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So youve worked long and hard at putting an effective plan in place to respond to emergency incidents, and your feel youre as prepared as you can possibly be. Then, the attorney general comes on the TV and says theres an increased threat of a terrorist attack as we approach the fall presidential campaign, and we all need to be better prepared. You look at the tube in frustration and say, But Ive done everything I can! . . . But have you?
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Do you want to dramatically improve ED communication? Try this innovative idea: two-way radios.
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Want to cut your diversion hours down to zero? Thats exactly what Hoag Memorial Hospital Presbyterian in Newport Beach, CA, has done by instituting its emergency saturation triage, or Code EST. When Code EST was implemented in July 2000, diversion hours were about 130 monthly.
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An ED doctor on a SWAT team? Its not as crazy as it sounds. If you visited Augusta, GA, youd see it all the time. For the past several years, the department of emergency medicine at the Medical College of Georgia has had a thriving Tactical Emergency Medicine Support (TEMS) program that includes a formal working relationship with three local SWAT teams.
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How would you like to cut your blood chemistry and cardiac screening times from 90 minutes down to 20? Well, thats exactly what the ED at Saint Joseph Hospital in Lexington, KY, did by introducing point-of-care (POC) testing.
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In late-onset VAP, survival improved and costs decreased using initial coverage with 3 antibiotics. Mini-BAL did not improve survival, but decreased costs and antibiotic usage.
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This concise review makes a compelling case for a change in the healthcare workers behavior. Helpful hints including increasing the use of alcohol-based formulations to reduce the time constrains are provided throughout the article.
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