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Medical Malpractice Insights: On-call trauma surgeon unavailable. Patient dies in ED.

EMDocs

The goal of MMI-LFL is to improve patient safety, educate physicians and reduce the cost and stress of medical malpractice lawsuits. If a physician is allowed to be on call for more than one hospital – or to be in the OR when on call – define the procedure for simultaneous calls as well as when a surgeon is operating.

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The ‘Hidden C’

Don't Forget the Bubbles

High levels of incivility correlate with adverse outcomes for patients, staff, and the organisation. Riskin (2015) showed that rudeness accounted for a 12% reduction in diagnostic and procedural performance in a simulated resuscitation. staff wellbeing/turnover and patient safety) can boost engagement. 2015 May;30:656-74.

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Policy Playbook: Labor Actions and Unionization in Healthcare

EMDocs

3 Increasing Strikes and Unions Labor actions in healthcare can disrupt normal hospital operations, potentially impacting costs and threatening patient quality of care. 2015 Nov 25;351. Retrieved from www.sciencedaily.com/releases/2015/11/151125233018.htm 5 Quality : Results on quality impacts are mixed.

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Beyond Ketamine: When to use Facilitated Intubation in the ED

EMDocs

Improved Visualization: Video laryngoscopes allow for the use of standard or hyperangulated geometry, essentially allowing the operator to “look around the corner” on an anterior airway. Operators can manipulate the blade with less force to optimize the view, making it easier to identify and navigate the endotracheal tube into the trachea.

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Ethical Issues in Interhospital Transfers of Emergency Department Patients

ACEP Now

Tertiary centers must continuously evaluate availability of space and resources to serve patients already under their direct care, as well as predicted needs for patients for scheduled and unscheduled care. 5 In such situations, tertiary centers must make the difficult decisions of when to accept transfer patients with critical needs.

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Episode 30 - Emergency Department Management of Patients With Complications of Bariatric Surgery

EB Medicine

Nachi: Unfortunately this procedure is associated with a relatively high re-operation rate – one study found 20% of patients required removal or revision. Jeff: Even more shockingly, some series showed a 52% repeat operation rate. Patients present with abd pain, n/v, and peritonitis. First up, the kids. Metabolism.

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The ER Docs Strike Back

ACEP Now

John Hospital in Detroit, MI, did not resolve their concerns about working conditions, staffing levels, or patient safety. John Hospital since 2015, when it acquired ownership of the hospital’s ED physician group, St. John’s Emergency Services, PC.