfect the room wearing full contact precautions garb, leave the room unused for four hours, and remove all hanging curtains and replace these with clean ones.
  • Could a suicidal patient be discharged from ED?

    While assessing a 40-year-old male who complained of abdominal pain, nurses did a routine mental health screening, which included asking if he was currently suicidal. "He answered 'yes' to all of the questions," says MaryEllen Swanson, RN, a senior staff nurse in the ED at Hennepin County Medical Center in Minneapolis. "It would have been missed if the screening had not been done."
  • Is capnography used by ED nurses? It may give life-saving information

    Is your intubated patient being transporte d for radiological studies? This increases the chance of disastrous consequences due to an unrecognized displaced or dislodged endotracheal (ET) tube, warns Catherine Payne, RN, MSN, CCRN, CEN, an ED nurse at the University of California Davis Medical Center in Sacramento.
  • ED patients may be overdosing on meds

    If a patient reports taking antibiotics during your medication reconciliation, you may learn these were prescribed for a urinary tract infection or dental work months earlier. "For whatever reason, they didn't take the antibiotics as prescribed, and now they will take a pill whenever they have a sore throat," says Kimberly Barker, BS, RN, CEN, an ED supervisor at St. David's South Austin (TX) Medical Center.
  • Wrist Injuries

    Just a wrist sprain? After reading this issue, you may want to look at that X-ray again.
  • Traumatic Amputations

    Care for a patient who undergoes an amputation is often complicated and is time-sensitive. A lot of thought goes into whether replantation is attempted or not, but those decisions are reserved for the replantation team. The role of the emergency provider is to expediently evaluate the patient and prepare him or her for care by the replantation team.
  • How Much Damage Does Lawsuit Really Do to EP?

    Generally speaking, when an emergency physician (EP) loses a trial, it may take him or her a long time to recover personally, psychologically, and emotionally. "But with a few rather glaring exceptions, the public is unaware of that in large measure," according to Joseph P. McMenamin, MD, JD, FCLM, a partner at Richmond, VA-based McGuireWoods and a former practicing EP.
  • Should an ED Suit Be Quickly Settled — or Vigorously Defended?

    Agreeing to settle a plaintiff's claim alleging ED malpractice may not sound like a good idea to the emergency physician (EP) named in the lawsuit, but, in fact, this course of action is often in everybody's best interest.
  • Claim Against EP? Upfront Approach Speeds Resolution

    Whether a claim against an emergency physician (EP) is ultimately settled, defended, or dismissed, taking an upfront approach has resulted in quicker resolution of claims, reports Ryan Domengeaux, vice-president of enterprise risk management and internal counsel for Schumacher Group, an emergency medicine practice management company in Lafayette, LA.
  • Is Plaintiff Willing to Drop EP Named in Suit?

    Under what circumstances might a plaintiff's team be willing to drop the emergency physician (EP) involved in a lawsuit and allow the hospital to settle with the patient?