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"Quit dreaming that your patients are being watched by physicians in the ED." That's what the vice chairman of the Department of Emergency Medicine at State University of New York at Stony Brook told physicians when he sought buy-in for a process to move patients boarded in the ED upstairs during high capacity.
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Managing a patient's compromised airway involves preparing for the possibility of not being able to complete the intubation procedure in a timely manner. To avoid ongoing hypoxia and hypercapnea, management should include being ready to use alternative or "rescue" methods, including a surgical airway.
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This story is Part 1 of a two-part series on liability risks of boarding admitted patients in the ED. This month, we'll report on liability risks of holding admitted patients in ED hallways.
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ED managers have tried several options to offset growing volume, but Bret Nicks, MD, assistant medical director at Wake Forest University Baptist Medical Center in Winston-Salem, NC, says the hybrid observation unit he oversees beats other alternatives.
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Eight EDs in the Canadian Province of Ontario have benefitted from government funding in the hiring of geriatric emergency management (GEM) nurses.
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Geriatric emergency management (GEM) nurses at Toronto's Humber River Regional Hospital (HRHH) use a strict set of criteria when assessing elderly patients in the ED and determining if they are "high-risk" patients.
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Several EDs in the Canadian Province of Ontario have significantly improved their care for elderly patients with the introduction of a new position called the geriatric emergency management (GEM) nurse.
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ED managers, hospital leaders, emergency medicine, and hospital organizations breathed a sigh of relief on Oct. 24, 2008, when the Centers for Medicare & Medicaid Services (CMS) issued a memorandum that clarified the use of standing orders in hospitals.
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The Greater Dayton (OH) Area Health Information Network (GDAHIN) was established in 1998, but local EDs have not been benefitting from the network for the entire 10 years; in fact, it was turned off in 2003.
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A new pilot program that allows EDs and health care systems across Milwaukee to share patient information is expected to save thousands of dollars by eliminating redundant testing, while improving patient care.