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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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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.

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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.

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Popular Antiobesity Medications Bring New Challenges to Emergency Physicians

ACEP Now

There have been documented cases of overdose, and of note, there is no known antidote. Poison centers see nearly 1,500% increase in calls related to injected weight-loss drugs as people accidentally overdose. Semaglutide has a half-life of approximately one week; as such, it is long-acting and requires supportive measures. CNN website.

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Child Safety Seats for At-Risk Children

Pediatric Education

No specific documentation regarding the duration of the car seat testing could be identified in the medical records. Bull MJ, Engle WA, The Committee on Injury and Poison Prevention and the Committee on Fetus and Newborn. The pertinent physical exam showed the patient was now 3.34 Pediatrics. 2009;123(5):1424-1429. doi:10.1542/peds.2009-0559

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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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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 112