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Christiana Hospital in Newark, DE, averages between 315 and 320 patients per day. It's a huge ED, taking up a lot of space, explains Amy Whalen, RN, BSN, SANE-A, the assistant nurse manager in the ED.
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There is nothing like working on the front lines in a busy emergency department to learn about the impact of traumatic injuries. Consider, for example, the experiences of Brent Parry, NREMTP. Serving as a paramedic for LifeFlight, and as a tech for the ED at Geisinger Wyoming Valley (GWV) Medical Center in Wilkes-Barre, PA, Parry is often among the first to see patients who have been seriously injured.
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Child abuse is not uncommon and frequently presents to the emergency department (ED). Sometimes the presentation is subtle and masked by vague histories and nonspecific physical findings. Considering sexual abuse in the differential diagnosis is important for the child and his or her safety. Understanding techniques for obtaining a directed history and recognizing the physical findings and abnormalities that are associated with abuse will enable the physician to complete a thorough evaluation and to document with confidence. High-risk populations, such as children with special needs, present unique challenges to the clinician. This article reviews the history, physical examination, diagnostic evaluation, and reporting expectations for children with suspected sexual abuse.
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Pediatric stroke remains one of the top 10 causes of death in children, with a mortality rate of 0.6 deaths per 100,000 strokes, and almost all of those affected have a residual neurologic deficit.
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The purpose of this study was to measure light levels in patient rooms, and also to determine if there were any relationships between greater light levels and mortality, length of stay, ventilator-free days, and amount of medication.
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Coquin and colleagues evaluated the accuracy of noninvasive total hemoglobin measurement using a widely marketed pulse oximeter in patients admitted to the ICU with acute gastrointestinal (GI) hemorrhage.