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In the case of fulminant meningococcal disease, laboratory tests are not available fast enough to be helpful, and may be within normal ranges early in a precipitous course. Provide rapid fluid support and antibiotics immediately and obtain blood cultures with the initial IV placement if possible, but do not delay antibiotics for the sake of good cultures.
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Penetrating neck trauma continues to be a challenging subset of trauma care. This area is loaded with potential high-risk injuries and controversies about the optimal management.
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We are all aware of the negative effects of unnecessary antibiotics. Antibiotic resistance is a current crisis in healthcare.
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Previous large, randomized studies have demonstrated improved neurological outcome in comatose patients with out-of-hospital cardiac arrest due to ventricular fibrillation (VF) who are managed with therapeutic hypothermia (TH): those with other arrhythmias or shock were excluded.
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The Truth About Multivitamins; Statins and Hepatitis C; Preventing Hot
Flashes; FDA News
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A recently published study using a large national administrative database found that only two-thirds of patients hospitalized with exacerbations of chronic obstructive pulmonary disease (COPD) received care that was consistent with current guidelines of the American College of Physicians and the American College of Chest Physicians.
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The "discovery rule" plays an important role in many medical malpractice cases, including those arising from ED care. Under this rule, the statute of limitations does not begin to run until the patient "knew or should have known" that a viable claim exists.
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To avoid legal problems for your ED during disasters, it's not enough to have a good plan in place--you must ensure that staff are familiar with procedures and follow them.