Emergency Medicine Topics
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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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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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Tachycardia in the Emergency Department: Part II
This issue completes the two-part series on tachycardia. This issue will finish the discussion of additional causes of tachycardia, address management, and conclude by covering some challenging issues with this arrhythmia.
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Poll: Many Americans Delay Emergency Care Over Boarding Concerns
A survey by the American College of Emergency Physicians reveals nearly half of U.S. adults worry they will have to wait many hours before admission or transfer.
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Tachycardia in the Emergency Department: Part I
This issue is the first of a two-part discussion of tachycardia, the most common rhythm abnormality seen in the emergency department. Part I will discuss the epidemiology, etiology, and characteristics of the different tachycardic arrhythmias. Part II will discuss conditions affecting other organ systems that can produce tachycardia, then finish by reviewing the assessment and management of these patients. We hope these two issues will be useful to your clinical practice.
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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.
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Irritable Patient Behavior Affects Emergency Nursing Assessments
For encounters during which the patient exhibited irritable behavior, nurses reported more anger and unease. They also judged the patients as likely to exaggerate pain, as poorer historians, and less likely to cooperate and return to work and recover. In their documentation, nurses were more likely to use negative descriptions of patients and more likely to omit information, such as whether tests were ordered.