Emergency
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Managing Migraine in the Emergency Department
When a patient with a self-identified migraine presents to the emergency department, the emergency physician is tasked with sorting through the history to ensure that the diagnosis is correct, to reasonably exclude other causes of an acute headache, initiate treatment, assess the response, and make an appropriate disposition for the patient, with referral to primary care or specialists as needed. This article will focus on the acute treatment of migraines in the emergency department.
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Recommendations Target Making Improvements in U.S. Organ Transplant System
The authors aimed for equity, transparency, and efficiency.
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Physician Turnover Costs Millions in Excess Healthcare Spending
Each time a physician leaves his or her practice, that can lead to more than $86,000 in extra costs during the following year.
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Time-to-Disposition Delays Are Possible if Patient Is Seen Early
Recent study findings reflect the different types of work occurring during an ED shift. At the beginning of a shift, providers prioritize seeing new patients and initiating workups. At the end of a shift, providers transition to following up on lab or imaging results, and making decisions on whether to admit or discharge.
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Noncompliance with Sepsis Measures Used to Prove Care Was Negligent
Along with growing general awareness, there are several positive developments in ED sepsis care, including laboratory tests helpful in diagnosing sepsis cases that have improved substantially. Also, there are new biomarkers of sepsis that are promising, and new molecular tests allow a lab to identify blood-borne infections in hours instead of the days formerly required for blood cultures to grow.
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Crowding Linked to Higher Risk of Children Leaving Without Assessment
Researchers argue leave without being seen rates should no longer be considered an isolated problem, but rather a costly consequence of ED crowding resulting from poor patient flow through the hospital and across the system.
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Youth Spend Days in EDs Waiting for Psychiatric Inpatient Care
Negative care outcomes, treatment delays, risk of injury (to patients, family, or staff), and poor satisfaction are undesirable outcomes resulting from boarding.
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Patients Do Not Know if They Are Seeing an APP or an EP
Many patients do not realize the type of medical professional who handled their care. There are numerous unreliable, subjective ways patients may presuppose the credentials of the members of their care team, including individual partialities, along with personal and cultural experiences.
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Legal Exposure if EMS Are Noncompliant with Stroke Guidelines
If clinicians miss a stroke diagnosis or delay care for that condition, plaintiff attorneys are going to scrutinize everything ED providers could have done differently. However, whatever problems there are or were all could have started well before the patient arrived at the facility. In fact, most patients receive prehospital stroke care from EMS that is noncompliant with American Stroke Association guidelines.
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Integrate Youth Violence Prevention into Busy ED Workflow
There is an opportunity to intervene with young patients when they present to the ED for treatment of violence-related injuries. However, much less is known about how facilities can effectively seize this opportunity, considering the often-frantic pace of a busy department.