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What an emergency physician (EP) documents can unquestionably influence the outcome of a lawsuit, but is the same true for an ED's charting method?
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With some electronic medical record (EMR) documentation systems, plaintiff's attorneys may have a difficult time determining what actually happened during the ED visit.
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Suppose a patient is being seen in your ED for an extremity injury resulting from a motorcycle accident, and chooses to leave right after his arm is put in a splint, although the emergency physician (EP) hasn't yet done a full examination.
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Busy EDs are increasingly relying on temporary staff to cope with nursing shortages, unanticipated spikes in volume, and other personnel challenges, but the practice is coming at a steep price, according to research from Johns Hopkins University (JHU) School of Medicine in Baltimore, MD.
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Some electronic medical record (EMR) systems make it difficult for emergency physicians (EPs) to view the nursing notes, says Jonathan D. Lawrence, MD, JD, FACEP, an ED physician at St. Mary Medical Center in Long Beach, CA, and assistant professor of medicine at Harbor/University of California Los Angeles Medical Center, which increases the chance of conflicting information getting into the patient's chart.
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Exposure to specific solvents, and trichloroethylene in particular, is associated with an increased risk of Parkinson's disease.
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In a carefully studied group of patients who underwent brain biopsies for atypical presentations of multiple sclerosis, cortical demyelination or cortical inflammatory lesions were demonstrated in about half.
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Neurological disease affecting the non-dominant frontal lobe has been associated with a syndrome of "delusional jealousy," referred to as Othello syndrome.
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This clinical study evaluated patients with posterior reversible encephalopathy syndrome to determine the kind of seizures they experienced, abnormalities on EEG, and to correlate this with findings on neuroimaging (MRI).
