Emergency
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Educators Hope Emergency Nurse Residency Program Can Improve Retention, Prevent Burnout
What is the best way to prepare a new nurse for the challenges and requirements of an ED? The answer might be a comprehensive emergency nurse residency program capable of providing graduates and nurses new to the emergency environment with the judgment, skills, and resilience to launch long and successful careers.
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To Bolster Antibiotic Stewardship, Refine Culture Follow-Up Process
Appoint a dedicated person who sifts through culture reports, reviews old culture data, and follows up with patients. Ideally, this person would be an expert around the antibiotic spectrum who could tailor therapy to culture results.
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Experts Urge ED Leaders to Refocus Efforts on Antimicrobial Stewardship
Early advocates of antimicrobial stewardship tended to focus on prescribing in outpatient settings. In recent years, attention has shifted toward the ED — and there are many good reasons for this shift.
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Unusual Hepatitis Ailment Puzzles Investigators, Frontline Providers
Emergency clinicians have another novel illness to be concerned about. Investigators are uncovering a small, but growing number of unusual cases of hepatitis in young children that is putting many of these patients at risk for bad outcomes.
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Lower Gastrointestinal Bleeding
Lower gastrointestinal bleeding (LGIB) is a common cause of presentation to the emergency department. There is a wide array of clinical presentations and causes of LGIB. This article will focus mainly on acute LGIB, including small bowel bleeding, in the adult patient.
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Major Traumatic Brain Injury Can Raise Dementia Risk
Patients with brain bleeding and a long hospital stay were 1.5 times more likely to develop dementia compared to those with no injury.
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Too Many Antibiotics May Affect Vaccine Response Among Infants, Toddlers
Remain cautious about overprescribing antibiotics.
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Analysis Shows Uneven Distribution of Emergency Physician Residency Programs
Although there are more programs overall today than a decade ago, gaps remain in rural areas.
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Mortality and Days Alive Outside Institutions in Older Patients After Tracheostomy with or Without Gastrostomy Tube
Medicare beneficiaries who underwent tracheostomy and gastrostomy tube placement often remained institutionalized beyond three months, with three-, six-, and 12-month mortality greater than 40%, 50%, and 60%, respectively.
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Occult Hypoxemia Is More Common in Black Patients than in White Patients About to Undergo ECMO for Respiratory Failure
In this retrospective analysis of de-identified Extracorporeal Life Support Organization registry data, the prevalence of occult hypoxemia was higher in Black patients than in white patients. Hispanic and Asian patients had a similar prevalence of occult hypoxemia compared to white patients.