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Emergency Medicine - Adult and Pediatric

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Articles

  • Taming of the Flu: A 2023 Update on What Is New

    The 2023-2024 influenza season is already among us, and healthcare practitioners on the frontline must have current knowledge of prevention and treatment strategies, particularly in our nation’s emergency departments.

  • Diagnosing, Differentiating, and Managing Status Epilepticus

    Pediatric seizures are a common acute care visit. Recognizing seizures, including the more subtle presentations, is critical for instituting appropriate, timely treatment to improve patient care. An awareness of a stepwise approach to seizure management will assist providers and optimize outcomes.

  • Ruptured Abdominal Aortic Aneurysms

    Recently the American College of Emergency Physicians (ACEP) created a quality measure, just adopted by the Centers for Medicare and Medicaid Services, that suggests early ultrasound for patients presenting with new abdominal or back pain and hypotension who have not been screened for an abdominal aneurysm at age 55-65 years or older.

  • Tachycardia in the Emergency Department: Part II

    This issue completes the two-part series on tachycardia. This issue will finish the discussion of additional causes of tachycardia, address management, and conclude by covering some challenging issues with this arrhythmia.

  • Pediatric Hernias: Diagnosis and Management

    Hernias are a common condition encountered by emergency providers and can be overlooked if the genitourinary system is not included in the evaluation of every child with vomiting or abdominal pain. Incarcerated hernias that are not identified in a timely fashion can have devastating consequences for a child. The authors provide an anatomical review, along with diagnostic and therapeutic approaches to pediatric hernias.

  • Poll: Many Americans Delay Emergency Care Over Boarding Concerns

    A survey by the American College of Emergency Physicians reveals nearly half of U.S. adults worry they will have to wait many hours before admission or transfer.

  • Tachycardia in the Emergency Department: Part I

    This issue is the first of a two-part discussion of tachycardia, the most common rhythm abnormality seen in the emergency department. Part I will discuss the epidemiology, etiology, and characteristics of the different tachycardic arrhythmias. Part II will discuss conditions affecting other organ systems that can produce tachycardia, then finish by reviewing the assessment and management of these patients. We hope these two issues will be useful to your clinical practice.

  • Paramedicine Program Chips Away at High ED Use, Links Patients to Appropriate Care

    Chicago-based Medical Home Network is partnering with community paramedics at the Chicago Fire Department on a program aimed at helping patients manage their chronic conditions and appropriately navigate the health system. The program is focused on steering patients away from calling 911 or presenting to EDs with nonurgent care needs.

  • Housing Instability Increases Likelihood of Discharge Against Medical Advice

    It is important for emergency medicine providers to recognize that patients facing housing instability might be more inclined to self-discharge, even when dealing with severe medical conditions.

  • EDs Can Make Discharges Against Medical Advice Safer

    Recognizing a discharge as higher risk could encourage physicians and care providers to engage in risk assessment and risk reduction.