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Medical Malpractice Insights – Warfarin is poison – and not just for rats

EMDocs

Chuck Pilcher, MD, FACEP Editor, Medical Malpractice Insights Warfarin is poison – and not just for rats Spinal epidural hematoma leaves patient paralyzed Facts : A 68-year-old male presents to the ED at the end of the night shift complaining of a 2 day history of 8/10 neck pain radiating to his upper back and increasing with movement.

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Medical Malpractice Insights: A Rare Presentation – Groin pain? Nec fasc? Diabetes? Appendicitis?

EMDocs

She is concerned about food poisoning and says the groin/thigh pain feels like a prior episode of sciatica. Exam is normal except for tenderness as documented in the diagram. She never had a documented abdominal exam. I just failed to document it. The EP documented seeing the patient and agreed with the ARNP’s plan.

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Chemical Burns

Mind The Bleep

National Poisons Information Service (0344 892 0111) and TOXBASE have useful information on special chemicals and are accessible 24/7. Provide detailed documentation of the initial assessment, treatment provided, and the patient’s response to interventions. This should be done continuously for at least 20-30 minutes.

Burns 52
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Case Report: Toxic Hypoglycemic Syndrome

ACEP Now

4 The association between ackee ingestion and the illness was initially recognized in 1875 and officially documented in 1904. 5 Despite being endemic to Jamaica, cases of THS have been reported across the world, with the first case in the United States documented in 1993. The rest of her workup was notable for hypokalemia of 3.3

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SGEM#316: What A Difference An A.P.P. Makes? Diagnostic Testing Differences Between A.P.P.s and Physicians

The Skeptics' Guide to EM

The American College of Emergency Physicians ( ACEP ) also has a number of documents discussing APPs in the ED. They also excluded those with a triage level ESI 1 or 5, as these are less common, as well as those with a final diagnosis of injury or poisoning – as in those cases the diagnosis would generally be apparent.

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How Not To Miss Posterior Circulation Stroke

ACEP Now

3 Case 1: Posterior Stroke Presenting as Food Poisoning A 42-year-old man presents to the emergency department (ED) with sudden onset of severe vertigo, headache, nausea, and vomiting after eating Italian food. His neurological exam on arrival is documented as normal. His blood pressure is 190 over 115. Symptoms last 10-15 minutes.

Stroke 40
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Seizure in a 30 something

Dr. Smith's ECG Blog

I therefore feel it relevant to document ( in your dictation/on the medical chart ) when significant artifact potentially impairs the accuracy of your interpretation. Regarding my Systematic assessment of ECG #1: There is significant baseline artifact , as well as baseline wander.

Seizures 113