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Overcrowding and emergency department (ED) boarding are the two top liability risks that Douglas Brunette, MD, assistant chief of emergency medicine for clinical affairs at Hennepin County Medical Center in Minnesota, sees for EDs currently.
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When Robert B. Takla, MD, MBA, FACEP, chief of the Emergency Center at St. John Hospital and Medical Center in Detroit, MI, was named in a lawsuit early in his career, he was certain he hadn't breached the standard of care, though the same may not have been true regarding one of his emergency physician (EP) colleagues.
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Abdominal pain is an exceedingly common presentation in the emergency department. Every clinician fears missing the diagnosis of appendicitis. Children are particularly challenging since appendicitis is less common, and the history and physical may be subtle. The diagnostic use of CT is not without its risks and must be balanced against the potential risk of appendicitis in each individual patient. This article provides a comprehensive review of appendicitis in children.
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If an ED patient dies because she doesn't take antibiotics, as instructed by the emergency physician (EP), this doesn't mean that her family won't later sue for medical malpractice.
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Not every patient experiencing shortness of breath needs to have definitive airway intervention such as intubation, says Sybil Murray, RN, an ED nurse at St. Anthony's Medical Center in St. Louis, MO.
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Your next stroke patient may be aware there is a drug called tissue plasminogen activator (tPA), but he or she probably won't realize how few stroke patients are actually candidates for this treatment.
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If your patient has aspirated prior to being intubated, he or she is at increased risk for ventilator-associated pneumonia (VAP), warns Nicole Schiever, RN, MSN, ED team leader at Riverside Medical Center in Kankakee, IL.
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When an ED physician at Scripps Mercy San Diego (CA) decided to order lorazepam to help an elderly man sleep, the ED nurse caring for the patient got a very unexpected reaction.
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If your ED patient is taking multiple medications, he or she may have no idea what they are for. "They may tell us they are taking them because they were prescribed, without knowing what the purpose is or if the dosage changed recently," says Jocelyn Cajanap, RN, ED educator at Glendale (CA) Adventist Medical Center.
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While observing an elderly woman rubbing her arm as though it was a muscle ache, which she said was from gardening work, the possibility of a heart attack didn't cross the mind of the ED nurse caring for the patient.
