Rapid Asthma Treatment in ER May Prevent Admission

From US News:

Rapid treatment with asthma medications seems to help reduce hospitalizations among children with asthma, a new study finds.

Canadian researchers analyzed data from 406 children and found that those with moderate or severe asthma attacks who received systemic corticosteroids within 75 minutes of arriving at a hospital emergency department were 16 percent less likely to be admitted to the hospital.

Emergency Department “Central Log”: Is a Handwritten Copy Required?

From Becker’s:

The keeping of a central log in the Emergency Department is one of the commitments that a hospital which is subject to Emergency Medical Treatment Active Labor Act requirements must also comply with, found at 42 CFR 489.20(r)(3). This requires a hospital to keep “a central log” on each individual who “comes to the emergency department” as described in 42 CFR 489.25(b), seeking assistance and whether he or she refused treatment, was refused treatment or whether he or she was transferred, admitted and treated, stabilized and transferred, or discharged.”

The central log must include, directly or by reference, patient logs from other areas of the hospital that may be considered dedicated emergency departments, such as labor and delivery or pediatrics, where a patient might be directed to receive the medical screening exam instead of the main emergency department. Despite the implementation of electronic medical record systems in many hospitals, some hospitals apparently have been told by a surveyor that the central log must be kept in a handwritten format. However, this is neither a federal nor state requirement.