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It can be a common occurrence for risk managers, but it still makes your heart skip a little when you learn that there is a new claim or lawsuit against your facility. What do you do?
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EDs often fail to manage pain of children undergoing painful procedures, which might mean the procedure can't be performed or the child might suffer needless discomfort, says Steven J. Weisman, MD, an ED physician at Children's Hospital of Wisconsin, Milwaukee.
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Nearly 27,000 gymnastics-related injuries are treated in EDs each year for children 6 to 17 years old, says a new study based on data obtained from the National Electronic Injury Surveillance System of the U.S. Consumer Product Safety Commission.
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All patients should be asked about any medication, prescribed or over-the-counter, that they are taking, including transdermal patches, says Cindy Vanek, MS, RN, director of emergency and critical care services at Indian River Medical Center in Vero Beach, FL.
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If panicked parents bring in a seizing infant, the underlying cause could be life-threatening, but it also could have resulted from something as simple as drinking too much water.
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Recently, ED nurses at University of Virginia Health System in Charlottesville were given a two-hour in-service on the Prime ECG (manufactured by Columbia, MD-based Heartscape Technologies), reports William Brady, MD, a professor in the Department of Emergency Medicine at University of Virginia Health System in Charlottesville.
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Here are some examples of suspicious injuries in children, according to Thomas Tryon, RN, an ED nurse at Thomas Jefferson University Hospital in Philadelphia:
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If a woman came to your ED with a black eye and swollen lip, you would suspect abuse or assault.
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Young gymnasts may be more stoic than other kids you treat. "So you really have to use all your clinical tools: History, physical exam and X-rays to determine whether it's something more significant or not," says Robert Frederick, MD, sports medicine specialist at the Rothman Institute at Thomas Jefferson University Hospital in Philadelphia.
