Emergency Medicine Topics
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Practice Alert Provides Critical Care Nurses Safety Tips for Prone Positioning
The technique that became well known during the COVID-19 pandemic remains a standard tactic for managing acute respiratory distress syndrome.
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Delays in Acute Stroke Treatment Contribute to Malpractice Claims
Recent research findings underscore the importance of always considering stroke in the differential diagnosis of altered mental status, even when the patient does not arrive by EMS.
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Intervention for Critically Ill Patients Lowered In-Hospital Mortality Rates
Researchers believe their work could be a starting place for emergency clinicians to think about novel care delivery models for seriously ill patients.
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Reversal of Oral Anticoagulation in the Emergency Department
This review will describe the physiological components of the clotting cascade, highlight common anticoagulant agents in use, and discuss means of oral anticoagulation reversal.
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Emergency Providers Intervene to Prevent Suicide Attempts, Ideation
Researchers use quality improvement concepts to help clinicians identify high-risk patients.
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American Heart Association Urges Improvement in Stroke Care
In a scientific statement, the group offered tactics to eliminate the racial and ethnic inequities that exist in stroke incidence, prevalence, treatment, and outcomes.
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Emergency Medicine Physician Groups Pledge to Tackle Workforce Challenges
Many experts note the burdens placed on frontline providers during the COVID-19 pandemic have taken a toll, and the apparent fall-off in demand for emergency medicine residency positions is not necessarily surprising. Nonetheless, there is concern suggesting solutions are needed to address multiple workforce challenges.
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Emergency Physician’s Testimony Could Legally Expose Hospital
Airing grievances against the department, hospital, or health system will not serve the defendant in the long term. If a patient experienced a delayed diagnosis because of long waits, some providers might editorialize in the chart about why the delays happened or describe their personal efforts to bring the boarding crisis to the attention of leaders. A “just the facts” approach is better.
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Does One Negative Troponin Measurement Rule Out Acute Coronary Syndrome?
Using a common clinical chest pain algorithm plus a point-of-care troponin measurement for low-risk patients, researchers reported significantly lower healthcare costs. Also, this approach did not seem to result in more major adverse cardiovascular events.
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Unified Defense Not Always Possible in Malpractice Claim
Defense counsel must be aware of competing interests in any case. Attorneys should engage in frank discussions with the hospital and any employed staff who are named defendants. There must be a cohesive strategy. Individual staff members named in lawsuits should not be speculating on whether a staffing shortage existed, or whether a staffing shortage caused or contributed to a patient’s alleged injury.