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Many hospitals have been cited by the Centers for Medicare & Medicaid (CMS) for failure to provide an appropriate medical screening examination for mental health patients, or for discharging these patients in an unstabilized emergency medical condition, notes Barbara E. Person, JD, an attorney at the Omaha, NE-based law firm Baird Holm.
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"Quit dreaming that your patients are being watched by physicians in the ED." That's what the vice chairman of the Department of Emergency Medicine at State University of New York at Stony Brook told physicians when he sought buy-in for a process to move patients boarded in the ED upstairs during high capacity.
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Managing a patient's compromised airway involves preparing for the possibility of not being able to complete the intubation procedure in a timely manner. To avoid ongoing hypoxia and hypercapnea, management should include being ready to use alternative or "rescue" methods, including a surgical airway.
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This story is Part 1 of a two-part series on liability risks of boarding admitted patients in the ED. This month, we'll report on liability risks of holding admitted patients in ED hallways.
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Victims of blunt trauma are frequently encountered in the emergency department (ED). Forty percent of all ED visits each year are attributed to injury, which equates to about 40 million ED visits annually. Additionally, approximately one-third of intensive care unit (ICU) admissions in the United States are trauma-related.
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Bronchiolitis is the most common lower respiratory tract disease in infants, and respiratory syncytial virus (RSV) bronchiolitis is the leading cause of hospitalization in infants.