Emergency Medicine - Adult and Pediatric
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Pulmonary Embolism
Emergency clinicians need to remain updated on the management and treatment of many critical diagnoses. Pulmonary emboli carry a significant morbidity and mortality, even with the advances in treatment that have been made over the past several decades. Having a high suspicion, making the diagnosis early, and initiating treatment are important for optimal patient outcomes.
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Evaluation and Treatment of Acute Ischemic Stroke
The primary goal of acute stroke care is to salvage as much brain tissue as possible by identifying patients likely to benefit from IV thrombolysis and/or endovascular thrombectomy and delivering treatment safely and promptly.
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Spontaneous Subarachnoid Hemorrhage
This article reviews the typical and atypical presentations of spontaneous subarachnoid hemorrhage and its complications. It also will discuss management of spontaneous subarachnoid hemorrhage and its complications, with a focus on treatment in the emergency setting.
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Identifying and Treating Pediatric Ocular Trauma
Pediatric ocular injuries are predominantly minor but may be devastating. The emergency provider must understand the anatomy and injuries that may result in significant damage and a timely critical approach to preserve the child’s vision.
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Management of Seizures in the Emergency Department
While most seizures will be brief and self-limited, prolonged seizure activity and status epilepticus represent high morbidity and mortality presentations. This review aims to summarize the best available evidence on seizure evaluation, classification, and acute management.
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Acute Ataxia and Gait Disturbances in the Emergency Department
Ataxia and gait disturbances can signify a variety of conditions. The differential includes benign as well as life-threatening causes. An understanding of the pathophysiology and a thorough neurological exam are critical in making these distinctions.
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Malpractice Outcome Hinges on ‘Reasonableness’ of Wait Time
To prevail in malpractice litigation involving a leave without being seen patient, the patient must prove the ED’s failure to treat him or her within the time frame of the visit violated the standard of care. Also, the attorney must prove his or her client suffered harm as a result of that violation.
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LWBS Patients Pose Risks for EDs Under EMTALA
Solid documentation is the best weapon against accusations a clinician violated the Emergency Medical Treatment and Labor Act and a patient who left the ED without being seen who files a malpractice lawsuit.
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Leverage Rounding, Team-Based Interventions to Address Frontline Burnout
A Texas-based health system looks at employee well-being through a quality and safety lens, directly connecting worker well-being to the organization’s efforts to improve patient safety.
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Point Person Dedicated to Nurse, Support Staff Well-Being
Understanding the critical importance of nurse well-being, a Washington, DC-based health system created a new position dedicated to this work.