Emergency Medicine Topics
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Hemodynamic Monitoring Modalities in the Emergency Department
Hemodynamic monitoring is a very important component in effectively resuscitating critically ill patients. Various methods of hemodynamic monitoring not only give the physician an idea of the patient’s overall pathophysiology, but can alert the physician to acute changes.
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Joint Arthrocentesis in the Emergency Department
The ability to rapidly recognize infection, as well as distinguish inflammatory arthropathy from infection, crystal arthropathy, and osteoarthritis, makes arthrocentesis a valuable and sometimes essential emergency medicine procedure.
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Evaluation of Bradycardia in the Emergency Department
In this article, the normal anatomy and pathophysiology of bradydysrhythmias in adults will be reviewed, followed by the latest recommendations in evaluation and management.
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The Great Mimicker: Thyroid Emergencies
Thyroid disease is relatively common, but most often is a benign disease with little clinical significance in the emergency setting. However, even a small insult can disrupt this system and throw the regulation out of control, resulting in the secretion of too much or too little thyroid hormone. Both of these situations can result in the thyroid emergencies thyroid storm and myxedema coma.
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Penetrating Chest Injury
Penetrating trauma of the chest can have severe and devastating consequences. Advances in ultrasound and treatment therapies have improved survival. A high degree of suspicion is indicated to identify the more subtle injuries associated with penetrating trauma to the chest.
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Skin and Soft Tissue Infections
Skin and soft tissue infections are encountered commonly in the emergency department, presenting as a range of disorders, from uncomplicated cellulitis, impetigo, folliculitis, erysipelas, and focal abscesses to necrotizing fasciitis.
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Sudden Onset Headache
This article will outline the presentation of sudden onset headache in the ED, with a focus on important history and physical examination findings, associated differential diagnoses, and the appropriate workup and treatment of each condition.
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Updates on Zika Virus Disease
Zika virus disease is a global issue. While not technically an emergency, concerned patients will come to our departments seeking advice and diagnostic testing.
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Systolic and Diastolic Heart Failure
Acute decompensated heart failure is a serious condition that presents in the emergency department and the intensive care unit. The causes of heart failure are multifactorial, making it, at times, difficult to diagnose and treat.
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Penetrating Neck Trauma
Penetrating neck trauma presents a clinical challenge to the emergency physician. Clinicians must have a planned approach to these patients to optimize outcomes.