Emergency
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Electronic Cigarette and Nicotine Toxicity
MONOGRAPH: The majority of electronic cigarette users are still smoking traditional cigarettes in addition to vaping.
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Clinicians Are Skeptical of Early Warning Systems for Sepsis
While early warning systems for sepsis lead to clinical action, clinicians are skeptical and do not perceive them to be beneficial.
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Bedside Ultrasound: Is It a Reliable Tool for Guiding Resuscitation in Patients with Undifferentiated Hypotension?
The use of bedside ultrasound for patients with undifferentiated hypotension in the emergency department substantially changed the plan of care and reduced physician diagnostic uncertainty.
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Initial Choice of Fluid for Sepsis Resuscitation May Affect Mortality
The use of balanced salt solutions rather than isotonic saline or colloids may improve in-hospital mortality in patients admitted with septic shock.
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Open Lung Biopsy in Critically Ill Patients
ABSTRACT & COMMENTARY: The procedure is associated with complication of persistent air leak and a significant hospital mortality of 54%.
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Severe Asthma Exacerbation in Pediatric Patients
MONOGRAPH: A small subset of children present in extremis requiring second- and third-line medications and airway management. Here is how to treat them.
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Ultrasound for Trauma
Point-of-care ultrasound is a critical clinical tool that facilitates the early diagnosis of many life-threatening injuries. As with any test, clinicians need to fully appreciate indications and limitations of the diagnostic tool and integrate where advantageous to their practice.
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Poor Communication with Physician Assistants Resulted in These Successful Lawsuits
EDs are increasingly relying on physician assistants and nurse practitioners, but this raises the possibility of more malpractice lawsuits, according to medical and legal experts.
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New Data on ED Malpractice Claims: 42% Involve Diagnosis
A data set of 107 closed claims involving the ED had an average total payment of $276,879 by location.
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Surprising Research on Ultrasound-related Lawsuits Against EPs
A 2012 analysis of lawsuits involving ultrasound in the ED found just one malpractice case — for failure to perform an ultrasound.