Emergency
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Busy Community Hospital Develops Process to Speed ED Throughput
Some patients are coming to the ED from nearby urgent care centers and physician offices where their care has already begun. ED administrators saw in this group a new opportunity to reduce wait times while also promoting better care integration between different healthcare settings.
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Steep Increases in STDs Jeopardize Efforts to End HIV Epidemic
Experts call for increased funding for STD prevention and surveillance efforts across the country.
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EDs Critical to Curbing HIV Epidemic, But More Involvement Needed
Investigators say there is a need for EDs to not just perform routine testing for HIV, but also take more ownership of the counseling and treatment aspects of care.
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CDC Offers Guidance on How to Recognize, Manage Vaping-Associated Lung Injury
The guidance states that patients suspected of presenting with e-cigarette or vaping product use-associated lung injury should undergo a chest radiograph. Hospital admission is recommended for patients with low blood oxygen levels or who are in respiratory distress.
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The Importance of Taking Blood Cultures Prior to Antibiotic Delivery in Sepsis Patients
While taking blood cultures should not significantly delay needed treatment, investigators noted their data prove that cultures taken post-treatment lose nearly half the clinical information needed to make subsequent treatment decisions.
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Evidence-Based Management of Arrhythmic Medications for the Emergency Department
Medications are frequently used in the emergency department to help restore conduction of normal cardiac electrophysiology. This article will briefly review arrhythmias and discuss commonly used and new medications with their indications, side effect profile, and contraindications to use.
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Temperature Trajectories to Find Sepsis Subphenotypes
The authors of this study used development and validation cohorts to retrospectively identify temperature trajectories over the first 72 hours from presentation in the setting of sepsis. Patients presenting with hyperthermia that resolved quickly (within the first 24 hours) had lower mortality compared to those with slow resolution or those presenting with hypothermia.
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Vasopressin Use in Septic Shock
Current management of septic shock includes early administration of intravenous fluids, antimicrobial agents, and vasopressor support. While norepinephrine is recommended as the first-line vasopressor for septic shock in the 2016 Surviving Sepsis Campaign guidelines, vasopressin is a second-line vasopressor option that may be added.
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Measles and Mumps: Old Diseases, New Outbreaks
Measles and mumps are back ... and not in a good way. Until now, many clinicians had only heard of these almost-eradicated diseases. Unfortunately, the reality is clinicians may see children with these diseases. It is critical to identify them early, recognize potential high-risk exposures, and manage the disease and its complications effectively. Involvement of public health resources and early appropriate isolation are necessary to limit the spread of these two infections. The author provides a timely review of all critical aspects of both of these diseases.
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Plaintiff Expert Looks for ‘Smoking Gun,’ But Often Finds No Evidence of Malpractice
Often, plaintiff experts are viewed as people who are out to get the EP. In reality, most of the time they find no evidence of malpractice.