Emergency
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Pushing the Envelope on STEMI Response
Investigators maintain that every minute of treatment delay leads to irreversible heart damage in patients suffering STEMI.
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Alternatives to Opioids for Acute Pain Management in the Emergency Department: Part II
As emergency physicians, we want to ensure our patients are not suffering severe pain. But, at the same time, we clearly need to reduce the use of opioids. Balancing these two priorities is difficult but important to our patients and society as a whole.
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Alternatives to Opioids for Acute Pain Management in the Emergency Department: Part I
Using therapy designed specifically for several different painful conditions that commonly present to the ED, patients frequently achieve significant pain relief without the use of opioids.
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Noninvasive Ventilation in Asthma Exacerbation: Predictors of Use and Outcomes
In this large, retrospective cohort study, the use of noninvasive ventilation (NIV) as an initial mode of ventilation for patients with asthma exacerbation was common; those successfully treated with NIV experienced lower inpatient mortality and shorter lengths of stay, but were likely a carefully selected population.
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Noninvasive Ventilation Delivered Via Helmet May Decrease Intubation Rates in Acute Respiratory Distress Syndrome
In this single-center, randomized, clinical trial, among patients suffering from acute respiratory distress syndrome, the use of helmet noninvasive ventilation was associated with a reduction in intubation rates, ICU length of stay, and hospital and 90-day mortality.
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Noninvasive Positive Pressure Ventilation in Acute Respiratory Failure
A summary of data supporting the use of noninvasive positive pressure ventilation and continuous positive airway pressure in the setting of acute hypoxic and hypercapnic respiratory failure.
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Pediatric Sports-Related Injuries of the Lower Extremity: Ankle
Pediatric lower extremity injuries are common in the emergency department, especially with increasing sports specialization in young athletes. Acute care providers need to be familiar with common injury patterns, indications for radiographs, and more specialized imaging. Recognizing and maintaining a high degree of suspicion for high-morbidity injuries that may masquerade as an ankle sprain is critical. The authors review common injuries and also injuries that cannot be missed including Maisonneuve fracture, talar fractures, navicular fractures, Jones or pseudo-Jones fractures, Lisfranc injuries, and Salter-Harris fractures.
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Study: EMTALA Violations Found 40% of Time
But only 3% triggered fines.
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‘Brief, Superficial’ ED Interactions Spur Litigation
If patients think ED providers were rushed, inattentive, or disregarded their symptoms and complaints, they’re much more likely to second guess the care and explore legal remedies.
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How Much Protection Do ‘Good Samaritan’ Laws Really Offer EPs?
The answer depends on where the care took place, if the EP received compensation, and in what state the EP is located, among other factors, according to legal experts.