J Emerg Med
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Acute bacterial skin and skin structure infections (ABSSSI), formally referred to as complicated skin and soft tissue infections, include infections with resistance to previously effective antimicrobials. Increasing dramatically in incidence, they have become a challenging medical problem associated with high direct and indirect costs to both the medical system and society. ⋯ A standard, consistent, and multidisciplinary approach to ABSSSI can streamline care, reduce admissions, support antimicrobial stewardship, and improve clinical and resource consumption outcomes.
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For medical students, the emergency department (ED) often presents ethical problems not encountered in other settings. In many medical schools there is little ethics training during the clinical years. The benefits of reflective essay writing in ethics and professionalism education are well established. ⋯ Medical students encounter patients with numerous ethically based issues. Frequently, they note conflicts between ethical principles. Such essays constitute an important resource for faculty, resident, and student ethics training.
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Observational Study
Characteristics of Emergency Department "Doctor Shoppers"
There is a need to accurately identify patients at risk for drug abuse before giving a prescription for a scheduled medication. ⋯ There are multiple clinical characteristics associated with DS in this patient population.
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The 2010 cardiopulmonary resuscitation (CPR) guidelines increased the importance of external chest compression. However, the best hand position to be the compressing one has not been identified. ⋯ The dominant hand position during CPR was associated with a higher chest compression rate, a greater chest compression depth, and delayed fatigue.