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Emergency Medicine - Adult and Pediatric



  • Ketamine: Old Drug, New Uses

    Ketamine is a dissociative medication, the only one in its class. Most commonly used as a general anesthetic, it permits patients to tolerate acutely uncomfortable procedures while maintaining most brainstem function, such as breathing and perfusion.

  • Diagnosis and Management of Acute Heart Failure in the Emergency Department

    This article will focus on the care of patients with acute heart failure in the emergency department, reviewing new onset and decompensation of chronic heart failure, discussing heart failure classification based on clinical presentation, and providing updated recommendations on management and disposition from the emergency department.

  • Pediatric Hematologic Emergencies

    Hematology is a challenging area in pediatrics, with unique diseases that do not occur commonly. The authors review critical pediatric hematologic conditions that the acute care provider may encounter and provide a concise guide to diagnosis, stabilization, and management.

  • 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.