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Emergency Medicine - Adult and Pediatric



  • Onsite Pharmacies Can Boost Medication Access to Patients, Surrounding Communities

    There are some other possible workarounds, such as leveraging electronic prescribing from the ED so providers will know quickly whether medications are available in a specific outpatient pharmacy, administering first antibiotic doses in the ED, and providing a few days’ worth of medication to patients about to be discharged.

  • Irritable Patient Behavior Affects Emergency Nursing Assessments

    For encounters during which the patient exhibited irritable behavior, nurses reported more anger and unease. They also judged the patients as likely to exaggerate pain, as poorer historians, and less likely to cooperate and return to work and recover. In their documentation, nurses were more likely to use negative descriptions of patients and more likely to omit information, such as whether tests were ordered.

  • Is ED Patient Rude or Insulting? Risk Mitigation Needed

    Patients who behave in this manner could be at risk for a missed diagnosis caused by poor communication with the treatment team. They may be so difficult to tolerate that they receive less attention and nursing care than they would have otherwise. The best approach is to recognize the risks with these types of patients and mitigate them.

  • Fracture-Related Complications

    The goal of this review is to familiarize emergency physicians with the initial assessment of fractures as well as the identification and management of immediate, early, and late-stage fracture complications.

  • Managing Anaphylaxis in the Emergency Department

    The incidence of anaphylaxis, a rapidly progressive and potentially fatal disease, is increasing and unfortunately common in children. It is imperative that all acute care providers are prepared to recognize, quickly treat, and ensure appropri­ate follow-up for these patients. The authors focus on anaphylaxis, its presentation, management, and disposition from the ED.

  • Traumatic Hemorrhagic Shock

    This issue will review the management of traumatic hemorrhage in the emergency department, highlighting prehospital care, recognition of hemorrhagic shock, initial resuscitative measures, massive hemorrhage protocol, reversal agents, and technological advancements in medical and mechanical support for traumatic hemorrhage.

  • Complications of Alcohol-Related Liver Disease

    Alcohol use is the leading cause of liver disease and the second most common reason for liver transplantation in the United States. This article will discuss the complications seen in alcohol-related liver disease.

  • Pediatric Chest Trauma

    Pediatric thoracic trauma is the second highest cause of pediatric trauma mortality. It is critical for emergency care providers to be aware of the anatomic and physiologic differences in children, which result in significantly different injury patterns than adults. The authors highlight the essential steps for diagnosis and management of pediatric thoracic injuries.

  • Uncommon Diagnoses that Cannot Be Missed: An Update

    There are a variety of uncommon pediatric conditions that, if not detected, may result in devastating consequences. The authors review and update the current standard of care for a variety of conditions, including necrotizing fasciitis, DRESS syndrome, Kawasaki disease, MIS-C, Lemierre's, and RPA.

  • The Hippocratic Oath: Are We Hurting Ourselves and Each Other?

    Our goal is to open a discussion about burnout, contributors that lead to burnout, and steps to deal with, minimize, and prevent burnout, which will facilitate better care for patients and caregivers alike.