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Embedded crisis workers help to decompress ED, connect mental health and addiction medicine patients with needed resources
To manage a big spike in demand from patients seeking emergency care for mental health (MH) and addiction medicine concerns, staff from the University of Pittsburgh Medical Center-Mercy and Western Psychiatric Institute and Clinic of UPMC have devised a series of interventions aimed at quickly linking these patients with the care and resources they need. -
Hospitals leverage nursing staff, IT tools to reach out to patients following discharge from the ED
Hospital and ED administrators have found that initiating patient contact shortly after discharge from the ED can positively impact patient satisfaction while also offering opportunities to improve patient compliance with care instructions and to intervene early if complications arise. While some hospitals still rely on manual calls to patients, others are initiating contact through email and text messages. -
Text message program improves outcomes, decreases ED utilization among ED patients with poorly controlled diabetes
Diabetic patients who lack access to primary care tend to frequent the ED, often with complications from their disease that could have been prevented with proper management and education. -
Legal Risks for EPs Who Fail to Obtain a Consult
Failure to obtain specialist consultation is one of the main recurring themes Ken Zafren, MD, FAAEM, FACEP, has seen over the years in reviewing medical malpractice claims against emergency physicians (EPs) as an expert witness. -
Tick-borne Illness in the ED: Part I
Lyme disease is the most common vector disease. It often presents with erythema chronicum migrans in its earliest and most treatable stage.
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Diagnosis and Management of Respiratory Syncytial Virus in the Emergency Department
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Massive Transfusion: Part I
This is a two-part article on the treatment of massive hemorrhage, which is something that can be seen in any emergency department, small or large, rural or urban. There have been recent changes in the use of blood and adjuvant therapies, in part from our military advances. These articles will review the current recommendations for massive transfusion. Part II of the article will review adjunct therapies, scoring systems, and complications of massive transfusion. -
Current Status of the Diagnosis and Treatment of Pediatric Urinary Tract Infections
Urinary tract infections (UTIs) are a potential cause of fever in the pediatric patient. Early testing and a timely diagnosis are critical to avert complications and potential scarring of the kidneys. Complication rates in children younger than 90 days of age are 7% and include bacteremia, meningitis, and urosepsis, although a well-appearing infant with a CRP of < 4 mg/dL is significantly less likely to develop complications. The authors present a concise review of the current status of the diagnosis and management of pediatric UTIs. -
Influenza
Influenza is possibly the most widespread and well known of infectious diseases. Seasonal epidemics can be found on all continents, and no age segment of the population is untouched. -
Americans face ‘an unacceptable level of risk’ from infectious disease