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Do All Packed Noses Get Antibiotics?
Grand Rounds Sanjay Shewakramani, MD Grand Rounds Sanjay Shewakramani, MD

Do All Packed Noses Get Antibiotics?

Due to the fear of toxic shock syndrome (TSS), it has long been considered the standard of care to prescribe antibiotics as prophylaxis for patients who receive packing to treat anterior epistaxis.  But do these patient's really need antibiotics?  How real is the threat? What if you are only packing for a short time?

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ACA and the ED - Past, Present and Future Part III
Tim Loftus, MD Tim Loftus, MD

ACA and the ED - Past, Present and Future Part III

The evolution of the healthcare system in the US carries us toward an exciting future.  The ACA, in particular, has brought about a multitude of changes affecting healthcare cost, access, and quality.  It remains to be seen how the healthcare system will evolve in the next several years, but we in the ED are well positioned to leverage our skills and capabilities to deliver high quality and valued care in an integrated manner. 

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ACA and the ED - Past, Present and Future - Part II
Tim Loftus, MD Tim Loftus, MD

ACA and the ED - Past, Present and Future - Part II

Previously, in the first of a 3-part series on health policy and the ED, we discussed the health system’s historical development and climate surrounding the development and implementation of the ACA.  Here, in Part II, we discuss how the ACA has impacted the health care system in general and more specifically the ED.  

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