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The incidence of back pain in children is directly proportional to the age of the child, with back pain an unusual complaint in children younger than age 6. There is a steady increase in incidence, with adolescents having the highest rates of back pain by the time they are age 18. Approximately 60% of adults experience significant back pain in their lifetimes.
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Emergency physician groups have dealt with the realities of claims-made liability coverage for years now, yet many continue to be unpleasantly "surprised" when it comes to their "tail coverage." Tail coverage: allows the insured an extended period of time for the claim to mature or be reported to the insurance company.
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You may hear phrases such as "gross negligence" and "willful and wanton misconduct" stated by the media, but these terms also are important for many health providers in that they can limit liability for providing medical care.
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There is now considerable data indicating that the use of high-dose steroids for spinal cord injuries is not effective and can even be harmful to patients. Despite this, are ED physicians still "obligated" in a legal sense, to administer high-dose steroids to patients with spinal cord injuries?
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The "standard of care" often has a significant impact on the outcome of ED malpractice lawsuits, but the way this is defined can vary according to state law and other factors.
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If an emergency physician is arrested for assaulting a patient or for inappropriate sexual conduct, there is potential liability exposure for both the emergency medicine group and the hospital where the ED is located, says Thomas H. Taylor, a health care attorney at LaCrosse, WI-based Johns, Flaherty & Collins.
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This article is designed to refresh and update the community emergency physician knowledge base for the assessment and management of pediatric chest trauma.
