Emergency Medicine - Adult and Pediatric
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An Updated Review of Pediatric Facial Lacerations
Facial lacerations are common. Every acute care provider needs to be prepared to evaluate and manage facial and scalp lacerations and determine the best manner of repair and when referral is appropriate. The author provides an evidence-based, comprehensive and updated review of pediatric facial lacerations.
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‘Doc, I Can’t See’: The Emergency Medicine Approach to Acute Atraumatic Vision Loss
This article will discuss the various emergent causes of vision loss, including necessary diagnostic testing, imaging, and needed interventions and consultations. Most importantly, emergency medicine clinicians must be sensitive to the goal of restoration and preservation of as much vision as possible.
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Concussion Assessment in the Emergency Department with an Emphasis on Sports-Related Injury
The body of research regarding concussions has broadened dramatically in recent years. This expanded medical knowledge has led to changes in the recommended treatment of concussion. It is important for emergency medicine physicians to be well versed in the recognition and management of concussion in the emergency department, as well as potential complications and long-term sequelae of this condition.
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Elder Abuse
Elder abuse is a substantial public health concern with devastating consequences for its victims. The authors highlight the characteristic findings and management strategies to protect our oldest patients.
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Recognizing, Managing, and Reporting Pediatric Sexual Abuse and Assault
Child sexual abuse is a common concern for patients presenting to the emergency department. The approach depends not only on the age and development of the child, but also the allegations, time since the contact occurred, and the child's symptoms. It is imperative that all clinicians are familiar with the optimal approach and evaluation of a child with alleged sexual abuse.
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Constipation: Adult and Pediatric Considerations
Constipation is a common diagnosis in the emergency department (ED) that has been steadily increasing in prevalence over the past several decades. As the morbidity and healthcare costs from this condition increase, it is important that ED physicians be aware of the workup, management, and potential complications of this common condition in adults and children alike.
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Hypothermia and Frostbite
Hypothermia is a medical emergency that requires immediate attention and correction. For patients with environmental exposures, especially freezing ambient temperatures, cold water, snow, and ice, frostbite injuries are of significant concern.
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Managing Pott’s Puffy Tumor and Sinogenic or Otogenic Intracranial Empyema
Following the COVID-19 pandemic, the incidence of sinogenic and otogenic intracranial empyemas increased. The author reviews the presentation, imaging, and treatment for this potentially life-threatening infection, with a reminder to keep this on your differential when evaluating your youngest patients.
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Falls in Older Adults
Falls cause significant morbidity and mortality among older adult patients compared to younger patients. When treating a patient who has fallen, the emergency medicine physician should identify traumatic injuries and evaluate for medical pathology contributing to the fall, as well as manage the patient.
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Scarlet Fever and Invasive Streptococcal Disease
While most physicians are familiar with the common presentations of streptococcal infections (e.g., pharyngitis, impetigo), it is important to recognize the carrier state, learn management of common complications (e.g., peritonsillar abscess), and identify the potentially serious, and perhaps deadly, complications and invasive infections.