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Emergency Medicine General

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Articles

  • Complications of Implantable Cardioverter Defibrillators in the Emergency Department Setting

    It is critical for providers in emergency department settings to be aware of the risks associated with implantable cardioverter defibrillator (ICD) placement and management of ICD malfunctions and complications.

  • Acute Shoulder Injuries in the Emergency Department

    Shoulder injuries account for a significant portion of musculoskeletal injuries evaluated in the emergency department.The incidence is projected to increase dramatically over the next decade because of changing population characteristics. Emergency medicine clinicians must be prepared to care for shoulder injuries from direct trauma and overuse from sporting activities or occupational injuries.

  • Skin and Soft Tissue Infections

    Skin and soft tissue infections represent a large portion of infections treated in the emergency department. Early diagnosis and treatment of severe infections decrease morbidity and mortality in addition to healthcare costs. It is important for the emergency provider to understand the pathophysiology associated with the development of these infections and the recommendations for the specific treatment based on clinical presentation.

  • Reversal of Oral Anticoagulation¬†in the Emergency Department

    This review will describe the physiological components of the clotting cascade, highlight common anticoagulant agents in use, and discuss means of oral anticoagulation reversal.

  • Pelvic Inflammatory Disease

    The clinical diagnosis of pelvic inflammatory disease (PID) is challenging in the emergency department. Nonetheless, making the diagnosis is important, since PID is associated with uterine and fallopian tube scarring leading to tubal factor infertility and ectopic pregnancy, as well as chronic pelvic pain. This article provides an evidence-based review of diagnostic and treatment recommendations for PID.

  • Evaluation and Management of Angioedema in the Emergency Department

    This article examines the differences between various mechanisms of angioedema, reviews clinical presentations and diagnostic considerations, and discusses management techniques.

  • Hemorrhage Control in Adult and Geriatric Trauma

    Death from hemorrhage may be rapid and allows the acute care practitioner a limited time frame to make critical interventions. The approach has changed drastically, and the authors provide the current tactics available to minimize blood loss until definitive hemostasis may occur.

  • Hyponatremia: Evaluation and Management in the Emergency Department

    Hyponatremia is one of the most common electrolyte derangements among adults presenting to the emergency department and is associated with significant morbidity and mortality. A variety of factors and disease processes can contribute to the development of hyponatremia, varying in both chronicity and in subsequent symptomatology. Understanding the varied etiologies of hyponatremia is essential for the emergency physician to appropriately manage this electrolyte disorder, ensuring appropriate treatment and disposition in a common but potentially dangerous disease process.

  • Pulmonary Embolism

    Emergency clinicians need to remain updated on the management and treatment of many critical diagnoses. Pulmonary emboli carry a significant morbidity and mortality, even with the advances in treatment that have been made over the past several decades. Having a high suspicion, making the diagnosis early, and initiating treatment are important for optimal patient outcomes.

  • Evaluation and Treatment of Acute Ischemic Stroke

    The primary goal of acute stroke care is to salvage as much brain tissue as possible by identifying patients likely to benefit from IV thrombolysis and/or endovascular thrombectomy and delivering treatment safely and promptly.