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After suddenly becoming short of breath, a 28-year-old woman in Tuscon, AZ, called 911 and was taken to Carondelet St. Marys Hospitals ED in severe respiratory distress with blood pressure of 250/140. After B-type natriuretic peptide (BNP) testing was done, it was determined the patient was in congestive heart failure (CHF) and nesiritide was given.
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While assessing a patient, your gut feeling may be that he or she has an alcohol problem. But do you lack the resources to appropriately screen these patients and intervene as needed?
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O'Mathuna DP. Low-carbohydrate diets and weight loss. Altern Med Alert 2004;7(12):133-136.
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Marcolina S. Cholesterol- and glucose-lowering effects of fenugreek. Altern Med Alert 2004;7(12):136-139.
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Kiefer D. Got calcium? Practical clinical pearls. Altern Med Alert 2004;7(12):140-143.
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The American Heart Association dietary recommendations. Altern Med Alert 2004;7(suppl 12):S1-S2.
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Greenfield RH. Manipulative therapy for shoulder pain. Altern Med Alert 2004;7(12):144.
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In recent years, the analysis of complex system errors, such as medical errors occurring in the ED, has changed from simply labeling and punishing individuals to understanding the underlying systems that contribute to medical error. In this issue of Emergency Medicine Specialty Reports, error in the ED and its contributing factors will be discussed, as well as steps to develop a culture of safety.
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Although nurses cant be held individually liable under EMTALA, they can still be held liable under their states Nurse Practice Act and be named in medical malpractice lawsuits, says Shelley Cohen, RN, CEN, an educator for Health Resources Unlimited, a Hohenwald, TN-based consulting company specializing in ED triage and health care leadership.
