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In Emergency Medicine, we sign out very frequently relative to other fields. Sign outs are common sources of preventable errors. Many structured approaches to sign out have been developed. Some of those structures have been studied and found to decrease preventable errors in sign out.
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Do you really need that emergency drug screen? Clin Toxicol (Phila). 2009 Apr;47(4):286-91. PMID:19514875 ↑ Perrone J, De Roos F, Jayaraman S, Hollander JE. Drug screening versus history in detection of substance use in ED psychiatric patients. Am J Emerg Med. 2001 Jan;19(1):49-51. PMID: 11146019.
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Background Urine drug screen (UDS / UTOX) is typically ordered in trauma, psych, and altered mental status patients where there results can assist inpatient management. Cooperative psych patients do not require Utox as part of the ED screen (unless local policy dictates)
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1 Chart. 1.1 Pediatric vital signs chart [1] 1.2 Newborn Vital Signs [3] 2 Systolic Blood Pressure. 2.1 SBP Rule of Thumb; 3 Estimation of Weight; 4 See Also. 4.1 Pediatric Critical Care; 5 See Also; 6 References
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Compared enoxaparin (1mq/kg BID) to Unfractionated Heparin (5000 U bolus then ptt to PTT 55-56) 48h-8d. 16.2% less death, MI, recurrent angina at 14 days and 19% less at 30 days. Only trends in MI and death. Only 46% of UFH group reached target PTT by 12-24h. Major bleeding 6.5% (enoxaparin) vs 7.0% (UFH).
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Urine drug screen (UDS / UTOX) is typically ordered in trauma, psych, and altered mental status patients where there results can assist inpatient management. Cooperative psych patients do not require Utox as part of the ED screen [1] (unless local policy dictates)
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Do you really need that emergency drug screen? Clin Toxicol (Phila). 2009 Apr;47(4):286-91. PMID:19514875 ↑ Perrone J, De Roos F, Jayaraman S, Hollander JE. Drug screening versus history in detection of substance use in ED psychiatric patients. Am J Emerg Med. 2001 Jan;19(1):49-51. PMID: 11146019.
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Urine drug screen (UDS / UTOX) is typically ordered in trauma, psych, and altered mental status patients where there results can assist inpatient management. Cooperative psych patients do not require Utox as part of the ED screen (unless local policy dictates)
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Urine drug screen (UDS / UTOX) is typically ordered in trauma, psych, and altered mental status patients where there results can assist inpatient management. Cooperative psych patients do not require Utox as part of the ED screen (unless local policy dictates)
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Urine drug screen (UDS / UTOX) is typically ordered in trauma, psych, and altered mental status patients where there results can assist inpatient management. Cooperative psych patients do not require Utox as part of the ED screen (unless local policy dictates)
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Urine drug screen (UDS / UTOX) is typically ordered in trauma, psych, and altered mental status patients where there results can assist inpatient management. Cooperative psych patients do not require Utox as part of the ED screen (unless local policy dictates)
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Urine drug screen (UDS / UTOX) is typically ordered in trauma, psych, and altered mental status patients where there results can assist inpatient management. Cooperative psych patients do not require Utox as part of the ED screen (unless local policy dictates)
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Randomized trial of 25,086 patients with an acute coronary syndrome referred for an invasive strategy. Double dose clopidogrel (a 600-mg loading dose on day 1, followed by 150 mg daily for 6 days and 75 mg daily thereafter) Standard-dose clopidogrel (a 300-mg loading dose and 75 mg daily thereafter) Plus either higher-dose aspirin (300 to 325 ...
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Randomized trial of 25,086 patients with an acute coronary syndrome referred for an invasive strategy. Double dose clopidogrel (a 600-mg loading dose on day 1, followed by 150 mg daily for 6 days and 75 mg daily thereafter) Standard-dose clopidogrel (a 300-mg loading dose and 75 mg daily thereafter) Plus either higher-dose aspirin (300 to 325 ...
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Lung ultrasound of pneumothorax. May also identify "lung point": distinct point where you no longer see lung sliding (pathognomonic) Absence of lung sliding WITHOUT lung point could represent apnea or right mainstem intubation. Ultrasound has greater sensitivity than chest x-ray for pneumothorax in trauma patients.
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1.1 Pediatric vital signs chart [1] 1.2 Newborn Vital Signs [3] 2 Systolic Blood Pressure. 2.1 SBP Rule of Thumb; 3 Estimation of Weight; 4 See Also. 4.1 Pediatric Critical Care; 5 See Also; 6 References; Chart Pediatric vital signs chart. Age: Pulse^ Respiratory Rate: Systolic BP: Preterm < 1 kg: 120-160: 30-60: 36-58 Preterm 1 kg: 120-160: 30 ...
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↑ Standridge, JB, et al. Urine Drug Screening: A Valuable Office Procedure. Am Fam Physician. 2010; 81(5):635-640. ↑ Brahm N. et al.Commonly prescribed medications and potential false-positive urine drug screens Am J Health Syst Pharm August 15, 2010 67:1344-1350;
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Urine drug screen (UDS / UTOX) is typically ordered in trauma, psych, and altered mental status patients where there results can assist inpatient management. Cooperative psych patients do not require Utox as part of the ED screen (unless local policy dictates)
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Do you really need that emergency drug screen? Clin Toxicol (Phila). 2009 Apr;47(4):286-91. PMID:19514875 ↑ Perrone J, De Roos F, Jayaraman S, Hollander JE. Drug screening versus history in detection of substance use in ED psychiatric patients. Am J Emerg Med. 2001 Jan;19(1):49-51. PMID: 11146019.
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Many non-illicit drugs cross react with common drugs screened on the traditional urine drug screen True Positives and False Negatives Most benzodiazepine screens look for oxazepam which is a metabolite of diazepam and chlordiazepoxide. Therefore, lorazepam, alprazolam, and clonazepam are commonly missed.
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