Emergency Medicine - Adult and Pediatric
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Treat Comorbid Substance Use with Motivational Interviewing, Navigational Assistance
Research has shown a highly personalized intervention designed for hospitalized patients with comorbid substance use problems can significantly reduce subsequent readmissions and ED visits. -
Feds Ease X-Waiver Training Requirements, Emergency Providers Advocate Further Action
In the continuing tussle over whether providers should have to obtain an X-waiver to prescribe buprenorphine, the Biden administration has staked out some middle ground, at least for now. -
Include Cognitive Psychology in the Discussion of Diagnostic Errors
To effectively address diagnostic improvement, clinicians should understand some concepts around how people reason and the common pitfalls that can lead to errors. -
Charting a Better Way Forward in Addressing Diagnostic Errors
Preventing diagnostic errors has proven difficult. Many of these errors are captured through passive reporting, and systems are not in place to help clinicians learn from such errors. Using active surveillance could uncover more errors, bring those to the attention of clinicians, and provide a teaching moment (not a punishment moment) to prevent those errors from repeating. -
HHS Expands Mental Health Services Access for Young Patients
Agency designates funding for existing program that promotes behavioral health integration into pediatric primary care using telehealth. -
Update on Adult Vaccinations in the ED with a Focus on SARS-CoV-2/COVID-19
Emergency departments have a unique role in public health. They care for a disproportionate number of patients who lack access to care in other venues. Emergency departments also can play a role in decreasing vaccine hesitancy, providing information to patients on the vaccine, answering their questions, and correcting misinformation when it is present. -
Poor Agreement Between ED Patients and Physicians on Goals of Care
Ideally, goals of care discussions do not happen for the first time when the patient presents to the ED. When goals of care conversations are held earlier in a patient’s disease course, advance care planning is possible. This can alleviate the use of aggressive interventions in the event the patient decompensates or does not make a meaningful recovery.
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Pediatric Procedural Sedation and Analgesia in the Emergency Department
Children in the acute care setting may require nonpharmacologic and pharmacologic adjuncts for anxiety, pain, or to successfully complete diagnostic testing or therapeutic interventions. The authors review the requirements and pharmacologic agents necessary to complete a successful pediatric procedural sedation and analgesia.
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Problems When Calling Patient a ‘Drug Seeker’
Is this drug-seeking label truly needed to complete the chart? What message are you trying to convey, and to whom? Who is going to read that chart once you close it, and why?
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Hospitals Could Face Legal Exposure if EPs Are Not Board-Certified
In 2005, there were about 22,000 emergency medicine board-certified emergency physicians in the United States. However, investigators estimated 40,030 emergency physicians would be needed to staff all 4,828 EDs. For years, there was not much additional research in this area. Recently, a group of investigators decided to conduct another analysis and update the data.