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The recognition of non-accidental injury is critical for a pediatric
trauma patient. In the year 2000, almost 3 million reports of child
abuse were made to social service agencies. Forty-four percent of the
fatalities were children younger than 1 year of age. Not only are these
statistics alarming, but they point out the need for emergency
department and trauma physicians and nurses to recognize non-accidental
injury and aggressively protect the children who seek our medical
expertise and protection.
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The skyrocketing cost of medical malpractice insurance has affected physicians throughout the nation. Many emergency physicians (EPs) have seen the costs of insurance nearly double in the past three years. Some insurers have deemed EPs with three claims against them in a five-year period as uninsurable. This months ED Legal Letter will provide insight into the malpractice crisis by looking at the cause, effect, and potential solutions to the problem. Furthermore, it will review why past legislative attempts to remedy previous malpractice crises have failed.
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Part I of this two-part series covered gastrointestinal causes of chest pain and aortic dissection. This second and final part of the series will focus on pulmonary, psychiatric, and musculoskeletal causes of chest pain.
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In your ED, the color-coded Broselow Pediatric Emergency Tape, a length-based measuring tape that accurately estimates a childs weight, is probably a familiar sight. But are you using the tape correctly?
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Are you worried that your patient care is in conflict with requirements of the Health Insurance Portability and Accountability Act (HIPAA)? If so, youre not alone.
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A 90-year-old woman complains of leg pain and swelling, with a history of hormone replacement therapy use, hypertension, osteoarthritis, and recent eye surgery.
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Here are the steps taken when a patient with suspected deep venous thrombosis (DVT) presents at Seattle-based Harborview Medical Centers ED, according to Cynthia Natiello, RNC BSN, CCRC, the facilitys vascular research nurse:
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If your facility isnt a Level 1 Trauma Center, you probably dont care for trauma patients with multiple injuries on a daily basis.
