Emergency
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Should High-flow Oxygen Therapy Change Our Approach to Managing Acute Respiratory Failure?
Managing acute hypoxemic respiratory failure with high-flow nasal cannula significantly reduced intubation rates compared to standard oxygen (O2) mask delivery and non-invasive ventilation among patients whose arterial O2 tension to inspired O2 fraction ratio (PaO2/FiO2) was < 200.
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Achieving Successful Rehabilitation in the ICU
Clinicians should consider ICU-acquired weakness in almost every critically ill patient who is ventilated.
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Did ED Patient Refuse Admission? This Documentation Is Essential
If the patient refused admission and a bad outcome occurs, the plaintiff’s attorney will likely allege the EP was negligent for failing to insist on the patient being admitted, and that the EP should have protected the patient against the patient’s own bad judgment.
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Length-of-Stay Benchmarks Linked to Fewer Adverse Events
EDs with a higher percentage of patients meeting length-of-stay benchmarks on a given shift had lower rates of adverse events, according to a recent study.
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Bad Outcome in ‘Boarded’ ED Patient? Reduce Likelihood of EP’s Liability
Poor communication is often root of claims.
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Is EP ‘Over-documenting’ with EMRs? Malpractice Defense Will Be Difficult
Otherwise defensible claims against EPs are being settled.
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Apology Laws: Better Read the Fine Print
Not all apologies are equal. Many statutes don't offer protection from admission of fault and are merely expressions of sympathy.
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Pediatric Stroke
MONOGRAPH: Pediatric stroke presents a diagnostic challenge to the emergency physician. Here is what to look for and how to best proceed.
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Stroke Mimics: A Clinical Dilemma
MONOGRAPH: A quarter of patients with symptoms apparently due to an acute ischemic stroke have another condition that mimics it.
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Brief motivational interventions to reduce excessive drinking, intimate partner violence fail to positively impact outcomes
Investigators say results clarify the need for more intensive, long-term solutions for patients with multiple risk factors.