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There is now considerable data indicating that the use of high-dose steroids for spinal cord injuries is not effective and can even be harmful to patients. Despite this, are ED physicians still "obligated" in a legal sense, to administer high-dose steroids to patients with spinal cord injuries?
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You may hear phrases such as "gross negligence" and "willful and wanton misconduct" stated by the media, but these terms also are important for many health providers in that they can limit liability for providing medical care.
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Emergency physician groups have dealt with the realities of claims-made liability coverage for years now, yet many continue to be unpleasantly "surprised" when it comes to their "tail coverage." Tail coverage: allows the insured an extended period of time for the claim to mature or be reported to the insurance company.
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In early February 2008, all the ED physicians at St. Anthony's Medical Center in St. Louis, including ED medical director Ed Ferguson, MD, submitted their resignations over a dispute with the administration concerning the establishment of a physician group.
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As we go to press, a jury has cleared two ED physicians of negligence in a $67 million lawsuit filed by John Ritter's widow Amy Yasbeck in Los Angeles Superior Court.
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In the face of findings at Swedish Medical Center in Denver, that upgrading from a Level II trauma designation to a Level I significantly improves mortality rates, should an ED manager at a Level II facility advocate such an upgrade?
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When it comes to transferring seriously injured patients, there has not been a significant difference in how Level I and Level II trauma centers have traditionally been viewed, according to Sue Slone, MD, FACS, director of trauma surgery at Swedish Medical Center in Denver.
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The leadership at St. Luke's Episcopal Hospital in Houston has used "Lean" methodology to significantly improve performance in the ED, reducing median length of stay, frequency of diversions, and the percentage of patient who left before treatment was complete (LBTC).
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In response to concerns voiced by staff members about their own safety and that of their patients, and a desire for greater patient privacy, the treatment area of the ED at Central Vermont Medical Center (CVH) in Berlin has, in essence, been put on a full-time modified "lockdown."
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On Feb. 7, a fire and explosion rocked the Imperial Sugar Co. plant in Port Wentworth, GA.