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Would you like to improve patient flow by decreasing the number of nonurgent patients waiting for care in your already crowded ED waiting room? At University of Colorado Hospital in Denver, physicians and specially trained ED nurses perform an expedited medical screening examination (MSE) after triage but before registration, and they report dramatic results.
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If there were a way you could substantially reduce the risk of infusion pump errors in your ED, would you do so? Surprisingly, although new technology is available that can prevent adverse outcomes from misprogrammed infusion pumps; only a small number of EDs are using this technology.
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What is likely to be a more powerful morale booster than a pat on the back from your manager? A sincere compliment from a colleague.
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Imagine a middle-aged woman who seems a bit nervous and whose hands are shaking slightly. Would you suspect alcohol withdrawal syndrome in this patient? If not detected quickly, the patients symptoms could quickly become life-threatening.
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In this substudy of the ENTIRE-TIMI 23 trial (enoxaparin tenecteplase-tPA with or without glycoprotein IIb/IIIa inhibitor as reperfusion strategy in ST-segment elevation MI), 483 patients with STEMI were randomized to receive various treatment arms of fibrinolysis, glycoprotein inhibitor, and heparins, followed by immediate
angiography to assess reperfusion.
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Federal agencies and professional societies currently recommend that patients with community-acquired pneumonia (CAP) receive their initial dose of antibiotics within 8 hours of hospital arrival. The Centers for Medicare and Medicaid Services conducted this study to explore further associations between timing of initial antibiotic doses and clinical outcomes.
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All emergency physicians should be quite familiar with the use of succinylcholine for neuromuscular blockade to facilitate endotracheal intubation.
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Accurately measured in the supine patient, normal cerebrospinal fluid (CSF) opening pressure is typically between 150-200 mmH20.
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The ECG in the Figure was obtained from a 41-year-old woman with chest pain of suspected cardiac etiology. The tracing shows complete right bundle-branch block. How many additional ECG findings of potential concern can you identify that may be relevant in view of this patients clinical history?
