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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

have limited English proficiency according to the 2015 U.S. 5 Despite these protections, NELP patients face numerous health disparities compared to their English-proficient counterparts. This is commonly seen with Deaf patients who communicate using American Sign Language and require an ASL interpreter. Lion KC, et al.

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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

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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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. WJEM 2015; 16(7): 1109 – 17. 2015 Dec;30(8):499-504.

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Ethical Issues in Interhospital Transfers of Emergency Department Patients

ACEP Now

Emergency departments (EDs) provide the essential service of evaluating patients with unscheduled, acute, undifferentiated, and decompensated conditions. Consequences of this are well documented and include delayed treatment, exposure to error, increased length of stay, and increased mortality. 2015):157-165. 2012): 2470-2478.