Emergency Medicine - Adult and Pediatric
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The Steep Costs of Operating Under Crisis Standards of Care
New data shine a harsh light on what can happen when hospitals become so overcrowded that they have to resort to crisis standards of care, a level of care where practice standards are relaxed under the strain of scarce resources.
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Report: U.S. Hospitals Could Sustain $54 Billion Net Income Loss for 2021
Higher expenses, fewer outpatient visits, and sicker patients have put many healthcare facilities in the red.
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Real-Time Twitter Data Reveal Stress Patterns During Early Days of COVID-19 Pandemic
Investigators aggregated healthcare worker complaints to better understand triggers of PTSD and secondary traumatic stress.
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Necrotizing Soft Tissue Infections
Necrotizing soft tissue infections (NSTIs) produce an intensive inflammatory state that can injure and necrose the skin and subcutaneous tissues.
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Pediatric Facial Lacerations in the Emergency Department
Pediatric facial lacerations are common, and every emergency medicine physician needs to be familiar with the approach to pediatric facial and scalp lacerations, child-friendly methods for repair, and different options for analgesia.
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Initiative Focuses on Patient Harm Caused by Diagnostic Errors
The initiative will establish a benchmarking system, which will allow EDs to find out how they compare to other facilities.
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Poor Pediatric Readiness Is Big Risk Management Worry
ED readiness is based on national guidelines for ED pediatric care. Facilities should follow these guidelines closely.
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Multiple Sclerosis in the Emergency Department
Multiple sclerosis (MS) is an inflammatory and demyelination disease of the central nervous system. Early diagnosis and treatment are important.
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Risk Factors for Physical Restraint in ED
Researchers analyzed 726,417 adult visits to three hospital EDs in the Yale-New Haven Health System that occurred from 2013-2018. A total of 7,090 patients were physically restrained. Of this group, 64.8% were male, 28.8% were Black or African American, 71% presented with either Medicare or Medicaid, and 2.3% were homeless. Visits that were higher-acuity, visits later in the day, and visits with behavioral chief concerns also were more likely to include physical restraint.
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Neurologic, Cardiovascular Conditions Most Common Diagnostic Errors in ED Claims
In an analysis of 326 closed claims from 2014-2019, researchers found 31% involved either the neurologic or vascular systems. Most diagnostic errors involved one of three issues: Ordering of diagnostic tests (53%), consult management (33%), or ongoing assessment (32%).