Emergency Medicine - Adult and Pediatric
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Caring for Young Febrile Infants
Every clinician has struggled with managing a febrile infant. We know the majority will have a benign viral illness, but we fear the serious bacterial infection that may have devastating consequences in this vulnerable population. This evidence-based article reviews the current literature and approach to infants less than 60 days of age.
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Top Copay Collectors at Pediatric EDs
By performing their job well, registrars reduce worries for families — and bad debt for the hospital. Some patient access employees share how they do it.
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ED Patients Worry About the Bill, Registrars Can Intervene
People come to the ED sick, injured, or in severe pain. This is not an opportune time to ask someone for a $100 copay — or, worse, inform them they are responsible for the entire bill.
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The Agitated Patient in the Emergency Department
Agitation is a common presentation to the emergency department worldwide, as either the chief complaint or as a component of another medical problem. Agitation may be a manifestation of behavioral and mental health issues, have an organic medical or traumatic etiology, or be a result of substance abuse or withdrawal.
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Using Trained Observers to Keep At-Risk Patients Safe
A background as a personal care attendant, medical assistant, or mental health worker is a plus.
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Safety Protocol Can Prevent Self-Harm Incidents
Precautions include a focus on creating safe bathrooms, increasing the number of trained observers to monitor patients at risk, and managing access to belongings and clothing.
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TJC: Support Healthcare Workers During COVID-19 Pandemic
The Joint Commission has issued the first in a series of special bulletins aimed at addressing concerns raised by healthcare workers as they respond to the continuing COVID-19 pandemic.
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Surge of HIV Patients Present to EDs, Leaders Call for Expanded Screening
Investigators discovered a more than twofold increase in cases of acute HIV during the COVID-19 pandemic as part of an ED-based screening program at UChicago Medicine. The cause of the increase remains unknown, but it underscores the importance of screening despite the fact the pandemic has strained all resources.
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EDs Administer Monoclonal Antibody Therapy to High-Risk COVID-19 Patients
Clinicians can use new monoclonal antibody therapies to treat high-risk patients presenting with mild to moderate COVID-19 symptoms. However, despite the promise to depress viral loads, logistical and other challenges continue to stand in the way of larger-scale use. Still, some EDs are trying the therapeutics, with promising results.
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Reversal of Direct Oral Anticoagulants
Given the growing use of direct oral anticoagulants, particularly in the elderly population, it is important as an emergency physician to be well versed on the methods of emergent reversal of these agents in the bleeding patient.