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A new web-based mapping system in Loma Linda, CA, provides EDs and emergency service organizations in a wide geographical area with real-time information that helps ensure that accident and disaster victims will get to the closest available ED in the shortest possible time. Called AEGIS (Advanced Emergency Geographic Information Systems), it was developed by the Redlands, CA-based Environmental Systems Research Institute (ESRI) for the Center for Prehospital Care, Education, and Research at Loma Linda University Medical Center.
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Noting that only about one-third of hospitals provide emergency care to heart attack patients quickly enough to meet scientific guidelines for saving lives, the American College of Cardiology (ACC) has debuted a campaign called "D2B: An Alliance for Quality," aimed at helping EDs and their hospitals cut an average of 30 minutes off their door-to-balloon (D2B) times by adopting six core strategies:
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Citing a lack of consistency and complete information in ED discharge forms for patients with mild-trauma brain injury (MTBI), researchers at the University of Buffalo (NY) have proposed a new discharge form they say reflects the key risk factors outlined in research literature. Their findings are reported in the August 2006 issue of Brain Injury.
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Members of the ED staff at Blount Memorial Hospital in Maryville, TN, have cut the door-to-doc time from one hour to 45 minutes, and they hope to get it below 30 minutes, following a new initiative using a process called multivariable testing (MVT).
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Not content with a 30-minute guarantee that it has been offering its ED patients for six years, Michigan's Oakwood Healthcare System has declared that patients will now be seen as soon as they walk though the ED doors. So far, so good, say ED staffers, who concede that the new approach could not have been accomplished by the ED alone.
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Using bedside ultrasound to detect pneumothoraces was first introduced in a veterinary journal in 1987. In 1989, Wernecke and colleagues published the first report on the ability of ultrasound to diagnose pneumothoraces in humans.
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Physicians believe that most medical malpractice lawsuits are without merit.
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On January 6, 2006, well-known Washington, DC, journalist David Rosenbaum had wine and dinner with his wife, then picked up his music player and headphones and went out for a walk.
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