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With volume on the increase and a leave-without-being-seen (LWBS) rate already at 5%, ED administrators at Methodist Hospital of Sacramento in Sacramento, CA, knew they needed to come up with a way to get patients moved through the ED more expeditiously at least until a planned expansion of the ED took place, but in early 2008, that was still more than a year away.
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Our faces play a role in almost every part of our lives. The structure and components of the face are involved in our ability to eat, speak, and see, and often are the features first noticed when we meet someone.
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Pertussis, commonly known as the "whooping cough," is an infection of the upper respiratory tract leading to a protracted cough illness. Emergency physicians should become familiar with the diagnosis and management of this disease, given the potential of pertussis infections to cause serious morbidity and mortality in young infants.
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It may be in the best interest of your ED patient with chest pain, seizures, or transient ischemic attack (TIA) to be admitted, but this may not occur due to factors beyond your control.
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There is mounting evidence in the literature that the routine practice by paramedics of administering IV fluids to severely injured patients before they are transported to the hospital is not only unnecessary, but may also cause harm.