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These next two issues of Emergency Medicine Reports will cover many of the complications and problems that may cause the pregnant woman to come see you. Part I will focus on miscarriage, ectopic pregnancy, gestational trophoblastic disease, and venous thromboembolic states. Part II will discuss hypertensive disorders, amniotic fluid embolism, and late pregnancy bleeding.
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Most cases of thrombocytopenia seen in the emergency department (ED) are expected. Patients are known to have hematological disease or are receiving chemotherapy. At times, however, the ED physician is confronted with an unexpected laboratory finding in an assymptomatic patient, or with a patient who is bleeding. The challenge, as usual, is to determine the need for acute treatment and the appropriate disposition.
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Prompt, accurate assessment of the severity of injury and early initiation
of appropriate critical care — including adequate oxygenation,
ventilation and correction of hypotension — is of crucial importance
in preventing deaths in children with severe trauma. This article reviews
the critical aspects of airway assessment and management in the pediatric
trauma patient.
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Whether you are interviewing emergency medicine physicians, mid-level providers, or technicians in your ED, certain questions or remarks can get you into legal trouble. What should you avoid saying during the hiring process?
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Recently, over two dozen ED staff members at Palisades Medical Center in North Bergen, NJ were suspended for "sneaking a peek" of the medical record of George Clooney, who was being treated for injuries he sustained after a motorcycle accident.
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