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The bad news: Nearly three-quarters of ED physicians may experience depression at some point in their careers, and nearly half consider harming themselves. The worse news: Nearly half of those with such problems do not seek treatment.
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While patient simulators can clearly be used to assess the performance of ED staff in pediatric trauma cases, they also can be used to improve their performance in these cases. Thats what the ED at Cincinnati Childrens Hospital Medical Center has been doing since May 2002.
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Stroke remains the third leading cause of death, but more importantly the cause of severe morbidity particularly among the elderly. Up to two-thirds of strokes leave the patient with significant disabilities, often requiring institutional care.
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It is reasonably settled that from a legal and/or ethical viewpoint that a competent patient has the right to direct his or her own medical care in any scenario. However, when the patient who is receiving medical care is no longer legally competent or never was legally competent to undertake medical decisions, the legal and ethical waters become murky.
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One of the most challenging evaluations that an emergency department (ED) physician is asked to perform is the examination of a child with potential child abuse. The majority of ED physicians feel overwhelmed, and although they would like to perform the "ideal" history and physical examination, they find themselves feeling inadequate in these situations.
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Domestic violence is a serious problem that, unfortunately, is seen all too commonly in our emergency departments. Statistics show, however, that physicians, including emergency physicians, are not good at identifying victims of domestic violence.
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In North America, rotavirus gastroenteritis is a predictable winter epidemic every year--young children presenting to emergency departments and outpatient clinics with fever, vomiting, diarrhea, and varying degrees of dehydration.