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What can we say to an ambulance crew who bring a patient to our hospital when we think the patient would be better cared for at another facility? If we have a good reason, can we tell them to take the patient elsewhere without risking an EMTALA violation?
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Consider making your ED more kid-friendly with these tips from Janice Frohman, MS, RN, administrative director for emergency services at WakeMed in Raleigh, NC, and Betty Jo Torres, RN, clinical director of the ED at Verdugo Hills Hospital in Glendale, CA:
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These are excerpts from the policy on how the emergency department at the Medical College of Georgia Medical Center in Augusta responds to surges in patient volume:
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Its been such a slow morning in your emergency department that youve actually been able to catch up on paperwork. Then three new patients arrive within minutes of each other. Then another six patients come in, one right after the other. Before you can finish triaging them, three more trudge in the door.
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Times still are tough for both physicians and nurses in emergency medicine when it comes to income and career opportunities, but there could be reason for optimism if the national economy continues its upswing.
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One component of the new accreditation process the Joint Commission on Accreditation of Healthcare Organizations will launch next year has some ED managers wondering about potential legal exposure.
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Accuracy of screening for inhalational anthrax after a bioterrorist attack; Trends in hospitalization after injury: Older women are displacing young men
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ED Management has learned that researchers are about to release new data confirming the benefits of a case management strategy heralded three years ago as a way to decrease the cost of treating repeat patients in the ED.
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The same strategies that landed the emergency department at Albany (NY) Medical Center in the top 5% for overall acute care of patients with acute coronary syndromes (ACS) in a national study can be used successfully in any ED, says an Albany ED physician. But be forewarned: Some interdepartmental diplomacy is key.
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The ED physician and trauma surgeon must have evidence-based
information on indications for emergency department thoracotomy that
can be determined rapidly, easily accessible equipment, and the ability
to recognize situations in which EDT clearly is not in the patients
best interest.