Pediatric Emergency Medicine
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Care transitions: Geriatric medicine offers a roadmap to follow
While an increasing number of hospital systems are creating senior-friendly EDs, one new study suggests that many of the tenets of geriatric medicine are also applicable to the care of patients with complex health problems, especially with respect to care transitions. -
New guidelines for geriatric EDs: Guidance focused on boosting environment, care processes
A cadre of prominent medical groups, including the ACEP, ENA, AGS, and SAEM, has unveiled a comprehensive set of Geriatric Emergency Department Guidelines to aid hospitals that are either in the process of opening senior-focused EDs or revamping their policies and procedures to better meet the needs of an aging population. The guidelines offer recommendations related to staffing, infrastructure, education, and transition-of-care strategies. In addition, they outline a host of screenings that studies have shown are beneficial for older adults. -
Senior-focused EDs: Plenty of buzz, but outcomes/costs TBD
One indication that senior-focused emergency care settings are catching on: For the first time, geriatric EDs have appeared on the Plymouth Meeting, PA-based Emergency Care Research Institutes (ECRI) Top 10 Hospital C-Suite Watch List, an annual list of new technologies and health system developments that providers and policy makers should think carefully about, according to ECRI. -
Fractures in Older Adults
MONOGRAPH: As the population ages and continues to retain an increasingly high level of function, a unique pattern of injuries is emerging in older patients.
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ED Evaluation and Management of Pediatric Community-Acquired Pneumonia
Respiratory illnesses are a common cause for a visit to the pediatric emergency department (ED). A good number of the patients who present for respiratory infections will have illnesses such as upper respiratory infections (i.e., common colds) and bronchiolitis. -
Avoid Unpleasant Surprises with Malpractice Coverage
Emergency physicians (EPs) might be very surprised to learn that if they are sued, the malpractice case could end up being settled without their consent even if the claim is very defensible depending on the terms of their malpractice coverage. -
Patient’s Medication History Was Pivotal Issue in Claim Against EP
When a patient who presented with a headache was asked about her medications by the emergency department (ED) nurse and again by the emergency physician (EP), she stated only that she was taking albuterol and fluticasone for asthma. -
No Documentation of Communication with Other Providers? ED’s Defense is Hindered
A patient who presented to the emergency department (ED) complaining of nausea and right upper quadrant pain radiating to the epigastric area, difficulty walking and climbing stairs, and difficulty breathing, was presumed to be suffering from cholecystitis and prepared for a cholecystectomy. -
Consider Downside of Employer-paid EP Malpractice Premiums
Some emergency physicians (EPs) might jump at an employers offer to cover the cost of their professional liability coverage. However, there are some potential downsides to this arrangement, warn legal experts. -
Successful Claims Against EPs Involving Abnormal Findings After Patient Left ED
A recent malpractice claim involved a patient who presented to an emergency department (ED) with severe abdominal pain for which abdominal and pelvic CT scans were ordered by the emergency physician (EP).