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As more hospitals tackle the injuries from patient handling, a second major cause of musculoskeletal injury is coming to the forefront: Slips, trips, and falls.
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The search for a better respirator continues. For health care workers, the difficulties with respiratory protection extend beyond the question of fit. They also struggle with tolerability and comfort throughout a shift.
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Better-fitting respirators may not be the only outcome of proposed new criteria for N95s. Some critics predict frustration and confusion will be unintended consequences of the proposed rule.
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A laundry worker died of acute asthma after breathing bleach fumes from an open pail. Floor cleaner splashed in the eyes of housekeepers. Even bystanders suffered irritating effects of disinfecting chemicals.
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The "greening" of American hospitals may be a golden opportunity for employee health.
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There are many things that factor into missing a diagnosis of appendicitis, says William Sullivan, DO, JD, FACEP, director of emergency services at St. Mary's Hospital in Streator, IL.
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"This takes the longest to document," he says. "I might not remember every piece of history I asked, or every part of the physical exam that I did, even with computer guidance," he says. "But I spend most of my time on medical reasoning."
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Last month's ED Legal Letter analyzed some recent tort reform court battles. This month, we review cases where physicians are suing state governments to stop them from pilfering the cash in patient malpractice compensation funds, and a few more cases litigating state and federal tort laws.
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Though myocardial infarction is often a key area of focus when it comes to ED misdiagnoses and subsequent lawsuits, appendicitis is another common and serious misdiagnosis in the ED.