Emergency
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Ethical Considerations When Nurses Perform ‘Slow Codes’ at End of Life
On some occasions, limited resuscitation efforts occurred without the family’s knowledge. Not all resuscitation measures are medically beneficial, and clinicians often must decide in the moment if they are clinically appropriate to perform.
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Notification Practices Vary for Emergency Research, Few Participants Withdraw
Find consent processes that protect and preserve patients’ autonomy to the extent possible, while also allowing medical progress to occur and giving participants access to potentially beneficial therapies. Doing so may require
a more creative process than just following the rules. -
Carbon Monoxide Exposure: Evaluation and Management
Carbon monoxide is responsible for significant morbidity and mortality worldwide and often represents a diagnostic challenge for emergency providers because of its wide range of nonspecific symptoms.
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A Critical Review of Potentially Deadly Pediatric Ingestions
It is imperative for the emergency provider to be aware of common agents that can cause life-threatening toxicity or death should accidental ingestions occur. This article focuses on substances that are potentially catastrophic if ingestions occur and how to manage them accordingly.
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Venomous Bites
Humans increasingly invade the environments of venomous creatures. The authors provide a review of venomous creatures and what acute care providers need to manage the patients affected by them.
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Researchers: Emergency Providers Missing Chances to Avert Future Opioid Disasters
Investigators express concern about prescribing rates for medication-assisted treatment after ED visits for opioid overdoses recorded between late 2019 and early 2021.
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Legal Action Possible, But Not Always Advisable, for Bad Reviews of ED Visit
Providers must put emotions aside and make hard calculations on what they are looking to achieve — and how much they are willing to spend.
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In ED, Medication Harms Often Caused by Nontherapeutic Use
Of the 96,925 cases included in an analysis, 69.1% involved therapeutic use. Medication-related misuse, abuse, or self-harm caused approximately 62% of ED visits for medication-related harms in patients age 15-24 years, but only 22% of visits for patients age 55-64 years. For patients younger than age 45 years, 52.5% of ED visits involved nontherapeutic use.
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ED Plays ‘Central Role’ in STEMI Care
This includes prehospital cath lab activation, knowing when it is appropriate to bypass the ED, understanding the sequence of events for patients presenting to the ED, knowing what to do to shorten ED dwell time, and knowing what is best to do if awaiting cath lab arrival.
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Patients’ Involvement in Decision-Making Linked to Lower Malpractice Risks
When there is more than one reasonable treatment option, discussing the options with the patient and documenting the discussion may mitigate malpractice risk, especially in the event of a bad outcome.