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Beware the Cardiovascular Risks Associated with Thyroid Hormone Replacement Therapy
Thyroid levels outside the euthyroid range have been associated with higher cardiovascular risk in patients taking thyroid hormone to treat hypothyroidism. In this study, a higher cardiovascular mortality rate was associated with exogenous hyperthyroidism and exogenous hypothyroidism.
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‘Servant Leadership’ Retains Healthcare Staff
The authors of a recent report on the future of nursing concluded with this cogent point: “Simply put, efforts to train more nurses are futile if those nurses leave the workplace.”
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Surgeon General Calls for Support of HCWs
Battered by a two-year pandemic during which they often had to work under unsafe conditions without adequate personal protective equipment, healthcare workers are on the brink of a “burnout and mental health crisis” that will only worsen if sweeping actions are not taken, warned U.S. Surgeon General Vivek Murthy, MD, MBA. -
Dozens of Healthcare Workers Infected in Bone Graft TB Outbreak
A national Mycobacterium tuberculosis outbreak caused TB seroconversion in 73 healthcare workers exposed to patients who underwent spinal bone grafts with a contaminated allograph product. No workers developed active infection, and all were successfully treated for this strain of TB, which was not drug resistant. -
OSHA Urged to Protect HCWs from Airborne COVID-19
The healthcare community is pushing back against OSHA adopting a more flexible final COVID-19 rule that could change with public health guidelines. The agency is finalizing its Emergency Temporary Standard to protect healthcare workers from COVID-19. -
Federal Healthcare Violence Law in Congress: If Not Now, When?
The longstanding problem of patients and visitors attacking and verbally abusing healthcare workers has been worsened by the chaos and cultural divisiveness of the COVID-19 pandemic. If federal lawmakers cannot find a way to better protect healthcare workers now, will they ever? -
Pediatric Febrile and First-Time Seizures
The goal of this review is to cover newer research and organizational guidelines regarding evaluation, management, and counseling of pediatric patients (and their parents) presenting after first-time unprovoked or febrile seizures.
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Update on Pediatric Concussions
The authors provide a current summary of the best practices for diagnosis and management of pediatric concussions.
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Legalities if Law Enforcement Responds to ED Violence
The presence of law enforcement can agitate some patients, or cause others to withhold information over fears the information will be disclosed to police. It creates a situation where state or federal privacy laws can be violated. Emergency clinicians should consult hospital security, risk management, legal counsel, or leadership for guidance on policies and applicable laws.
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Simulated Deposition Teaches Emergency Clinicians About Malpractice Claims
ED providers often worry about lawsuits, yet many lack basic knowledge of malpractice litigation. A simulation tool that teaches curricular objectives and reinforces medical knowledge on resuscitation, communication, procedural skills, and other topics could help fills the gaps.