• Emerg. Med. Clin. North Am. · May 2020

    Review

    Emergency Department Operations I: Emergency Medical Services and Patient Arrival.

    • Kenneth Knowles, Gerald Wook Beltran, and Lucas Grover.
    • Department of Emergency Medicine, Division of Prehospital and Disaster Medicine, Baystate Medical Center, 759 Chestnut Street, Springfield, MA 01199, USA. Electronic address: kenneth.knowlesMD@baystatehealth.org.
    • Emerg. Med. Clin. North Am. 2020 May 1; 38 (2): 311-321.

    AbstractThe 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.Copyright © 2020 Elsevier Inc. All rights reserved.

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