Emergency
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Medical Centers Employ Rapid Response Teams to Treat Difficult Airways
While emergency providers are trained in the management of difficult airways, there are times when added multidisciplinary expertise can be essential to ensuring a good outcome. To address these instances, some medical centers have established rapid response teams that will come to the bedside of patients with known difficult airways or new complications that make airway access problematic.
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Tickborne Illnesses
Blood-feeding ticks can transmit a wide variety of pathogens to people, which can result in significant infection and morbidity. During the past 10 years, the incidence of these diseases has increased rapidly, and the geographical regions where they occur has expanded. Recognizing symptoms that often are nonspecific and initiating appropriate treatment are critical to patient outcomes.
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Negative Fluid Balance on Day 3 Associated With Improved Outcomes in Critical Illness
In critically ill patients, a negative fluid balance on day 3 either spontaneously or with deresuscitative measures may be associated with lower mortality.
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ECMO vs. Optimal Protective Ventilation and Ancillary Therapies in Severe ARDS
Treatment of very severe acute respiratory distress syndrome with venovenous extracorporeal membrane oxygenation vs. lung-protective ventilation with aggressive ancillary therapy use demonstrated only a trend toward improved 60-day mortality.
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The Opioid Crisis in the ICU
A detailed exploration of the background of the opioid crisis and how it affects the ICU.
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Viral Influenza Infection and Complications: A Pediatric-focused Review
As influenza season approaches, it is important that clinicians prepare themselves with the current literature on clinical presentation, best and most rapid diagnostic testing, and treatment strategies in pediatric patients. The literature shows that antiviral agents are underutilized in children, a critical issue for this vulnerable population. The authors provide insight and evidence for diagnostic and therapeutic practice for the upcoming influenza season.
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Multiple Theories of Liability Regarding ED Violence
An expert shares insights on third-party violence and hospital liability.
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Hospitals Sued for False Imprisonment Due to Involuntary Holds
Recent lawsuits allege that patients who sought help at an ED for clinical reasons were held involuntarily because they were at homicidal/suicidal risk.
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No One Saw ED Nursing Notes? Jury May Not Like It
An ED patient was very specific during the nursing evaluation of his chest pain: It worsened during exertion. He also reported an extensive family history of cardiac problems. Both worrisome pieces of information were carefully documented in the ED nursing notes. However, they were mentioned nowhere in the EP’s documentation. This became a key issue during malpractice litigation.
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ED Misdiagnosis Case Alleged Failure to Use Decision Tool
Failure to obtain an ordered ECG, failure to use a decision tool, and anchoring bias were factors in a recent ED malpractice claim alleging missed pulmonary embolism.