Category Archives: Emergency Medicine

Decision Fatigue … Do You Feel It?

If you haven’t heard the term decision fatigue, you need to familiarize yourself with it. In the psychology literature, decision fatigue refers to the reduction in quality of decisions made by a person after long periods of decision making. It is an interesting phenomenon. There are descriptions of it occurring in shoppers after long periods of intense decision making, ending in

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Tranexamic Acid (TXA)

Tranexamic acid is a synthetic form of lysine, an amino acid. It is classified as an “anti-fibrinolytic” which means it is a  pro-coagulant. It binds to receptors on plasmin preventing it from breaking down fibrin clots. Tranexamic acid was originally discovered in 1962 and is currently on the World Health Organization’s list of Essential Medicines.  The drug has been studied

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Environmental Services..It Matters… A Lot !

The performance of your environmental services department is a critical step in your hospital’s patient flow. The ability of patients to enter your hospital as direct admissions or through the emergency department relies heavily on bed availability. Many institutions focus on clinical decision making and patient care when examining patient flow. However, focusing on the performance of your environmental services

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Leadership & Process Improvement

I recall, not too long ago, having a conversation with someone in healthcare administration about his career. As we discussed how the latest crisis was effecting the hospital, our conversation settled on these questions: Are you a leader that supports process improvement and innovation? Do you cringe or withdraw when someone says they have a suggestion to make? Are you

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