Emergency Medicine - Adult and Pediatric
RSSArticles
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Significant Legal Exposure for Hospital if Patient Assaulted in ED
Seldom does a person go from a state of calm to physical violence without warning. Are staffers trained to recognize when an aggressive patient’s behaviors are escalating?
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‘Divide and Conquer’ Is Plaintiff’s Strategy With ED Co-defendants
When both ED nurses and EPs are named in a malpractice suit, a unified defense is the goal.
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Does Reassessment Before Discharge Reveal Abnormal Vitals? Documentation Is Key
Dozens of times each shift, EPs determine the appropriate disposition for patients. A well-documented, appropriate reassessment can reduce legal risks and should include proof that the EP spoke to and examined the patient, as well as repetition of pertinent portions of the physical exam.
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Can Rarely Used ‘Empty Chair’ Strategy Help ED Defense?
The “empty chair” strategy comes into play when there is a potential unnamed defendant with possible exposure. Using the empty chair defense, a named defendant would argue the liability of the unnamed defendant.
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‘Patient Dumping’ Still Happens 30 Years After EMTALA; EDs Face Significant Exposure
Have you ever heard the question, “What would you do if an ED patient behaved in an unruly manner?” If an investigator from CMS asked one of your ED’s security guards this question, would the response reveal non-compliance with federal law?
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New Concepts of Ultrasound in the Emergency Department: Focused Cardiac Ultrasound in Cardiac Arrest
Ultrasound is an integral aspect of caring for patients in the emergency department, and real-time use of this imaging modality at the bedside allows practitioners a hands-on approach to the clinical evaluation of patients. Point-of-care ultrasound (POCUS) has particular benefit in the critically ill patient for whom rapid information for decision-making is essential. Given this benefit, there is clear application for POCUS in the patient in cardiac arrest.
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The Evaluation of the Dizzy Patient
Dizziness is a common complaint among emergency department patients. Emergency providers need to differentiate benign from serious causes.
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Does This Older Patient Have a Spinal Fracture? Evaluation and Management of Spinal Fractures in Older Adults
Older adults present unique challenges for the clinician. Missing a spinal fracture can have devastating consequences for this more fragile population. The authors review the clinical presentation, injury patterns, and unique considerations for imaging and management of spinal fractures in older adults.
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Cervical Spinal Injury
Although spinal injuries are uncommon, they should be considered when children have sustained head or neck trauma or multiple severe injuries. Children with severe or multisystem trauma are more likely to suffer a spinal injury. Thus, emergency department providers should have a lower threshold to immobilize and image such patients to prevent morbidity and mortality. This article reviews the most common pediatric spinal fractures and injuries and optimal management practices.
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Undetected Medical Conditions in ‘Psych’ Patients Are Legal Landmine
Once EPs conclude that a patient’s behavior is psychiatric, they may miss underlying medical conditions that are the real cause of the symptoms. This is less likely if a patient is behaving bizarrely, presents with a psychiatric history, and is taking psychiatric medications. Experts recommend obtaining a good history before deciding a patient is psychiatric.