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Pediatric Emergency Medicine

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Articles

  • Recent Rulings May Slow Plundering of State Malpractice Fund Surpluses

    During past medical malpractice crises, many states established "patient compensation funds" to provide accessible and affordable medical liability insurance to health care providers.
  • Does a Patient Callback System Prevent ED Suits?

    Tom Scaletta, MD, medical director of a high-volume community hospital in a Chicago suburb, says that his interest in calling back emergency medicine patients began a decade ago when he created and implemented programs in two high-volume EDs that he directed. "I staffed the position with dedicated clerks who attempted to reach every discharged patient," he says.
  • Special Report: Case Studies in EMS Medical Control

    A 50-year-old female called emergency medical services (EMS) because she is short of breath. She has a recent history of pneumonia and received outpatient treatment. The paramedics arrive and find the patient in moderate respiratory distress. The patient states she wants to be transported to Our Lady of the Financially Secure Hospital (Hospital A) because this is where her health maintenance organization (HMO) is; the estimated time of arrival (ETA) would be 15 minutes.
  • EDs Get Added Protection against Malpractice Suits

    In a growing number of states, including Florida, Georgia, Texas and South Carolina, Utah, Arizona, Michigan, Minnesota, and North Carolina, legislation is being introduced to give emergency department (ED) physicians added protections against malpractice lawsuits.
  • Hand and Wrist Injuries : Diagnosing Challenges

    Injuries of the hand and wrist present significant clinical challenges to the trauma practitioner because of the complex structures involved and the possibility of occult disruptions.
  • Traumatic Brain Injury

    Traumatic brain injury (TBI) is a leading cause of mortality in the United States and represents over half of trauma related deaths.
  • Trauma Reports

  • A(H1N1) 'Swine Flu' 2009 / 2010: Where We've Been, What We Now Know, Where We May Be Heading

    In the past nine months, the world has witnessed the outbreak of not one but two waves of pandemic influenza due to a new virus of swine origin. World public health authorities moved quickly to contain what appeared initially to be the severe pandemic that had been anticipated for so long.
  • Did your ED patient arrive with an infection?

    If a patient comes to your ED with a pre-existing infection that goes unnoticed, the insurer likely will to refuse to pay for treatment because it will presume wrongly that the condition was acquired in the hospital.
  • Don't get complacent with hand hygiene

    (Editor's note: This is the second of a two-part series on prevention of hospital-acquired infections in the ED. This month, we give strategies to improve compliance with hand hygiene, tips for cleaning the equipment you use and tell you how to determine if your patient has arrived at the ED with an infection. Last month, we covered avoiding infections when invasive procedures are performed, reducing the risk of infection with peripheral IV insertion, using alternatives to invasive procedures, giving central-line education to ED nurses, and decreasing the use of central lines and urinary catheters.)