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A man with chest pain tells your ED physician that he uses cocaine and is HIV-positive, then asks the physician not to tell his girlfriend who is about to enter the room.
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[Editor's note: This column addresses readers' questions about the Emergency Medical Treatment and Labor Act (EMTALA). If you have a question you'd like answered, contact Steve Lewis, Editor, ED Management, Atlanta. Phone: (770) 442-9805. Fax: (770) 664-8557. E-mail:
[email protected].]
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Recently, a patient at Northwest Medical Center in Tucson, AZ, was diagnosed with measles and ordered into isolation by her physician, but remained unisolated in the ED for more than 12 hours.
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Central nervous system infection due to free-living amoebae generally manifests as either acute meningitis or focal encephalitis.
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A single injection has been approved for a fifth dose of DTaP and the fourth dose of inactivated polio (IPV) in children 4-6 years of age. The combination vaccine is marketed by GlaxoSmithKline as KINRIX.
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Episodic, unexplained false-positive results with an oral fluid rapid HIV test have resulted in changed protocols in some clinics and an ongoing investigation by the Centers for Disease Control and Prevention. The test, OraQuick Advance Rapid HIV-1/2 Antibody Test (Orasure Technologies, Bethlehem, PA), can be performed on oral fluid and has broadened the settings in which HIV testing can be provided, the CDC noted.
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Despite increasing demand for privacy surrounding health information, North American hospitals lag behind European counterparts when it comes to one of the most visible impediments to privacy — multi-bed hospital rooms.
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The Department of Health and Human Services (HHS) has issued new guidance for providers on talking about patients' health information with and in the presence of other parties — with an emphasis on what can be discussed.