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You find yourself wrestling with an uncooperative, intoxicated trauma patient who removes his own cervical collar. It's easy to see that this scenario is fraught with legal risks, but what is the right thing to do in this kind of situation?
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Airway management that results in a negligence claim usually involves a "difficult airway." Airways classified as difficult typically are compromised by an anatomical or other condition that makes intubation by the oral, nasal, or surgical routes difficult or impossible.
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An elderly man comes to your ED and is admitted to the hospital with severe dehydration and fever of unknown origin. Two days later, an X-ray reveals pneumonia.
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In the early civil cases litigated under the law in the 1990s, the courts held that EMTALA's duty to stabilize continued to apply throughout the patient's entire stay in the hospital, no matter how long it was.
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Well, after my erudite presentation, the attending, who happened to be a cardiologist trained in the pre-interventional era, sat back and said, "Son, remember the heart is not a chronometer."
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Regardless of where we practice, increasingly we are confronted with patients who have been exposed to unusual diseases through travel. In a previous series of articles, we reviewed the diseases associated with travel, largely based on the geography. This article reviews infectious disease associated with travel by symptoms.
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