Emergency Medicine - Adult and Pediatric
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Nursing Notes Can Become Unexpected Problem for EP During Med/Mal Litigation
A triage nurse’s note stating that a patient had fever and hip pain in his prosthetic hip became a key area of focus during a recent malpractice trial. At deposition and at trial, the emergency physician (EP) claimed to have examined the hip, and found that the patient did not have increased pain with range of motion.
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Overview and Instructions
Read each of the following sections. CME Questions are presented inline with links to begin the CME Post-Test. -
Pulmonary Embolism
For emergency physicians, acute pulmonary embolism (PE) provides a particularly complex diagnostic challenge. It has been estimated that 650,000 to 900,000 individuals annually suffer a fatal or nonfatal acute pulmonary embolism.1 While the classic textbook clinical presentation is well known, it is insufficiently accurate and precise in the timely diagnosis of an acute PE. In addition, many patients presenting with seemingly typical exacerbations of their underlying cardiopulmonary disease or other chronic illness may be masking symptoms of an undiagnosed acute pulmonary embolism.2 The high acuity coupled with the unreliable clinical presentation led to the development of several clinical tools, laboratory diagnostics, and radiographical studies to increase the clinician’s diagnostic power. This article we will review the Geneva Score and Wells Criteria, as well as the Kline and PERC rules. In addition, it will discuss special patient populations and diagnostic modalities for treating pulmonary emboli.
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Medications Used In The Newborn
Coverage of Medications Used In The Newborn, part of Emergency Management of Congenital Anomalies. -
Congenital Anomalies: Gastrointestinal Emergencies
Coverage of Gastrointestinal Emergencies, part of Emergency Management of Congenital Anomalies. -
Congenital Anomalies: Respiratory Emergencies
Coverage of Respiratory Emergencies, part of Emergency Management of Congenital Anomalies -
Congenital Anomalies: Congenital Heart Disease
Coverage of Congenital Heart Disease, part of Emergency Management of Congenital Anomalies. -
Congenital Anomalies: Neurologic Emergencies
Coverage of Neurologic Emergencies, part of Emergency Management of Congenital Anomalies. -
Congenital Anomalies: HEENT Emergencies
Coverage of HEENT Emergencies, part of Emergency Management of Congenital Anomalies. -
Emergent Delivery of Infant
The management of the female who presents to the emergency department (ED) in active labor is stressful and overwhelming.