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[Editor's note: This is the second of a two-part series on medical screening examinations (MSEs) performed by emergency nurses. This month, we cover the potential liability risks of nurse-performed MSEs and how to avoid legal problems. Last month, we reported on benefits seen by two EDs that have implemented this practice.]
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When 103 ED patients, 34 ED physicians, and 44 ED nurses were surveyed, they all agreed on one thing: Treating chronic pain in the ED is a "low priority."
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Nearly half of older patients use prescription and over-the-counter (OTC) medications together, says a new study, and one in 25 is at risk for a major potential drug-drug interaction. The researchers also found that 29% of these patients use at least five prescription medications.
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Severely dehydrated children are "in imminent danger" due to cardiovascular collapse, increased acidosis, and metabolic abnormalities, all of which can lead to significant morbidity and in some cases mortality, warns P. Jamil Madati, MD, director of emergency medical services at Rady Children's Hospital in San Diego.
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On the next chart you pick up, the triage nurse has written, "Back pain, needs med refill." What is your honest reaction? Mine, too. But after evaluating the patient, sometimes I am embarrassed that my initial reaction was negative.
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Knee and ankle injuries are very common in pediatrics. Sports and recreational activities are frequent sources of injury, hence are sources of typical emergency department (ED) visits. Although sprains and contusions frequently occur, it is critical that the unique aspects of the pediatric skeleton and its associated vulnerability are considered. Imaging and treatment are focused on identification of fractures and associated injuries; correct immobilization and appropriate follow-up, based on the injury, are necessary to maximize the outcome for each injury.
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Drug combinations for hypertension; tenecteplase for out-of-hospital cardiac arrest; CAM most commonly used for back, neck, and arthritis pain; FDA Actions.
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Spreading of stimulation current to non-motor regions of the subthalamic nucleus (STN) or surrounding fiber tracts could be responsible for cognitive declines after STN deep brain stimulation (DBS), especially during bilateral stimulation and during complex cognitive-motor dual task.
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Biopsy of the clinically affected nerve gives the highest yield for the diagnosis of vasculitic neuropathy.