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SGEM#442: I’m on the Right Track Baby I Was Born This Way

The Skeptics' Guide to EM

Systematic Review, Quality Assessment, and Synthesis of Guidelines for Emergency Department Care of Transgender and Gender-diverse People Recommendations for Immediate Action to Improve Care. The study looked at implementing clinical practice guidelines (CPG) and best practice statements (BPS) for the care of TGD individuals in ED.

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A Safety Solution for Emergency Department Staff and Patients

ACEP Now

Physicians, nurses, and staff in emergency departments (EDs) across the country have encountered workplace violence for years. 1,2 In a 2018 study by ACEP, nearly half of emergency physicians polled reported a physical assault while at work. J Emerg Nurs. J Am Coll Emerg Physicians Open. 2023;(3):415-424.

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

EMDocs

12 How do we address these disparities in the emergency department? 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.

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Agitation Treatment in the Emergency Department

ACEP Now

Last month’s article focused on ACEP’s efforts and resources to support EDs and patients with psychiatric emergencies. Emergency departments (EDs) focus on rapid initiation of medical treatment. Clinical Policy: Critical Issues in the Diagnosis and Management of the Adult Psychiatric Patient in the Emergency Department.

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The Electronic Trauma Flow Sheet: Why Hospitals Want You To Switch

The Trauma Pro

A best practice would be to scan (or copy) the paper trauma flow sheet just before the patient leaves the emergency department for good so an interim version can be placed in the EHR. In my next two posts, I’ll write about why the eTFS doesn’t work well during the trauma resuscitation phase of care.

Hospitals 100
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Paediatric Appendicitis

Don't Forget the Bubbles

7-year-old Tilly is brought to your emergency department at 11 p.m. Abdominal pain in children is common, accounting for over 1 in 20 attendances to paediatric emergency departments [1]. Tilly is normally fit and well, with no significant past medical history. by her father. She is obviously uncomfortable.

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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. If a patient has a PRN on their med list do that! Route of administration If the patient is cooperative, offer oral medications first.