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Emergency Medicine - Adult and Pediatric

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Articles

  • Novel Psychoactive Substances of Abuse: Part II

    This is the second of a two-part series. Part I reviewed stimulants and started the discussion of hallucinogens and psychedelics. Part II will finish the discussion of hallucinogens and conclude with novel sedative drugs.

  • Novel Psychoactive Substances of Abuse: Part I

    This issue is the first of a two-part series on new novel or designer psychoactive drugs. Many of them represent alterations of existing agents that exhibit new effects from the modification. Keep the possibility of intoxication with these agents in mind when evaluating patients with altered levels of consciousness and mentation.

  • Teen Pregnancies in the ED Part 2: Handling Complications

    Teenage pregnancies have a higher incidence of adverse medical outcomes and obstetrical complications that are critical for providers to recognize and manage in a timely manner. The author provides a succinct, comprehensive review of the critical aspects of trauma in pregnancy; preeclampsia; hemolysis, elevated liver enzymes, and low platelet count (HELLP) syndrome; venous thromboembolism; as well as precipitous delivery and postpartum hemorrhage.

  • Epistaxis: Evaluation and Management in Patients Taking Antiplatelet Drugs

    Although the complaint of epistaxis often is perceived as less severe when compared to other emergency department complaints, it still may pose a challenge requiring expertise in its acute management.

  • Identifying and Responding to Potential Cases of Human Trafficking in the Emergency Department

    This paper aims to equip the emergency physician with essential knowledge and practical skills to identify and respond when confronted with potential cases of trafficking.

  • Teen Pregnancies in the ED Part 1: First Trimester

    This article is the first of a two-part series that focuses on an important emergency medicine topic — teenage pregnancy. In this first part, the author focuses on the unique features that affect diagnosis and management of pregnancy in adolescence. Part two will focus on obstetrical emergencies in pregnant teenagers.

  • Evaluation and Management of Neck Trauma

    The neck is a complex region that may have injuries that range from minor to life-threatening. An understanding of the anatomy and potential injuries is essential to optimize patient care and outcomes.

  • Altered Mental Status: Geriatric Edition

    The emergency department often is the first point of contact with healthcare professionals for older adults with altered mental status. As such, the emergency physician needs to approach these patients with confidence and expertise regarding diagnosing and managing underlying conditions that may be the etiology of a patient’s acute alteration in mental status.

  • Preparing for Pediatric Asthma Exacerbations in the ED

    Asthma is a common disease in pediatrics, with exacerbations occurring frequently. Every clinician who cares for children must be familiar with recognition and timely management to optimize each child's outcome.

  • Oncologic Emergencies

    Oncologic emergencies cover a variety of conditions and complications that may occur in conjunction with malignancy. These include the initial presentations of new cancer diagnoses, complications of metastatic disease, and issues related to the adverse effects of treatment.