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Can This Patient Leave Against Medical Advice?

ACEP Now

1,2 Approximately 2 percent of emergency department (ED) patients in the United States leave prior to evaluation or AMA. Understanding Against Medical Advice, Informed Consent, and Emergency Medical Treatment and Labor Act. Emerg Med Clin North Am. BMC Emerg Med. Ann Emerg Med. Acad Emerg Med.

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EM@3AM: Pediatric Osteomyelitis

EMDocs

Which of the following, if present, would put this patient at a higher risk of osteomyelitis? Clinical Presentation of Acute Osteomyelitis in the Pediatric Emergency Department. Pediatr Emerg Care. Ther Clin Risk Manag. 2022;38(1):e209-e213. doi:10.1097/PEC.0000000000002217 J Pediatr Infect Dis Soc.

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COVID-19 and Mental Health

Northwestern EM Blog

A pediatric emergency department in Texas looked at the resulted of their routine suicide risk screenings for patients aged 11-21. Build suicide screenings into your general practice, watch out for risk factors, and support those that are seek help. Assessing psychiatric safety in suicidal emergency department patients.

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emDOCs Podcast – Episode 88: ED Evaluation of Diverticulitis

EMDocs

American Gastroenterological Association (2021) Best Practice Advice 1: Computed tomography should be considered to confirm the diagnosis of diverticulitis in patients without a prior imaging-confirmed diagnosis and to evaluate for potential complications in patients with severe presentations. Diagnosis and management of acute diverticulitis.

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IV fluids in the ED: When do we really need them?

EMDocs

The latest Society of Critical Care Medicine (SCCM) sepsis guidelines from 2021 recommend giving patients with signs of hypoperfusion an initial 30 ml/kg bolus as a best practice statement 13 based on the PROCESS, 14 ARISE, 15 and PROMISE 16 trials. Does this dyspneic patient in the emergency department have congestive heart failure?