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Ten of 19 members of an Israeli tour group chose to swim in the high-altitude fresh water of a crater lake in western Uganda. All 10 (and none of the 9 non-swimmers in the group) developed acute schistosomiasis with headache (10 of 10), fever (9 of 10), eosinophilia (9 of 10), and cough (8 of 10) three to seven weeks after the exposure.
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To manage a big spike in demand from patients seeking emergency care for mental health (MH) and addiction medicine concerns, staff from the University of Pittsburgh Medical Center-Mercy and Western Psychiatric Institute and Clinic of UPMC have devised a series of interventions aimed at quickly linking these patients with the care and resources they need.
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Hospital and ED administrators have found that initiating patient contact shortly after discharge from the ED can positively impact patient satisfaction while also offering opportunities to improve patient compliance with care instructions and to intervene early if complications arise. While some hospitals still rely on manual calls to patients, others are initiating contact through email and text messages.
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Diabetic patients who lack access to primary care tend to frequent the ED, often with complications from their disease that could have been prevented with proper management and education.
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Failure to obtain specialist consultation is one of the main recurring themes Ken Zafren, MD, FAAEM, FACEP, has seen over the years in reviewing medical malpractice claims against emergency physicians (EPs) as an expert witness.
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Patients with high spiritual support were more likely to receive aggressive end-of-life medical treatment, according to a recent study.
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Cost as an ethical concern in health care was addressed in the 2013 Hastings Center Guidelines for Decisions on Life-Sustaining Treatment and Care Near the End of Life.