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Using the Critical-Care Pain Observation Tool to routinely assess pain in non-verbal ICU patients improved both the frequency of documented pain assessments and the administration of analgesics in two Canadian ICUs.
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Evidence-based updates in primary care medicine By Louis Kuritzky, MD
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Adolescent girls may not be straightforward about gynecologic issues, and the emergency practitioner should specifically and in a sensitive manner ask about the patients gynecologic history.
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For the past few years, the ED at St. Mary Medical Center in Langhorne, PA, has seen double-digit increases in patient volume. The surging demand has been difficult, to say the least. And by early 2012, administrators realized it was time for a change in course.
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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.