Emergency Medicine - Adult and Pediatric
RSSArticles
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Most-Often Missed Serious Neuro Conditions: Ischemic Stroke and Intraspinal Abscess
The authors of most studies on diagnostic error in the ED use a “look back” approach. Researchers start with the misdiagnosis, then examine the factors associated with it. Other investigators recently used a different method.
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The Emergency Department Management of Precipitous Delivery and Neonatal Resuscitation
Emergency department providers should be familiar with the correct procedures to manage pregnancies, births, and subsequent neonatal resuscitations when they occur unexpectedly in the ED.
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Volume Overload: Acute Decompensated Heart Failure in the Emergency Department
This article will focus primarily on the important aspects of acute decompensated heart failure in the emergency setting. The authors will include a brief synopsis of noncardiogenic pulmonary edema to highlight key principles in the diagnosis and management.
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Sleep Tight, and Don’t Let the Ectoparasites Bite: Part 1
Providers in the pediatric emergency department frequently encounter ectoparasitic infestations. Lice and scabies require early recognition and knowledge of effective treatment strategies. This month, the author reviews scabies, chiggers, and lice. Next month, the bed bugs and ticks will come biting!
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Non-ED Providers Have Surprisingly Low Risk Tolerance
When it comes to acceptable miss rates of low-probability, high-risk diagnoses, non-ED providers have a surprisingly low tolerance for risk. This finding conflicts with clinical practices one researcher recently observed.
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Testicular Torsion Claims Continue Despite Better Awareness
A closer look at some common fact patterns in missed testicular torsion cases.
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Higher Premiums and Payouts Possible for EPs With Restrictive Scope-of-Practice Laws
Will the EP be held liable for malpractice committed by a nurse practitioner (NP) in the department? It is more likely if the state has instituted restrictive scope-of-practice laws governing NPs, according to the authors of a recent analysis.
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When ED Is Crowded, Hospital Admission Becomes Less Likely
Patients are less likely to be admitted when the ED is crowded, according to the authors of a recent study. However, patients discharged during periods of crowding are not more likely to return to the ED within two weeks of discharge.
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Multiple Allegations Against EPs in Airway Management Cases
Airway management cases involving devastating outcomes are a significant source of liability for EDs. Some common allegations include using wrong-sized equipment and failure to verify tube placement after transport.
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Patients Want a Diagnosis, But a Premature One Can Fuel Lawsuit
Patients do not like leaving the ED without receiving a definite diagnosis. However, this kind of closure is not always possible in the ED, where many people are sent home with a symptom-based diagnosis.