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Medical Malpractice Insights: Radiology over-reads – Who’s responsible?

EMDocs

Chuck Pilcher, MD, FACEP Editor, Medical Malpractice Insights Editor, Med Mal Insights Radiology over-reads – Who’s responsible? Patient not informed of enlarged heart, dies 3 weeks post ED visit Miscommunicated radiology findings are a hot topic. Defense : Cardiomegaly is a chronic problem, not an emergency.

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Variation Exists! Outcomes Exist!

EM Literature of Note

Literally every practicing physician working in a hospital environment knows there is a broad spectrum of skill, approach to acute illness, and level of risk-tolerance. These attributes manifest in different ways, and, in emergency physicians, one is the differing likelihood two clinicians might have to admit same patient to the hospital.

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Emergency Department Evaluation of Cholestatic Labs

EMDocs

Darnall Army Medical Center) // Reviewed by: Joshua Lowe, MD (EM Attending Physician, USAF); Marina Boushra (EM-CCM, Cleveland Clinic Foundation); Brit Long, (@long_brit) Disclaimer: The views expressed in this post are those of the authors and do not reflect the official policy or position of the Department of the Army, DoD, or the US Government.

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First10EM Journal Club: November 2024

Broome Docs

Early intramuscular adrenaline administration is associated with improved survival from out-of-hospital cardiac arrest. PECARN prediction rule for cervical spine imaging of children presenting to the emergency department with blunt trauma: a multicentre prospective observational study. J Emerg Med. Resuscitation.

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Transfers In: Direct Admit vs Send To The ED

The Trauma Pro

This necessitates an inter-hospital transfer that is subject to scrutiny by the trauma performance improvement program of both trauma centers. The practice at many centers is to bring all transfer patients in through the emergency department. The work-up from the referring hospital can be re-evaluated.

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SGEM#418: I Ain’t Missing You – Spinal Epidural Abscess

The Skeptics' Guide to EM

Guest Skeptic: Dr. Kirsty Challen is a Consultant in Emergency Medicine at Lancashire Teaching Hospitals. Guest Skeptic: Dr. Kirsty Challen is a Consultant in Emergency Medicine at Lancashire Teaching Hospitals. Implementation of a Clinical Management Tool for Spinal Epidural Abscess Early Diagnosis. AEM October 2023.

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Contrast Media Shortage of 2022 – Lessons Learned

EMDocs

1 The shortage in supply posed difficulties for hospitals that significantly depend on GE Healthcare as their supplier, which encompassed approximately 50% of hospitals in the United States (US). Preparation 9 Hospitals had to prepare for the impending contrast shortage as soon as potential shortage news occurred. 11 Table 1.