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Improving Care for Patients with a Non-English Language Preference (NELP)

EMDocs

Well-meaning providers who are not highly fluent may contribute to miscommunication and diagnostic errors. Providers should respect and utilize this mode of communication, as well as document the patient’s request for a non-certified interpreter. Train your staff on best practices for using phone interpreters. April 2007.

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Paediatric Appendicitis

Don't Forget the Bubbles

Tilly is normally fit and well, with no significant past medical history. Clinical scoring tools for appendicitis The recently published Best Practice Pathway Guidance by NHS England recommends using clinical risk scores to assess all children with suspected appendicitis. JAMA, 2007. Her immunisations are up to date.

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PEM Currents – Agitation in Children – Episode 5: The Boarded ED Patient

EMDocs

It’s stressful for the ED clinical staff as well. ED Best Practices Optimizing the Environment Separate area from main ED is possible that has less distractions, loud noises. Children’s Mental Health Emergency Department Visits: 2007-2016. Why are we boarding? This has a downstream effect. Pediatrics. doi: 10.1542/peds.2020-030692

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Brain Trauma Guidelines for Emergency Medicine

ACEP Now

1 The practice guidelines were written by a multi-disciplinary group of experts and went through an extensive peer review process. This document is an update of guidelines first published in 2000, and then updated in 2007. The GCS must be obtained through interaction with the patient (i.e.,

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Episode 28 - Depressed and Suicidal Patients in the Emergency Department: An Evidence-Based Approach

EB Medicine

The PSS-3 assesses for depression/hopelessness and suicidal ideations in the past 2 weeks as well as lifetime history of suicide attempt. This model involves educating clinicians on best practices, identifying screening and assessment tools for engagement, treatment, and disposition. Let’s move on to the physical.

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Pediatric Pain

Pediatric Emergency Playbook

Tachycardia, tachypnea, and a change in behavior can be indicators not only to the presence of pain, but possibly to its etiology as well. For children greater than one year who are preverbal, a well performing scale is the FLACC score: Face, Legs, Activity, Cry, Consolability ( Table 3 ).

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Inhaled Corticosteroids An Underused Option for Asthma

ACEP Now

For patients well enough to be discharged from the ED, emergency physicians generally ensure patients have access to an albuterol rescue inhaler and often prescribe a short course of steroids; however, this is not the best practice. These bronchodilators provide quick relief.