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Help! My Consultant Won’t Come In To See A Patient!

The Trauma Pro

Contact the trauma medical director, service chief, or hospital administrator and see if they can intervene. Explain to the consultant that you truly believe that harm will occur, and you will have to document that fact in the medical record as well as their failure to respond. Appeal to a higher authority. Good luck!

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These Patients and Drugs are Commonly Involved in Drug Interactions

ACEP Now

9,10 This column reviews key drug interactions in older patients, those with psychiatric illness and those with renal disease, as well as three essential categories of drugs where careful ED ordering and prescribing should be considered. Ther Clin Risk Manag. Abu Mellal A, Hussain N, Said AS. 2019;15:921-36.

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

EMDocs

1,2 For hypervolemia in heart failure patients, orthopnea >2 pillows is the most reliable clinical finding, 3,4 though an increase in peripheral edema and increased weight can be useful as well. 6-8 In patients who are on long-term hemodialysis, typical non-invasive signs of volume assessment seem to be unreliable as well.