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Hospitalist Triage Role Expedites Admission Decisions for ED Patients
This intervention alone likely will not reduce the number of boarded patients. But with accurate data in hand, the focus can shift to alleviating the downstream bottlenecks that prevent patients from going to inpatient beds sooner.
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Many Patients Avoid Going to EDs Because of Fear of Boarding, Delays
Emergency physicians should convey to patients that they will receive care, regardless of the boarding crisis. Stick to the foundation of emergency medical care: stabilize, ensure patients are not experiencing a life-threatening emergency, and manage their urgent conditions.
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Calling ED Boarding a Public Health Crisis, ACEP Pushes Policymakers to Act
Although there are many possible solutions, both legislative and administrative, the industry continues searching for the right formula to solve the problem.
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EMTALA Concerns if Patients Ask About Delays
Are discouraging comments an EMTALA violation? Investigators would examine factors such as what exactly was stated, under what circumstances the comment was made, whether the information was truthful and accurate, and whether it discouraged the patient from staying in the ED and receiving care.
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Computer-Interpreted ECGs Sometimes Miss Acute Coronary Occlusion
Emergency physicians can shield against risk by viewing ECGs of chest pain patients immediately to identify subtle signs of acute coronary occlusion.
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Pediatric Hernias: Diagnosis and Management
Hernias are a common condition encountered by emergency providers and can be overlooked if the genitourinary system is not included in the evaluation of every child with vomiting or abdominal pain. Incarcerated hernias that are not identified in a timely fashion can have devastating consequences for a child. The authors provide an anatomical review, along with diagnostic and therapeutic approaches to pediatric hernias.
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Poll: Many Americans Delay Emergency Care Over Boarding Concerns
A survey by the American College of Emergency Physicians reveals nearly half of U.S. adults worry they will have to wait many hours before admission or transfer.
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Clinicians Consider Many Factors When Deciding on Mechanical Ventilation After Sepsis
Identifying patients at high risk and crafting timely, targeted interventions can improve outcomes.
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Emergency Medicine Residents Should Be Aware of Legal Exposure
To alleviate malpractice risks involving residents, attendings should implement a reasonable and adequate plan for the patient along with the resident; review the patient’s lab and imaging results; and, ultimately, be the decision-maker as to the patient’s ultimate disposition.
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Is ED Patient Rude or Insulting? Risk Mitigation Needed
Patients who behave in this manner could be at risk for a missed diagnosis caused by poor communication with the treatment team. They may be so difficult to tolerate that they receive less attention and nursing care than they would have otherwise. The best approach is to recognize the risks with these types of patients and mitigate them.