Emergency
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Common Foot Problems
Foot problems are a common chief complaint. Patients may present to the ED when they do not have access to other sources of care or when an exacerbation becomes painful enough. Although these foot problems rarely are considered emergencies, it is useful for the emergency physician to be knowledgeable about these conditions to provide sound advice to patients and appropriate referral.
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Trajectory of Physical Function Recovery May Help Inform Prognosis for Survivors of Acute Respiratory Failure
There are several distinct trajectories of recovery after acute respiratory failure. The group with the highest physical function consisted primarily of younger women who experienced less continuous sedation time and shorter ICU length of stay.
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Impact of Early Low-Dose Norepinephrine in Adults Experiencing Sepsis With Hypotension
Adult patients experiencing sepsis with hypotension but who did not meet the definition of septic shock received a median of 800 mL of intravenous fluid prior to initiation of norepinephrine 0.05 mcg/kg/min as a non-titratable infusion. Patients in this early vasopressor group had much lower odds of failing to achieve their primary outcome of adequate mean arterial pressure and tissue perfusion when early norepinephrine was provided.
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Heparin-Induced Thrombocytopenia: What’s the Latest?
Heparin-induced thrombocytopenia is an iatrogenic, potentially life-threatening complication that occurs after exposure to heparin therapy in hospitalized patients. Early recognition and timely initiation of treatment are critical for improved prognosis.
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Approach to Pediatric Abdominal Pain in the ED: Part I
Abdominal pain is a common pediatric chief complaint with a diversity of etiologies. Many are benign, but some have the potential for devastating consequences if a timely diagnosis is not made. Understanding and practicing a comprehensive approach facilitates consideration of more serious pathology while allowing for a focused diagnostic plan. This two-part series guides the clinician to a practical clinical approach to pediatric abdominal pain.
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Just Apologizing Not Enough for EDs to Reduce Malpractice Risk
Apology laws enacted by 39 states and the District of Columbia make apologies inadmissible as evidence in subsequent malpractice trials. The laws are based on the assumption that patients who receive apologies will not be as likely to take legal action. Researchers analyzed claims from a national malpractice insurer over an eight-year period and concluded that apology laws are not doing what they purport.
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Hospital Advertisements About ED Care Can Cause Problems for Defense
Hospitals try to set themselves apart from the competition with advertisements about the excellent care people can expect in their EDs. But beware: The ads can be used against hospitals by creative plaintiff attorneys in many ways.