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Clinicians have been criticized for prescribing too much, as well as too little, sedation for critically ill patients, especially patients who require mechanical ventilation. Over-sedation may prolong weaning from ventilatory support, increase ICU and hospital lengths of stay, and predispose to development of ventilator-associated pneumonia. Inadequate sedation predisposes the patient to pain and discomfort and can evoke a stress response that compromises recovery.
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In this article, a leading expert in the area of improving health care quality argues that restricting visiting hours in ICUs is neither caring, compassionate, nor necessary.
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Question: The Centers for Medicare & Medicaid Services (CMS) recently issued guidance to surveyors on interpreting the final EMTALA rule, and one of the points stated that EMTALA no longer applies when the physician determines that no emergency exists. Does this mean that EMTALA no longer applies once the patient has been treated for the presenting emergency and that emergency no longer exists, but then another condition arises or the patient complains of something new?
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A new strategy for hastening treatment for heart attack victims is being tested in a mountainous California county where drive times to hospitals often are long, and the lead researcher says it could become a way for EDs to be their communitys leader in cardiac care.
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This is the radio public service announcement that Baptist Memorial Health Care in Memphis, TN, uses to educate the public about alternatives to using the ED for nonurgent care.
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Everyone talks about how the public misuses EDs and cause overcrowding, but nobody does anything about it, right? They do in Memphis, TN, where a hospital system is working to educate the public about when and when not to use the local EDs, with good results after just a few months.
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If you dont have thousands of dollars to educate your community about ED issues, a free resource is available.
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Underdosing of acetaminophen by parents and emergency department utilization; Multicenter study of emergency department visits for food allergies; Experience of domestic violence by women attending an inner-city accident and emergency department.
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Your ED can be significantly better prepared for cardiac patients if you receive more complete monitor data while the patient is en route to the hospital, say sources interviewed by ED Management.
