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When restraints are needed, its a dangerous moment in the ED that puts the nurse and patient at risk for serious injury. For many EDs, the number of dangerous moments is rising as the number of psychiatric patients increases dramatically.
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This is the second of a two-part series on psychiatric patients in the ED. This month, we explain how psychiatric advocates can decrease use of restraints, and a related story on p. 127 gives effective ways to avoid placing patients in restraint. Last month, we covered ways to improve care, ensure safety, and maintain throughput.
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The following steps are taken for seizure patients who present to the ED at St. Josephs Hospital & Medical Center in Phoenix.
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Are all your myocardial infarction (MI) patients with ST-segment elevation (STEMI) treated with door-to-needle time within 30 minutes and door-to-balloon time within 90 minutes? And are you giving serial electrocardiograms (ECGs) to symptomatic patients with nondiagnostic ECGs every five to 10 minutes?
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This Israeli study was a randomized, controlled trial comparing SSD, biafine, and saline-soaked gauze in the treatment of inflicted superficial partial-thickness burns in pigs.
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Fondaparinux, a synthetic polysaccharide, represents a new class of anti-thrombotic agents that specifically inhibit factor Xa of the clotting cascade and lack activity against thrombin.
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Although cervical spine injury is uncommon, the implications of a missed injury are profound and may result in many serious complications for the patient and the physician. This issue presents the physician with a thorough discussion of the imaging alternatives available and facilitates clinical decision-making for diagnostic imaging. The author also provides a comprehensive discussion of the evaluation of a patient with a potential ligamentous injury to the cervical spine.
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The echocardiogram (ECG) in the Figure was obtained from a 55-year-old man with a history of heart failure and emphysema. What might his ECG show?
