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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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Episode 4 - Acute Decompensated Heart Failure: New Strategies for Improving Outcomes

EB Medicine

The podcast is based on the full-length review published in the May 2017 issue of Emergency Medicine Practice. The podcast is based on the full-length review published in the May 2017 issue of Emergency Medicine Practice.

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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. 2017 May;24(5):523-551. Acad Emerg Med.

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PEM Currents – Agitation in Children – Episode 3: Pharmacologic Management

EMDocs

You should always follow your local practice guidelines and recommendations as well as adhere to approved medications in your facility. Document what you gave and why, as well as the impact. 2017 Sep;40(3):397-410. If a patient has a PRN on their med list do that! Summary All right, so that’s it for this episode.

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A Safety Solution for Emergency Department Staff and Patients

ACEP Now

For the safety of staff as well as patients, interventions that interrupt escalations before they blossom into violence deserve further study. The well-being of our patients, staff, and ourselves depends on finding tailored and effective solutions and dissemination of these best practices. Published November 25, 2017.

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Choosing wisely – less can be more

Don't Forget the Bubbles

Choosing Wisely aims to help clinicians align with best practices by avoiding interventions that are not supported by evidence. Practice patterns often promote the overuse of ordering blood cultures in an effort to prevent a child from needing a second poke or to try to reduce diagnostic uncertainty. BMJ Open Qual.

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

EB Medicine

Jeff: Well that’s kind worrisome. Nachi: Taken all together, the rising rates of obesity and the rising success and availability of bariatric procedures has led to an increased number of bariatric procedures, with 228,000 performed in the US in 2017. In 2017, these were performed 60%, 18%, and 3% of the time.