Emergency Medicine - Adult and Pediatric
RSSArticles
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Psych Patients Awaiting Transfer From ED Are High Legal Risks
Legal risks include security, deterioration of the patient’s condition, and unsafe handoffs.
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Recent Cases Spotlight Pressure to Admit ED Patients
Anything not in patient’s best interest ‘unacceptable.’
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ED Patients in Observation Status Are Focus of Recent Med/Mal Cases
Sending a patient to an observation unit is not legally analogous to admitting a patient to the hospital.
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Deconstructing the Duty to Warn Doctrine
It has been the generally accepted standard that a provider must warn a third party of the potential harm from a patient when there is significant threat of harm toward a reasonably identifiable person. However, the delicate balance of these ethical challenges has come under recent assault.
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Penetrating Neck Trauma
Penetrating neck trauma presents a clinical challenge to the emergency physician. Clinicians must have a planned approach to these patients to optimize outcomes.
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Evaluation and Management of Seizures in the Emergency Department
Seizures are a common complaint in both children and adults presenting to the emergency department. Seizures may stop prior to physician evaluation, may be ongoing upon presentation, or may occur after the patient is brought to the ED. Patients may be experiencing a seizure for the first time in their lives or may be suffering from chronic epilepsy.
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Non-Traumatic Ocular Emergencies
Evaluating eye-related complaints in the ED requires a good understanding of the anatomy and potential implications of failure to treat. Although most ED presentations are nonemergent, it is important that the emergency physician identify the emergent presentations and manage them promptly to prevent potential vision loss.
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Infantile Vomiting
Every viral season, something gets missed. All vomiting is not acute gastroenteritis! The clinician needs to have a thorough understanding of the process of vomiting to formulate a complete differential accurately and in a timely manner. A complete history, physical exam, and targeted diagnostic testing are used to ensure an accurate diagnosis with effective management is instituted.
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Is Everything in ED’s EMR Admissible? Court Rulings Vary
Issues relating to admissibility of EMRs have occurred 'with increasing frequency,' both during the discovery phase of litigation and at trial.
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EP’s Unlikely Defense: ‘I Couldn’t Find It in the EMR’
In reviewing EMR documentation, 'it’s easy for EPs to miss the forest for the trees.'