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FACP. Colegio de médicos de Tarragona Nº 4305520 / fgcapriles@gmail.com

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miércoles, 7 de diciembre de 2016

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Mayo Clinic
EM Blog Mayo Clinic - November 29, 2016 - By Daniel CabreraAuthor Shawna Bellew
"What patients admitted from the Emergency Department to a general floor/ward will deteriorate?
Emergency physicians must excel at a variety of skills. In addition to the obvious-evaluating the undifferentiated patient as well as resuscitating the critically ill-we must also be the masters of negotiating with other providers in the best interest of our patient and pertinently determining disposition. Disposition decision-making must account for a dizzying array of factors. In addition to admitting diagnosis, hemodynamics, and respiratory status at the time of admission, more nuanced considerations also come into play such as gut feeling (gestalt), practice setting, co-morbidities, social supports, hospital census, and even the time of day. This type of complex decision-making is characteristic of Emergency Medicine. While not as glamorous as running the perfect code or performing a live-saving ED thoracotomy, great dispositions can save resources and lives..."