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Understanding the anatomic and physiologic changes that occur with pregnancy enhance the management of the pregnant trauma patient, potentially improving outcomes for both the mother and fetus. The best approach to fetal preservation is careful attention to resuscitation of the mother.
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Controversy continues to swirl around the appropriateness of emergency physicians writing holding orders (or bridge orders, as they are sometimes called) for admitted patients.
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Crowding is increasingly becoming a factor in litigation involving emergency department care, putting nurses and physicians at increased risk for being named in a lawsuit.
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The Centers for Medicare and Medicaid Services (CMS) recently proposed changes to the Emergency Medical Treatment and Active Labor Act (EMTALA) regulations that would allow "community call" programs to be established by groups of hospitals in self-designated referral areas to help address the shortage of ED on-call specialists.
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Increasing numbers of EDs are implementing electronic medical records (EMRs), including computerized physician order entry (CPOE), with the goal of improving patient safety. However, not much is known about the liability risks of these new tools.
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With the increasing skill of our NICUs in saving extremely premature babies and the capability of rescuing children with acute illnesses and injuries in our PICUs, children with special healthcare needs are being discharged from tertiary centers and returning to their home communities.
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Patients experience headache more than any other form of pain. Headaches account for more than 10 million physician visits annually, including 0.5-2.7% of emergency department (ED) visits.