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Less than two weeks after instituting a Post-Arrest Hypothermia program for heart attack patients, Providence (CA) Tarzana Medical Center has applied the body-cooling treatment in three cases, and each patient showed remarkable neurologic recovery.
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When the H1N1 virus hit the United States this spring, some EDs were "caught unprepared," according to one emergency medicine expert, and many agree that changes must be made before the virus gains strength this fall, as predicted by the Centers for Disease Control and Prevention (CDC).
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ED managers may find themselves in the spotlight as the Internal Revenue Service (IRS) has renewed its commitment to scrutinize not-for-profit organizations, which include a large number of hospitals.
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[Editor's note: This is the second column in a two-part series on the relationship between medical decision making and documentation. In the May issue, we covered the key components of medical decision making. This month we address risk as an element of decision-making. This quarterly column on ED coding is written by Caral Edelberg, CPC, CCS-P, CHC, president of Edelberg Compliance Associates in Baton Rouge, LA.]
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If you're in a brand-new ED and patient flow remains an issue, expansion is clearly out of the question, but that doesn't mean you can't successfully address the problem.
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Top executives of Detroit's five major hospital systems, in an effort to offset what some see as "inappropriate" ED care, i.e., primary care services for uninsured or underinsured patients, are considering a plan that would put federally qualified health centers (FQHCs) inside their hospitals' EDs.
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Emergency medicine physicians routinely deal with cardiac emergencies in adult patients but rarely encounter infants with critical cardiac conditions. While the infant's cardiac physiology can be very different from an adult's, the general principles of preload, afterload, contractility, and vascular resistance are the same.
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The Advanced Trauma Life Support (ATLS) course for doctors was introduced in Nebraska in 1978 and given nationally for the first time in 1980 by the American College of Surgeons. The goal of ATLS is to serve as a safe and reliable method for managing patients with traumatic injury and provide a "common baseline for the continued innovation and challenge of existing paradigms in trauma care."