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The Broselow-Luten System

Pediatric EM Morsels

Taking care of a critically ill child can be nerve-racking to say the least, and downright petrifying for those who don’t do it frequently, even if they are well-trained and brilliant clinicians. Good correlation to bed scale weight in trauma patients (Pearson coefficient 0.86), but there was some error in the highest weight category.

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

EMDocs

This is commonly seen with Deaf patients who communicate using American Sign Language and require an ASL interpreter. Well-meaning providers who are not highly fluent may contribute to miscommunication and diagnostic errors. Certified interpreter use can improve communication and patient outcomes. September 2013.

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Policy Playbook: Labor Actions and Unionization in Healthcare

EMDocs

Unionization of healthcare providers can create opportunities to improve staff’s financial and general well-being, but may also facilitate future strikes. Trainees and attending providers should be informed about both the opportunities that come with unionization, as well as the challenges that come with managing strikes.

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Medical Malpractice Insights: The challenge of suicide evaluation in the ED

EMDocs

The goal of MMI-LFL is to improve patient safety, educate physicians and reduce the cost and stress of medical malpractice lawsuits. Assure and document the patient’s resources and safety net if discharged. If PA-C’s are allowed to care for suicidal patients, their privileges should so specify.

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Beyond Ketamine: When to use Facilitated Intubation in the ED

EMDocs

They increase the risks of hypoxia and acidosis during the apneic period as well as hypotension and hypoperfusion caused by the abrupt transition from negative-pressure to positive-pressure ventilation (10). Case Resolution: The patient was placed on NIPPV. Resuscitation 2013; 84(11): 1500 – 4. 2013): 71-78.

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Contrast Media Shortage of 2022 – Lessons Learned

EMDocs

3 A study of CT use trends in the ED has shown increasing use of CTs by almost 60% from 2005 to 2013. Some institutions developed a tier-based system for outpatient imaging as well which was updated in real-time. Necessity-based system prioritizing CT contrast usage for emergent conditions (modified for ED-relevance).

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2023 ACEP Elections Preview: Meet the President-Elect and Council Officer Candidates

ACEP Now

The weighting must strongly be on patient safety and on expanding the opportunities for board certified emergency physicians. Recent data published in Annals showed that between 2013 and 2019, the percentage of clinicians working in rural areas who were emergency physicians actually dropped slightly.