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Patients in severe pain often have normal heart rate, blood pressure, and respiratory rate, according to a new study. Researchers compared self-reported triage pain scores and vital signs for 1,063 adult ED patients with painful conditions such as dislocations, corneal abrasions, fractures, burns, stab wounds, and small bowel obstructions.
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Using a standardized order set for ED patients in septic shock is linked with more rigorous fluid resuscitation, more appropriate initial antibiotic treatment, and a lower 28-day mortality, says a new study.
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A joint task force of emergency medicine organizations, including the Emergency Nurses Association, has issued new recommendations for tobacco control interventions in the ED, with nurses playing a key role.
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If an infant or toddler presented with symptoms of an ear infection or the flu, would you ask about chronic medical conditions? This information is important, since immunocompromised children are at high risk for sepsis, says Rebecca Steinmann, RN, MS, CEN, CCRN, CCNS, clinical educator for the ED at Children's Memorial Hospital in Chicago.
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If your hospital doesn't have case managers who are dedicated to the emergency department (ED) and who work during peak hours, you're missing an opportunity to improve patient throughput, reduce denials, and cut down on patients who return to the ED over and over.
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Your patient is a 29-year-old mother of three active young children. She has had limited success with using birth control pills and says that the daily dosing schedule is a challenge. She shakes her head "no" to the contraceptive patch and vaginal ring, and she doesn't want to limit her options with the choice of tubal sterilization.
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You have just written a prescription for an adolescent female to treat a chlamydial infection. When you close her file, what are the chances it will reappear in your inbox in the next month or two?
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Access to Gardasil (Merck & Co., Whitehouse Station, NJ) continues to expand as the shot has been added to the federal Vaccines for Children (VFC) program for young women ages 9 to 18. The program is administered at the national level by the Centers for Disease Control and Prevention (CDC) through its National Immunization Program.