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A 58-year-old woman presented with 3 days of dyspnea and was shown by CT scan to have pulmonary thromboemboli. She was anticoagulated with low-molecular-weight heparin and was stable for 2 days, but then developed acute respiratory failure, was intubated, and transferred to the ICU.
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A 53-year-old woman with a history of splenectomy 15 years ago for idiopathic thrombocytopenic purpura and no chronic medical problems awoke with headache, myalgias, and fever. She was seen at her local urgent care that evening where she had a temperature of 102°F with mild tachycardia but otherwise normal vital signs.
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Infection control practices often target clinician behaviors, eg, improving adherence to hand washing hygiene and other infection control practices.
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Question: Imagine the following situation: John Smith presents to the ED of Community Hospital. Hugo Brown, MD, in the ED performs a medical screening examination and determines that Smith has an emergency medical condition.
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At Southern Regional Medical Center in Riverdale, GA, the credit cards of one of the emergency nurses was stolen while she was at work, and the thieves used them all day.
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In an unsavory distinction, the lead author of the Rockville, MD-based Agency for Healthcare Research and Quality (AHRQ) has singled out the nations EDs as the worst performers in its 2005 National Healthcare Quality Report.
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David C. Seaberg, MD, a board member of the American College of Emergency Physicians (ACEP), has proposed a 10-point plan to increase capacity, alleviate overcrowding, and improve surge capacity in the nations emergency departments (ED).
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In the third quarter of 2001, the ED at Methodist Medical Center of Illinois, Peoria, ranked in the 17th percentile in patient satisfaction surveys by Press Ganey Associates in South Bend, IN. By the end of 2003, that number had risen incredibly to the 95th percentile.
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Is it an extremely creative solution to one of emergency medicines most nagging problems, or a violation of the Emergency Medical Treatment and Labor Act (EMTALA)?