Articles: emergency-services.
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To evaluate the nature of the decision to write a do-not-resuscitate (DNR) order in the Emergency Department (ED). ⋯ Because there remains considerable reluctance on the part of physicians to discuss the DNR issue before patients become critically ill, it is often necessary for ED physicians to write a DNR order. Although the ED is not an ideal setting for discussion of DNR orders and patients and families do not generally initiate this discussion, DNR orders can be written by ED physicians after consultation with the family.
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To evaluate the impact of a fast track triage system for patients with acute myocardial infarction. ⋯ This fast track system requires no additional staff or equipment, and it halves inhospital delay to thrombolytic treatment without affecting the accuracy of diagnosis among patients requiring thrombolysis.