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Lexcura Clinical Insights
Clinical perspectives at the intersection of medicine, evidence, and legal strategy.
Listen on PodbeanEmergency Department series
Latest episodes
Episode 94 · · 16 min
Handoffs: What Got Lost at Shift Change
Handoffs happen in the ED every eight to twelve hours, and the handoff itself is almost never documented. Michelle Carroll explains how to build a case around a conversation nobody wrote down, using the pending-items list, the outgoing note as baseline, and the radiology callback that went to the wrong physician.
Episode page on PodbeanEpisode 93 · · 16 min
Boarding: Admitted, But Nobody's Watching
Boarding is a patient admitted on paper and kept in the ED for hours or days because there's no bed upstairs. Michelle Carroll asks the question that is the whole case — who's watching — and follows a composite where hourly neuro checks were ordered fourteen times and done three.
Episode page on PodbeanEpisode 92 · · 18 min
Triage: The First Decision Decides Everything
Triage is one nurse, two to five minutes, and a number that decides everything that follows. Michelle Carroll walks the five-level algorithm step by step, shows where undertriage happens, and follows a composite case where “worst headache of my life” was assigned level three.
Episode page on PodbeanEpisode 91 · · 18 min
The Emergency Department: Where the Record Moves Fastest
The emergency department is where more medical-legal cases begin than anywhere else, and its record is unlike any other chart. Michelle Carroll opens a five-part series on how the ED sorts patients, why the tracking log already holds the timeline, and why the provider note is the least reliable clock.
Episode page on Podbean
Looking for the books in audio? The Clinical Intelligence series is also published on the Lexcura Audiobooks channel.
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