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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. Pediatrics.

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The Pause- a recognition of a life

Don't Forget the Bubbles

Definitive emotional support is critical to our emotional and psychological well-being. 2012) “Professional burnout, vicarious trauma, secondary traumatic stress, and compassion fatigue”. Best Practices in Mental Health. This gives rise to feelings of failure alongside the feelings of grief. Psychological harm occurs.

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emDOCs Podcast – Episode 89: Antibiotics for Uncomplicated Diverticulitis

EMDocs

Antibiotics are recommended for those with complicated diverticulitis, as well as surgical specialist consult if necessary (e.g., 2012 Apr;99(4):532-9. 2012 Apr;99(4):532-9. perforation). Randomized Controlled Trials: The AVOD trial: Chabok A, Påhlman L, Hjern F, Haapaniemi S, Smedh K; AVOD Study Group. Randomized  Br J Surg.

Sepsis 108
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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. Pediatrics, 2012. Bachur, R.G., 129 (5): p.

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Agitation Treatment in the Emergency Department

ACEP Now

The article also will not address severe agitation, which is already well covered elsewhere and is the topic of an ACEP clinical policy currently in development. 2012 Feb;13(1):17-25. 2012 Feb;13(1):26-34. This article focuses on calming medication in patients with mild to moderate agitation. West J Emerg Med. J Emerg Med.

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Choosing wisely – less can be more

Don't Forget the Bubbles

The campaign started in the United States in 2012, in Canada two years later, and in the United Kingdom in 2016. Choosing Wisely aims to help clinicians align with best practices by avoiding interventions that are not supported by evidence. These interventions should be discussed carefully with patients before being carried out.

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Pediatric Pain

Pediatric Emergency Playbook

For example, a very anxious caregiver can easily transmit his or her anxiety to the child, which may either inhibit or amplify presentation of symptoms ( Bearden 2012 ). Tachycardia, tachypnea, and a change in behavior can be indicators not only to the presence of pain, but possibly to its etiology as well.