Emergency
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Shortness of Breath in Older Adults Is Challenging Diagnosis in ED
Older adults might present with atypical symptoms, such as “just not feeling right.” Some experience a decreased sensation of dyspnea itself, so they do not even report feeling short of breath. Older patients also may present with various comorbid conditions that are causing shortness of breath, such as congestive heart failure or COPD. This can lead to misdiagnosis.
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Few Hospitals Violating ‘Good Faith’ EMTALA Requirements for Admitted Patients
An ED patient is admitted, but then is transferred almost immediately. This kind of situation can call into question whether the admission was “good faith” or if the hospital was just trying to work around federal EMTALA requirements.
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Legal Implications for ED, Hospital if Triage Nurse Orders Testing
The authors of a recent analysis examined 13 studies about nurse-ordered testing at triage. Ten studies were about length of stay or time to diagnosis. The authors of the other three compared tests ordered at triage with tests ordered by emergency physicians. There were some surprising findings.
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Caring for Young Febrile Infants
Every clinician has struggled with managing a febrile infant. We know the majority will have a benign viral illness, but we fear the serious bacterial infection that may have devastating consequences in this vulnerable population. This evidence-based article reviews the current literature and approach to infants less than 60 days of age.
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Top Copay Collectors at Pediatric EDs
By performing their job well, registrars reduce worries for families — and bad debt for the hospital. Some patient access employees share how they do it.
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ED Patients Worry About the Bill, Registrars Can Intervene
People come to the ED sick, injured, or in severe pain. This is not an opportune time to ask someone for a $100 copay — or, worse, inform them they are responsible for the entire bill.
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The Agitated Patient in the Emergency Department
Agitation is a common presentation to the emergency department worldwide, as either the chief complaint or as a component of another medical problem. Agitation may be a manifestation of behavioral and mental health issues, have an organic medical or traumatic etiology, or be a result of substance abuse or withdrawal.
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Using Trained Observers to Keep At-Risk Patients Safe
A background as a personal care attendant, medical assistant, or mental health worker is a plus.
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Safety Protocol Can Prevent Self-Harm Incidents
Precautions include a focus on creating safe bathrooms, increasing the number of trained observers to monitor patients at risk, and managing access to belongings and clothing.
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TJC: Support Healthcare Workers During COVID-19 Pandemic
The Joint Commission has issued the first in a series of special bulletins aimed at addressing concerns raised by healthcare workers as they respond to the continuing COVID-19 pandemic.