Emergency
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Surviving Sepsis: The New Guidelines
Subsequent revisions of Surviving Sepsis guidelines highlighted the need for early, appropriate antibiotics along with a new focus on initial resuscitation, stressing the importance of dynamic measurements instead of static variables to predict fluid responsiveness. The most recent 2021 revisions continue to stress the importance of these ideals, but they also place an increased emphasis on the hour-1 bundle and improving the care of sepsis patients after they are discharged from the intensive care unit.
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Managing Lower Extremity Sports Injuries
Musculoskeletal injuries are common in pediatric patients. It is important to recognize the difference between pediatric and adult injury patterns to optimize management. The authors focus on the diagnostic evaluation and treatment of acute pediatric sports-related lower extremity injuries in the emergency department.
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May Is National Nurses Month
Leverage the many resources available to meet all your nursing needs.
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Bony Knee Injuries in Pediatric Patients
The knee is the most commonly injured joint in pediatric patients, with approximately 2.5 million sports-related knee injuries seen in the emergency department annually. Although the most commonly diagnosed injuries are sprains, strains, and cutaneous wounds, fractures can cause the most profound injuries with the greatest long-term deficits.
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Decision Support Tool Boosts Outcomes for ED Patients with Pneumonia
The authors of a new study demonstrated that when deployed in the EDs of community hospitals, an electronic decision support tool for pneumonia can improve treatment while dramatically reducing mortality and inpatient utilization.
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EP Could Be Deposed if Patient Was Misdiagnosed at Another ED
Beware making well-meaning statements or criticizing other clinicians in front of patients.
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When ED Providers Overlook Information Conveyed by EMS
The emergency physician and ED nurse should take the report together when EMS arrives. Listen to what EMS found at the scene, what they did in terms of treatment, and what the response to that treatment was. Together, decide on the next steps.
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An ED-Friendly Screening Tool to Identify Potentially Violent Patients
Considering violence is a continuing concern in the emergency setting, there is high interest in new mechanisms that can identify potentially violent patients at the front end of their care encounters. This way, safeguards or preventive measures can be activated to keep providers and other patients safe. However, any such tool needs to be brief and easily integrated into the workflow of a busy ED.
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Who Is Legally Responsible for Patients in ED Waiting Room?
Addressing misconceptions about EMTALA and liability exposure for patients in ED waiting rooms.
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Reduce Risks for Patients in Observation Unit
Observation units provide additional time to stabilize, treat, and develop rapport with an ED patient with a potentially serious condition. On the other hand, if observation units are used as a way to avoid admission, EDs may be exposed to additional legal risks.