Practical Summaries in Acute Care Archives – November 1, 2002
November 1, 2002
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Treatment of Sexually Transmitted Disease: Update 2002
This report updates the CDCs previous edition of this resource, the 1998 Guidelines for Treatment of Sexually Transmitted Diseases. The recommendations were formulated through a multi-stage process that included a three-day meeting in Atlanta in September 2000, when consultants reviewed the literature and debated the evidence. While the guidelines emphasize treatment, diagnostic and prevention strategies also are discussed. -
Ultrasound Guidance Offers Visual Help for Placement of Central Venous Catheters
Ultrasound guidance (USG) for the placement of central venous catheters (CVC) has been recognized as a helpful adjunct in anesthesia and surgical literature since 1984, but has received little notice in the emergency medicine (EM) literature. To clarify the EM role of this emerging technique, Miller and colleagues compared USG to the traditional landmark technique for insertion of CVC in ED patients without obtainable peripheral access. -
Practice Guideline Authors’ Ties to Pharmaceutical Industry Not Always Clear
During the last several years, the relationship between physicians and the pharmaceutical industry has come under increasing scrutiny. However, no literature has been published examining potential financial conflicts of interest for authors of commonly used clinical practice guidelines (CPGs). This cross-sectional study from Toronto surveyed 192 authors of 44 CPGs on common diseases endorsed by North American and European specialty societies. -
Special Feature: The Electrocardiogram in Wellens’ Syndrome
Among the many electrocardiographic findings indicative of acute coronary syndromes, the emergency physician must be familiar with the characteristics of the pre-infarction stage of coronary artery disease known as Wellens syndrome. -
ECG Review: ST Elevation in Lead aVL
The 12-lead ECG shown in the Figure was obtained from a 50-year-old man with new-onset chest pain. In view of a negative prior history of coronary disease, what might cardiac catheterization show? -
Trauma Reports Supplement
One year later: Emergency department response to biological terrorism, part II - smallpox, viral hemorrhagic fevers, tularemia, and botulinum toxins