Emergency
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Acute Kidney Injury With Combination Antibiotics in the Critically Ill
In this retrospective study, a short course (24 to < 72 hours) of combination antibiotic therapy with piperacillin-tazobactam and vancomycin was not associated with an increased risk of acute kidney injury among critically ill patients when compared with other β-lactam and vancomycin combinations.
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NOACs vs. Warfarin: What Are the Data in Patients With Traumatic Brain Injury and Intracranial Hemorrhage?
A three-year analysis of a prospectively maintained database with traumatic brain injury patients revealed that novel oral anticoagulant use is associated with increased risk of intracranial hemorrhage progression, neurosurgical intervention, and mortality.
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Early Neuromuscular Blockade in Moderate-to-Severe Acute Respiratory Distress Syndrome
When the early use of a continuous infusion of cisatracurium was compared to contemporary supportive care for moderate-to-severe ARDS, including a light sedation target, high positive-end expiratory pressure, and conservative fluid strategy, there was no difference in 90-day mortality. Patients in the early neuromuscular blockade group more frequently experienced a severe cardiovascular event and ICU-acquired weakness by day 28.
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Approach to Pediatric Abdominal Pain in the ED: Part II
Abdominal pain is challenging in pediatrics. This two-part series deals with must-not-miss diagnosis and common etiologies of abdominal pain. In this second part, the authors focus on toddlers and older children. -
‘Very Scary’ Legal Ramifications for Hospitals if ED Clinician Diverts Drugs
If ED nurses or physicians are diverting drugs, a state board investigation, malpractice lawsuit, or both are possible. The hospital also could be legally exposed.
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ED Patient 'Drunk, Disheveled, Foul-Smelling,' According to Medical Record
Healthcare workers should avoid angry charting. Judgmental or insulting statements about patients and coworkers can come back to haunt a physician or nurse in litigation.
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EPs Facing Litigation Need Support
Many EPs who find themselves defendants question their own skills and experience anger and depression.
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Multiple Defendants in ED Claim? Often, Conflicts Are Inevitable
Many ED malpractice claims include multiple defendants. Each defendant has unique (and sometimes competing) interests.
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Anticoagulant Misadventures Give Rise to Malpractice Claims
Allegations in ED malpractice claims involving anticoagulants can include improper administration, improper withholding, and failure to continue the drug during hospitalization.
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Negligent Credentialing Puts Hospital on Hook in ED Claim
Negligent credentialing is a way to bring the hospital into malpractice litigation against an EP. It also circumvents state damage caps in some cases.