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The current economic crisis is creating "strenuous times for ED leaders because all prudence will be necessary," notes Steven J. Davidson, MD, MBA, FACEP, chairman, Department of Emergency Medicine, Maimonides Medical Center, Brooklyn, NY. "They are going to be challenged to be creative in finding ways to do things," he says.
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Among the key challenges that have developed in the past 20 years and have not yet been addressed is the failure of the community's mental health system, according to James J. Augustine, MD, FACEP, director of clinical operations at Emergency Medicine Physicians, an emergency physician partnership group in Canton, OH.
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Generally when we review our annual ED Management Salary Survey for defining trends, we see patterns emerging by reviewing the results in several categories. And while we still went through that process this year, even a quick glance at the results of the 2009 ED Management Salary Survey showed that one statistic jumped off the page.
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Before the implementation of a LEAN initiative in the ED at Good Samaritan Hospital in Kearney, NE, the average door-to-doc time was 28 minutes, and the average length of stay was 103 minutes numbers that were nothing to sneeze at. Nonetheless, Paul O'Connell, RN, director of emergency services, wanted to see those numbers improve.
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Patients with anal diseases can be some of the most uncomfortable patients presenting to the emergency department.
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Every intensivist recognizes that families play a prominent role in ICU decision making.
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Prior studies have demonstrated that delayed transfer of critically ill patients from the emergency department (ED) to the ICU (> 6 hours) prolongs ICU and hospital stay.
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Prone positioning has been advocated as a management strategy for patients with acute respiratory distress syndrome (ARDS), but despite evidence of improved oxygenation with the technique, numerous studies have yet to establish a mortality benefit from the practice.
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In this issue: Statin and niacin increase HDL-C, omeprazole reduces effectiveness of clopidogrel, darbe-poetin increases risk of stroke, statins decrease risk of gallstone disease, FDA Actions.