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Emergency

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  • ED-centric approach earns hospital award

    Having an ED physician as its president might not have been the only reason that Aurora BayCare Medical Center in Green Bay, WI, became the first U.S. hospital to be verified as an emergency center of excellence, but it sure didn't hurt.
  • Do EDs underutilize MET stones therapy?

    According to a new study published online and ahead of print in the journal Urology1, medical expulsive therapy (MET) for urinary stones is underused in American EDs despite evidence of its safety and efficacy.
  • At this center, 'staff' training means everyone

    [Editor's note: This is the first part of a two-part series on staff training at the chest pain center at Oregon Health & Science University Hospital. In this issue, we tell you about training for the valet, patient access service clerk, and triage nurses. In next month's issue, we'll tell you how they enhanced their care for ST-segment elevation myocardial infarction (STEMI) and how atomic clocks were purchased to synchronize door-to-balloon times.]
  • Telemedicine extends stroke experts' 'REACH'

    Proponents of telemedicine have long touted its ability to provide expert consultation for rural facilities that otherwise must deal with a dearth of subspecialists, and nowhere is such help more critical than in stroke care, where time is such a vital element.
  • Will reform make things even worse for EDs?

    With Congress seriously considering several pieces of health care reform legislation, two studies conducted in Massachusetts by the American College of Emergency Physicians (ACEP) have some observers worried that reform will mean even worse crowding conditions for the nation's already overburdened EDs.
  • National emergency declaration creates H1N1 options for EDs

    On Oct. 24, 2009, President Barack Obama signed a national emergency declaration to help the nation's health care providers to better respond to the H1N1 pandemic.
  • Pharmacology Watch: Insulin Regimens in Type 2 Diabetes

    In this issue: Efficacy of once-daily insulin, aldo-sterone use in heart failure, erectile dysfunction Clinical Practice Guidelines, and FDA Actions.
  • Both Hyponatremia and Hypernatremia at ICU Admission Predict Poor Outcome

    In this study using a large database of adult patients admitted to 77 ICUs in Austria from 1998 through 2007, Funk and colleagues examined the association between initial values for serum sodium (either below or above the normal range of 135-145 mmol/L) and the outcomes of ICU and hospital stays.
  • Stress Ulcer Prophylaxis: Do No Harm

    This study's primary aim was to document the risk factors for stress ulcers and the use of stress ulcer prophylaxis (SUP) in patients upon ICU admission, transfer to the floor, and discharge home.
  • Do You Come to Work When You're Sick?

    This article reports on a questionnaire study administered to medical students, residents in internal medicine and surgery, and staff physicians at the University of Toronto in the summer of 2006.