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Under a proposed rule from the Centers for Medicare & Medicaid Services (CMS), the nations EDs will see payment rate increases of between 3.2% and 5% for services provided.
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Although purchasing a new computed tomography (CT) scanner and associated software can cost upward of $1 million (used and/or refurbished machines may cost half that), money may not be the biggest obstacle to putting a CT scanner in your ED, say experts.
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This retrospective review, performed at Carolinas Medical Center, a large, community teaching hospital with an annual ED census of more than 100,000, looked at its experience with intravenous tPA for stroke during a 56-month time period and compared its experience with that of the National Institute of Neurological Disorders and Stroke trial.
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The aim of this retrospective case series was to determine the sensitivities of three commonly obtained laboratory tests often used to determine the likelihood that a septic joint is the cause of an acute monoarticular arthritis.
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Growing concern over terrorism and the possible use of weapons of mass destruction, including nuclear and radiologic devices, has drawn attention to the need to prepare for potential, large-scale radiation incidents.
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The Centers for Disease Control and Prevention support ongoing surveillance of antibiotic susceptibilities of Neisseria gonorrhea isolates obtained from individuals presenting to sexually transmitted disease clinics in multiple U.S. locations.
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To evaluate the complementary roles of beta-type natriuretic peptide
and chest x-ray in the evaluation of congestive heart failure, Knudsen and colleagues studied an international cohort of emergency
department patients with acute dyspnea.
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The electrocardiogram in the Figure shows normal sinus rhythm at a rate of 80 beats/minute. The PR, QRS, and QT intervals are normal. There is an rSR pattern in lead III. The axis is +40°. There is no sign of chamber enlargement. The most remarkable finding on this tracing is the presence of subtle but real ST segment elevation in multiple leads including I, II, aVF, and V2 through V6.
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