Emergency Medicine Topics
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AAFP, CDC Promote Immunizations Among Minority Populations
Groups recruiting family medicine practices for two initiatives.
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Acupuncture as a Pain Management Alternative
The goal is to provide data that will convince payors to reimburse acupuncture treatment in the emergency environment, a stumbling block that has thus far prevented larger-scale implementation. Additionally, researchers hope their work leads to fewer unnecessary opioid prescriptions.
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Excessive Urine Testing Drives Unnecessary Antibiotic Use, Elongates Length of Stay
Investigators suspect this pattern may be related to the desire to establish an explanation for whatever symptoms have prompted patients to seek care. Clinicians and patients alike want clear diagnoses and definitive solutions to fix problems.
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Teletriage Applications Help EDs Improve Efficiency, Respond to COVID-19 Pandemic
As the demand for virtual care has accelerated, teletriage has melded well with other telemedicine innovations that may permanently change many of the ways in which emergency care is delivered. Some early adopters explain what pushed them out of the gate early, how teletriage has helped them manage the challenges posed by COVID-19, and how they see the approach evolving.
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CDC Revises COVID-19 Quarantine Recommendations
Now, quarantine can end after 10 days without a COVID-19 test if the person has reported no symptoms, or after seven days with a negative test if the person has reported no symptoms.
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The Work of Vaccinating Frontline Healthcare Workers Against COVID-19 Begins
Hospitals are scrambling to ensure a smooth and effective process for vaccinating frontline healthcare workers against COVID-19. Leaders need to quickly equip their personnel with enough information to persuade them that the vaccine is safe and effective.
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Emergencies in the Second and Third Trimesters of Pregnancy
Common emergencies specific to the second and third trimesters will be reviewed in this paper, including preterm labor, causes of antepartum bleeding in late pregnancy, and the hypertensive disorders of pregnancy. It is important to emphasize that obstetrics consultation is recommended in most emergencies that occur in the second and third trimesters prior to initiating therapies.
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EDs See Decrease in Low-Severity Illnesses, More Advanced Imaging
Perceived litigation risk has been often cited as one of the top reasons for ordering low-value imaging in many settings, including the ED. Higher costs and more radiation exposure (and hospitalizations) probably could have been avoided in many cases. Yet EPs know it is possible they will be sued for failing to order a diagnostic test.
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Home Monitoring to Determine Hospitalization Needs Among Discharged COVID-19 Patients
Discharging patients with a low-cost tool to monitor their own health can improve patient safety outcomes.
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ED Boarding Prolongs Length of Stay for Trauma Patients
One department changed its processes to reduce the number of patients who left without being seen — specifically, working to put a patient in front of a clinician faster. When the ED fixed this issue, door-to-doctor times and door-to-disposition times shortened significantly, and leave without being seen rates declined sharply.