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Rash is a common complaint in the emergency department. Often, the pediatric rash is a benign, self-limiting condition that requires no intervention; however, there are occasions when rashes are true emergencies. Identifying these rare occasions is critical for the pediatric patient.
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Often, patients express anger over service experienced, but the perceived slight does not equate to malpractice.
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During the initial phone call or meeting, complainants often provide a compelling narrative, but it falls apart after an independent expert reviews the ED chart. False or misleading statements about what happened in the ED undermine the patient’s credibility. Also, the cost of filing a malpractice lawsuit, and the low odds of prevailing, mean long odds for patients looking to become plaintiffs.
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Recent findings suggest ED providers probably do not treat all patients equally. Researchers want to use these data to determine just how much hidden biases might affect care. Meanwhile, they suggest providers self-screen to improve awareness.
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Engaging with the patient can help ED nurses avoid these risky situations. Nurses can notice subtle signs of escalation, treat with medications when appropriate, offer food, perform regular assessments, and facilitate hygiene. It also is important for ED nurses to demonstrate they did everything in their power to transfer the patient to a higher level of care, if that is what the patient needs.
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Team training — on communication skills, monitoring patients, and sharing information while the patient still is in the ED — can ensure the correct tests are ordered and acted on.
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Considering the effects of stress on well-being, first responders are at higher risk of suffering from emotional fallout from their work. The good news is there are some straightforward solutions that could mitigate the harmful effects of stress and reduce their risk of developing depression, PTSD, or other mental health problems.
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The list of long-term health problems affecting patients after recovering from COVID-19 continues growing. One of these lesser-known conditions is postural orthostatic tachycardia syndrome (POTS). Although treatments for POTS exist, the condition often is missed or misdiagnosed, leading to unnecessary suffering and anxiety for patients. However, given the condition’s recent visibility, frontline providers could gain a new understanding of POTS while also providing patients with a fast, accurate explanation for their symptoms.
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While it may be hard to understand why a person at higher risk for contracting the virus might take issue with this requirement, the idea of mandating the vaccine as a condition of employment is simply too strong a push for some. However, a coalition of healthcare organizations is calling on all medical facilities to mandate the vaccines.
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Some emergency providers may view COVID-19 vaccinations as another task piled on an already-full plate. However, EDs are uniquely positioned to reach many underserved and high-risk populations that have yet to receive protection from COVID-19.
