Emergency Medicine - Adult and Pediatric
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Many ED Malpractice Claims Are Rooted in Poor Communication
Securing buy-in from hospital administrators to make investments to improve patient safety, including handoff communication in the ED, can be challenging. Compelling anecdotes about cases when things went terribly wrong can grab leaders’ attention. Showing hard numbers demonstrates the financial burden of medical malpractice.
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Cannabis-Related Visits Surge, Especially Among Children and Older Adults
When a patient presents to the ED with a cannabis-associated visit, this is a chance for providers to offer more education to prevent future problems.
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Why Some Children Develop Severe COVID-19 Disease
Severe outcomes included cardiovascular complications, neurologic complications, respiratory problems, and infectious-related issues. Those with pre-existing chronic disease, older age, and longer symptom duration put them at serious risk for severe outcomes.
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As Call to Address Disparities Grows Louder, Prescriptions for Improvement Emerge
Frontline providers see patients from disadvantaged communities present with problems that might have been prevented with earlier or better-quality care. However, recently suggested because of the hectic pace of busy EDs, emergency providers may be susceptible to letting bias seep into their decision-making. Thus, researchers contended it is important for emergency clinicians to be aware of potential biases and how they contribute to inequities.
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The Unique Legal Risks of Treating Geriatric Patients
When compared to younger persons, older adults are more likely to experience missed or incorrect diagnoses and inadequate pain management. Older adults who are discharged from the ED are more likely to be readmitted. They also risk functional loss and higher rates of mortality. Whenever possible, and with the permission of the older adult, the ED nurse should include the patient’s significant other, family, or support person in the assessment process.
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ED Leaders Take Multiple Paths to Improve Geriatric Emergency Care
It has been several years since the Geriatric Emergency Department (GED) Guidelines were published and then endorsed by several groups. But although it is well understood the U.S. population is rapidly aging, experts agree only a few EDs provide the kind of care the GED Guidelines recommend. Where’s the disconnect?
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Community-Acquired Pneumonia in the Era of COVID-19
Community-acquired pneumonia is a leading infectious cause of hospitalization and mortality, with increased prevalence during the current COVID-19 pandemic. It is important to focus on appropriate testing, prompt treatment, and disposition to improve outcomes and maximize efficient use of limited resources during this global pandemic.
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Neurologists Add Nuance to Palliative Care Definition
Position paper authors underscore the importance of care goals discussions with patients and families throughout the disease course, not just at end of life.
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Report: Anxiety, Depression Up Significantly Among U.S. Children 2016-2020
Even before the onset of the COVID-19 pandemic, mental health conditions among Americans age 3 to 17 years were trending negatively.
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Identifying and Managing MIS-C
Pediatric SARS-CoV-2 infections are mild compared to adult infections. However, MIS-C, which typically develops four to six weeks after the initial infection, may be severe and characterized by multiorgan dysfunction resulting from hyperinflammation. This article includes critical information regarding MISC-C recognition and management.