Emergency Medicine General
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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.
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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.
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New Advances in Cardiac Arrest Treatment
Cardiac arrest requires emergent medical intervention, with the goal of perfusing the brain and other major organs while attempting to reverse the underlying etiology causing the arrest.
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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.
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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.
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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.
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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.
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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.
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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.
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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.