The fast-paced, unpredictable environment of emergency nursing can lead to trouble. Safety is an ongoing concern, considering the increasing incidence of workplace violence and the continuous flow of patients with infectious diseases. But there is another kind of stress emergency nurses may be reluctant to discuss: that which results from exposure to others’ trauma.
Teen pregnancies are at high risk of obstetrical complications with an increased rate of adverse maternal and fetal outcomes. Acute care clinicians should be familiar with, and adept at, caring for the common or emergent obstetrical complications that may occur in a pregnant teenager.
Older adult trauma patients present unique challenges for the emergency care provider. Airway anatomic and physiologic changes associated with age may pose difficulties in the setting of trauma and may affect the overall care of the patient. Understanding the geriatric variations and developing alternative strategies is critical in the acute care setting.
The emergency medicine physician serves a critical role for trauma and surgical patients. Early recognition of infections and understanding the indications for prophylaxis are critical for management of pediatric trauma patients. The authors explore the most common etiologic agents by body system and prophylactic and therapeutic strategies.
The authors provide a concise, comprehensive overview of the unique anatomic and physiologic features of pregnancy, as well as modifications and considerations important for the management of the pregnant trauma patient.
A three-year analysis of a prospectively maintained database with traumatic brain injury patients revealed that novel oral anticoagulant use is associated with increased risk of intracranial hemorrhage progression, neurosurgical intervention, and mortality.
Falls in patients older than 65 years of age are an increasingly common presentation in U.S. emergency departments, and intricate knowledge and confidence in the evaluation and management of these patients is vital.
Penetrating trauma is a common presenting complaint with the potential for devastating consequences. The diagnostic and therapeutic management of penetrating injuries to the chest and abdomen has undergone substantial evolution. The authors discuss the advances in the care of patients with penetrating chest and abdominal trauma.