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Crafting And Refining Your Massive Transfusion Protocol – Part 2

The Trauma Pro

MTP logistics include details such as who will be delivering the blood, what actually goes in each cooler, what ratios should be used, limitations imposed by the use of frozen plasma, and documentation. One of the most creative solutions I’ve seen is the use of a hospital security officer. Think about it.

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Improving Care for Patients with a Non-English Language Preference (NELP)

EMDocs

3,4 Notably, institutions receiving federal funding (such as hospitals receiving Medicare reimbursement) must abide by Title VI of the 1964 Civil Rights Act, which entitles persons with NELP to language assistance. Utilizing certified interpreters and documenting their use. Educating patients on their rights.

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The Latest in Critical Care, 2/5/24 (Issue #28)

PulmCCM

You can read the document here. Depends On the Patient, and Who You Ask The Centers for Disease Control and Prevention defines a fever (for general hospitalized patients) as >38°C. Read the original document here. They shouldn’t be considered automatically applicable to immunosuppressed patients. °C (100.9°F).

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Can We Stop (Predict) The Drop? – April No Falls Month

The Injectable Orange

For many Australian hospitals, April is ‘No Falls Month’ This month we have a full-scale education attack against one of the most prevalent forms of in hospital patient harm – the fall. Remember this all counts toward your nursing continuing professional development.

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

EMDocs

Document what you gave and why, as well as the impact. Best Practices for Evaluation and Treatment of Agitated Children and Adolescents (BETA) in the Emergency Department: Consensus Statement of the American Association for Emergency Psychiatry. Summary All right, so that’s it for this episode.

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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. Repeated GP and hospital attendance might stimulate increased testing and unnecessary prescriptions. These interventions should be discussed carefully with patients before being carried out.

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PEM Currents – Agitation in Children – Episode 5: The Boarded ED Patient

EMDocs

Episode 4 covered management of the agitated child in the pre-hospital environment. Over the past 50 years, mental health has shifted away from hospital-based to community-based care models. ED Best Practices Optimizing the Environment Separate area from main ED is possible that has less distractions, loud noises.