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  • EDs Are Seeking to Minimize Restraint Use

    At Hennepin County Medical Center’s ED, quality improvement and quality assurance have been a long-term focus. “There was an interest, particularly in the wake of the local and national events of the summer of 2020, to reexamine our restraint practices and look for opportunities to minimize coercive care in our ED,” reports Aaron E. Robinson, MD, MPH, a faculty physician in the Department of Emergency Medicine at Hennepin County Medical Center and assistant medical director at Hennepin Emergency Medical Services.

  • Oklahoma Lawmakers Want to Criminalize STIs, a Trend with a Long, Discriminatory History

    Oklahoma lawmakers have introduced a bill that will criminalize any “reckless” transmission of sexually transmitted infections, including human papillomavirus, which is so common that the CDC says nearly all sexually active people will get the virus in their lifetime.

  • An Alternative Model for ECPR: Keeping the Pool of Physicians Skilled in the Procedure Small

    Extracorporeal cardiopulmonary resuscitation, or ECPR, is relatively new to UF Health’s Shands Hospital in Gainesville, FL. Interestingly, unlike the model for ECPR being deployed by hospitals in San Diego, where dozens of emergency physicians are being trained in the technique, developers of the ECPR program at UF Health have decided that it is important to restrict the number of emergency physicians who perform ECPR.

  • San Diego County EPs Making Sure Life-Saving Technique Is Available to Cardiac Arrest Patients

    The Centers for Disease Control and Prevention notes that every year more than 365,000 people in the United States will experience an out-of-hospital cardiac arrest. However, even in cases where quick-thinking bystanders skillfully administer cardiopulmonary resuscitation before paramedics arrive to take over, the odds of surviving a cardiac arrest are bleak. But what if there was a way to improve the odds of survival in such cases?

  • Researchers: Studies Cited in Court Cases on Abortion and Mental Health Impact Are Flawed

    As the U.S. Supreme Court considers a case involving the abortion medication mifepristone and whether it was properly approved by the Food and Drug Administration, justices will see mention of research about abortion from flawed studies, including some that have been retracted.

  • Copper IUDs Can Be More Safely Removed by Slowing the Process

    Researchers studied how to reduce the risk of breaking the intrauterine device during removal and found that slowing the removal process can help.

  • Delayed CT? ED Documentation Can Increase, or Mitigate, Risk

    When CT scan delays occur, ED providers sometimes want to document in the chart all the factors beyond their control. “But trying to call out delays in the chart puts up a flag,” warns Bryan Baskin, DO, FACEP, vice chair of safety and quality at the Cleveland Clinic’s Department of Emergency Medicine and an assistant professor at Cleveland Clinic Lerner College of Medicine. Documenting objectively, such as stating, “The CT scanner was down for two hours,” is probably appropriate, he says.

  • Root Causes of Significantly Delayed CT Scans in ED Settings

    EDs often experience delays obtaining computed tomography scans, with some patients waiting multiple hours for the test. This situation causes bottlenecks in patient flow, increasing length of stay and overall ED crowding.

  • Emergency Contraception Access in EDs Decreased by 96%

    There are far fewer people visiting the emergency department for emergency contraception (EC) now when compared to 2006, before the Food and Drug Administration’s approval of an over-the-counter EC pill, research shows.

  • Abortion Bans Affect Sexual Assault Victims

    New research shows that women who become pregnant from sexual assault are too often blocked from accessing abortion care by state laws that provide no exceptions for rape or by barriers set up in state abortion bans that do include a rape exception.