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In the wake of the horrific massacre of young children by a disturbed gunman at Sandy Hook Elementary School in Newtown, CT, there has been a national discussion about what the country can do to curb such senseless acts of violence.
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No one wants to see the ED used inappropriately, but it can be particularly frustrating when patients keep coming back with problems that never seem to get resolved.
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Opioid use/abuse is an increasing problem. In a mail survey sent to a random community sample, 4.1% of respondents admitted to taking opioids at that time.
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In stroke patients, both acute and during recovery, use a bedside dysphagia screening tool to identify patients at risk for aspiration pneumonia and to guide dietary orders.
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This is the second issue in the series on minor trauma. This issue deals with neck and chest injuries. Emergency providers must differentiate between minor injuries and the rarer serious injuries, all while being cost effective and avoiding unnecessary radiation.
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Medical record cloning is rapidly becoming a target of Medicare audits as more hospitals and medical practices move to electronic medical records (EMRs). As the health care industry has realized significant advantages from use of EMRs, documentation has drawn increasing governmental attention due to the increase in charges.
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With their hectic schedules and demanding work responsibilities, emergency physicians are particularly vulnerable to symptoms of burnout. One study showed that more than half of emergency providers reported at least one symptom of burnout when they were asked to fill out a survey tool used to measure burnout more than any other type of provider.