continued...

Most young patients without abnormalities do well and can be discharged from the ED. 

Stimuli #1

• EKG (Normal EKG)

Stimuli #2

• Complete Blood Count
• WBC 7/mm³
• Hgb 14g/dL
• Hct 43%
• Platelets 255/mm³
• Differential
  • Segs 75%
  • Bands 4%
  • Lymphs 18%
  • Monos 2%
  • Eos 1%

Stimuli #3

• Na⁺ 140 mEq/L
• K⁺ 9 mEq/L
• CO₂ 24 mEq/L
• Cl^- 101 mEq/L
• Glucose 101 mg/dL
• BUN 23 mg/dL
• Creatinine 9 mg/dL

Stimuli #4

• Blood glucose check 110

Stimuli #5

• POC UCG – Negative

Stimuli #6

• CT Head - No intracranial hemorrhage.  Normal size ventricles.  Soft tissue edema left parietal area.  No acute abnormalities.

Stimuli #7 CXR

• (Normal CXR)

Bibliography

• Lee F. “If Disney Ran Your Hospital 9 ½ things You Would Do Differently. Second River Healthcare, 2004.
• DeLorenzo RA. “Syncope.” Rosen’s 8^th Edition: Emergency Medicine:Concepts and Practices. Copyright 2014.
• Scheck A. “New Patient Satisfaction Surveys in the Works, but Will Doctors hate Them Less?” Emergency Medicine Monthly. September 2013.
• Studer, Quint. Hardwiring Excellence: Purpose, Worthwhile work, Making a Difference.  Studer Group, LLC, 2003.
• Studer, Q, Robinson BC, Cook K. The HCAHPS Handbook. Studer Group, LLC, 2010.
• Sullivan W and DeLucia J. “Is Press Ganey Reliable?” Emergency Medicine Monthly. http://epmonthly.com/article/are-press-ganey-statistics-reliable/
• Sullivan W and DeLucia J. “2+2=7? Seven things you may not know about Press Ganey Statistics” Emergency medicine Monthly. http://epmonthly.com/article/227-seven-things-you-may-not-know-about-press-gainey-statistics/

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