ED Management
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Racial, Ethnic Disparities in Restraint Use
Use restraints only when absolutely necessary, and in accordance with established protocols and regulations. Undergo training on appropriate restraint techniques. Ensure regular monitoring of restrained patients. Continuously reassess the need for restraints. Clearly document the rationale for restraint use.
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Study Shows Effect of Pediatric Readiness on Racial, Ethnic Disparities Regarding Mortality
Researchers estimated that if the three quartiles of hospitals that are least pediatric ready raised their readiness levels, there would be a threefold reduction in the mortality disparity of medically ill patients.
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Calling ED Boarding a Public Health Crisis, ACEP Pushes Policymakers to Act
Although there are many possible solutions, both legislative and administrative, the industry continues searching for the right formula to solve the problem.
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Many Patients Avoid Going to EDs Because of Fear of Boarding, Delays
Emergency physicians should convey to patients that they will receive care, regardless of the boarding crisis. Stick to the foundation of emergency medical care: stabilize, ensure patients are not experiencing a life-threatening emergency, and manage their urgent conditions.
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Hospitalist Triage Role Expedites Admission Decisions for ED Patients
This intervention alone likely will not reduce the number of boarded patients. But with accurate data in hand, the focus can shift to alleviating the downstream bottlenecks that prevent patients from going to inpatient beds sooner.
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EMTALA Concerns if Patients Ask About Delays
Are discouraging comments an EMTALA violation? Investigators would examine factors such as what exactly was stated, under what circumstances the comment was made, whether the information was truthful and accurate, and whether it discouraged the patient from staying in the ED and receiving care.
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Computer-Interpreted ECGs Sometimes Miss Acute Coronary Occlusion
Emergency physicians can shield against risk by viewing ECGs of chest pain patients immediately to identify subtle signs of acute coronary occlusion.
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Clinicians Consider Many Factors When Deciding on Mechanical Ventilation After Sepsis
Identifying patients at high risk and crafting timely, targeted interventions can improve outcomes.
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Was Child Brought to ED by EMS? Medication Dosages May Be Incorrect
ED personnel should ensure a good handoff report is received from EMS providers, and that the dose of any medications administered by EMS is recorded. ED personnel should be mindful in carrying out weight-based dosing calculations, and should follow recommendations of national guidelines.
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Onsite Pharmacies Can Boost Medication Access to Patients, Surrounding Communities
There are some other possible workarounds, such as leveraging electronic prescribing from the ED so providers will know quickly whether medications are available in a specific outpatient pharmacy, administering first antibiotic doses in the ED, and providing a few days’ worth of medication to patients about to be discharged.