Emergency Medicine General
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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.
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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.
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Pain Control in Older Adults
Many older adults experience pain, but there are limited guidelines to appropriately manage their pain. Additionally, assessment of pain control in older adult patients can be difficult because of impairments in cognition, hearing, and sight. Increasingly, acute care providers are challenged to manage pain in this unique population. This article will discuss the epidemiology and etiology of pain in the older adult population, the pathophysiology, tools for diagnosing pain in older adults with cognitive impairment, and appropriate multimodal pain management for older adult patients.
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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.
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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.
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Nearly Half of ED Patients Reported Health-Related Social Needs
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Remote Monitoring Technology Helps Chronically Ill Patients Avoid ED Use
Illinois Health System uses innovative program to pair 24/7 remote patient monitoring with a care team that can respond to data alerts or patient inquiries and act as navigators when patients need to access primary or specialty care.
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10% of ED Patients See No Physician
Authors of a recent study found about 10% of ED patients see no physician.
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Altered Mental Status: Geriatric Edition
The emergency department often is the first point of contact with healthcare professionals for older adults with altered mental status. As such, the emergency physician needs to approach these patients with confidence and expertise regarding diagnosing and managing underlying conditions that may be the etiology of a patient’s acute alteration in mental status.
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Oncologic Emergencies
Oncologic emergencies cover a variety of conditions and complications that may occur in conjunction with malignancy. These include the initial presentations of new cancer diagnoses, complications of metastatic disease, and issues related to the adverse effects of treatment.