Emergency
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ED Patients in Observation Status Are Focus of Recent Med/Mal Cases
Sending a patient to an observation unit is not legally analogous to admitting a patient to the hospital.
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Deconstructing the Duty to Warn Doctrine
It has been the generally accepted standard that a provider must warn a third party of the potential harm from a patient when there is significant threat of harm toward a reasonably identifiable person. However, the delicate balance of these ethical challenges has come under recent assault.
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Penetrating Neck Trauma
Penetrating neck trauma presents a clinical challenge to the emergency physician. Clinicians must have a planned approach to these patients to optimize outcomes.
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Evaluation and Management of Seizures in the Emergency Department
Seizures are a common complaint in both children and adults presenting to the emergency department. Seizures may stop prior to physician evaluation, may be ongoing upon presentation, or may occur after the patient is brought to the ED. Patients may be experiencing a seizure for the first time in their lives or may be suffering from chronic epilepsy.
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Study: Reverse Triage Can Make a Meaningful Contribution to Capacity Creation
What happens when the demand for care primarily comes from pediatric patients?
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Health Promotion Advocate Extends Benefits Offered to Adolescents, Young Adults
These advocates identify risky behaviors and needs, link patients with care and resources, and use motivational interviewing techniques to nudge patients toward positive behavioral changes.
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Alarming Rates of Mortality in Patients with Opioid Use Disorder Should Spur Action
Experts note only a small percentage of patients with this disorder are treated by addiction specialists or specialty clinics, and that other medical settings must develop innovative solutions.
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Non-Traumatic Ocular Emergencies
Evaluating eye-related complaints in the ED requires a good understanding of the anatomy and potential implications of failure to treat. Although most ED presentations are nonemergent, it is important that the emergency physician identify the emergent presentations and manage them promptly to prevent potential vision loss.
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Infantile Vomiting
Every viral season, something gets missed. All vomiting is not acute gastroenteritis! The clinician needs to have a thorough understanding of the process of vomiting to formulate a complete differential accurately and in a timely manner. A complete history, physical exam, and targeted diagnostic testing are used to ensure an accurate diagnosis with effective management is instituted.
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Studying Surrogate Responses Can Improve Communication in Chronic Critical Illness
Qualitative analysis of audio-recorded structured meetings for patients with chronic critical illness revealed six categories of responses that clinicians can use to guide communication.