EM LOGIC

May 2022: After Care Logic


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Show Notes:

Return Precautions: These are your safety net, and there’s a huge variance in what physicians write. The nucleus should always be to return if not improving or worse or if anything new happens. Logic: Most people don’t want to return for the same thing that you just sent them home for, so you must emphasize this, focusing on things like syncope, abdominal pain, fever, and vomiting.

Incidental Findings: Diagnose lung and adrenal nodules, ovarian cysts, etc., and give them copies, tell them to follow up, and write it in the aftercare. This can be a big medicolegal risk. It’s important that it is not so incidental when someone who doesn’t ovulate has free fluid in the abdomen.

Abnormal Labs and BP: From most common to least common include hypertension, glucose >LFTs, K+, Na+ >others.

Sedating Medications: Not just driving. Even taking a bus or walking home. Don’t rely on the pharmacist.  Malpractice usually doesn’t cover third parties. Read more: https://bit.ly/3K8tPs6.

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EM LOGICBy Brady Pregerson, MD

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