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Setting Up a Stroke Team Algorithm and Conducting Simulation-based Training in the Emergency Department - A Practical Guide
Published on: January 15, 2017
Emergency Department Operations I: Emergency Medical Services and Patient Arrival
Kenneth Knowles1, Gerald Wook Beltran1, Lucas Grover2
1Department of Emergency Medicine, Division of Prehospital and Disaster Medicine, Baystate Medical Center, 759 Chestnut Street, Springfield, MA 01199, USA.
Abstract:
The emergency department (ED) is by its nature inherently an environment with the potential for chaos because of the high volume and varied types of patients cared for in an ED setting. This article discusses potential system opportunities from the prehospital environment through arrival in the ED before provider evaluation. The Emergency Medical Treatment and Active Labor Act is reviewed in detail. Management and the reduction of risk to waiting room patients and patients who leave without being seen is explored. Description of the risks and mitigation strategies are discussed to decrease risk to patients, providers, and hospitals.
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