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Part I of this two-part series on stroke covered the differential diagnosis, risk factors, and prevention of stroke. This second and final part in the series will focus on the physical examination, laboratory investigations, imaging, and treatment of stroke.
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Pulmonary embolism (PE) is an illness that frequently presents with nonspecific symptoms, that affects people of all ages and stages of life, and that is difficult to diagnose with available tests. The first article in this two-part series will cover the epidemiology of PE, the factors that increase a patients risk for the disease, and the pathophysiology and clinical features of PE. In addition, complicated issues regarding the diagnosis of PE and the controversies involved will be addressed.
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Eye injuries present a significant challenge to emergency personnel. Patient stress and coexisting periorbital findings can complicate any evaluation, and many of the signs of serious injury may be quite subtle. Because the majority of eye injuries present between 10 p.m. and 4 a.m. when ophthalmology consultation is not available immediately in most hospitals, a tremendous burden is placed on the emergency health care provider to identify and manage potential vision-threatening disorders. The following is a review of ocular trauma with a focus on clinical findings, their implications, and management.
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Post hoc analysis of 3 large multicenter trials of patients with acute coronary syndromes demonstrates a strong association between transfusion and mortality.
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This multicenter prospective observational study reveals that transfusion practice in the critically ill has not changed in the past decade. 44% of ICU patients receive transfusions, and transfusions continue to be associated with worse clinical outcomes.