Emergency Medicine Topics
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Emergency Clinicians’ Emotional Reactions to Psychiatric Patients Affect Care, Well-Being
Survey participants painted a picture of negative healthcare experiences, for both patients and clinicians, that are adversely affecting the quality of care and staff well-being. Change is badly needed to ensure these vulnerable patient populations receive care — and to support ED providers.
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Challenges in Accessing Resources Lead to ED Psychiatry Consults
Difficulty identifying the “right” level of care for patients, understanding how insurance plays a major role in post-ED care options, and needing help with the operational process of making referrals to outside treatment facilities all are administrative and bureaucratic headaches with which clinicians could use assistance.
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Facilities Require ‘Medical Clearance,’ But Evidence Suggests It Is Unnecessary
A patient may present with new delusions, but an otherwise normal physical exam. Why keep that person in a regular ED treatment space or hallway for hours while waiting for a CT scan? Instead, this patient can avoid exposure to radiation, be “cleared” for evaluation by an acute care psychiatrist or social worker, and receive access to treatment hours earlier.
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Complications of Permanent Pacemakers in the Emergency Department Setting
Given the prevalence of cardiac implantable electronic devices in emergency department populations, it is critical to be aware of the relative risk and variety of complications related to these devices so that proper workup and treatment can be initiated.
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American Academy of Pediatrics Offers Solutions to Ease ED Crowding
Group says “coordinated effort across the healthcare delivery system” needed to ensure continuity of care.
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Legal Landmines for Patients Referred to ED for Psychiatric Evaluation
These risks relate to information-sharing for care coordination and continuity of care.
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Does Surviving an ECMO Stay Put Patients at Greater Risk for Mental Health Problems?
Survivors of extracorporeal membrane oxygenation (ECMO) demonstrated a modest increase in risk of new mental health diagnoses after discharge vs. ICU survivors who do not undergo ECMO.
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‘Medical Clearance’ of Psychiatric Patient Can be Legally Risky
What does "medical clearance" really mean? Does it indicate a patient has no acute issues, or that all the patient’s chronic issues are stable? Or is it both? The answer depends on who you ask.
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Concerns and Complications of Measles and Mumps
Decreased vaccine coverage against diseases such as measles and mumps has led to new vulnerabilities in pediatric population health. Thus, the astute practitioner should be vigilant and ready to recognize and diagnose these infections.
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Novel Bedside Procedure Improves Tracheostomy Outcomes
Nurse-driven initiative led to zero incidents of tracheostomy medical device-related pressure injuries for three years.