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If it ever happens to you, it's a moment you'll never forgetbeing served with papers from a patient's attorney. What do you do first?
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Your own personal notes about a patient's care. Incident reports if a patient is harmed. Information given verbally or in writing to the hospital's risk managers. Conversations or e-mails with other ED physicians about the patient's care. E-mails or conversation with physicians who don't work in your ED. Personal correspondence with non-involved parties.
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Four blood cultures come back positive, but when an ED nurse contacts the woman's husband, he says she's doing much better. Neither the ED nurse nor the physician asks the patient to return to the ED, and she returns two days later with altered mental status and partially treated meningitis. An adverse outcome results. Could your ED be sued?
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In light of the existing health care crisis, patients who leave the emergency department (ED) against medical advice (AMA) will foreseeably represent an increasing population of emergency patients. Despite this, these patients have attracted little academic interest within the emergency medicine literature.
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A recently arbitrated case presents a starting off point for a discussion regarding a commonly applied dressing and a frequently used but often misunderstood method of resolving medial malpractice disputes.
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Remember how you were told in medical school that history is 90% of diagnosis? Was it usually ascribed to William Osler or another such legendary figure? Do you still believe it?
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Fluid therapy is an integral aspect of trauma resuscitation. With advances in resuscitation research, controversies abound regarding approaches to the initial fluid management.
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