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  • Shocking Injuries: Knowing the Risks and Management for Electrical Injuries

    Approximately 5,000 patients present to the emergency department each year for evaluation and treatment of electrical injuries. This article will discuss the different classifications of electrical exposures and describe the recommended initial evaluation, diagnostic workup, and treatment. In addition, the authors also discuss special situations, such as lightning exposures, pediatric exposures, and electrical exposures during pregnancy.

  • Pediatric Cardiothoracic Point-of-Care Ultrasound: Part II

    Ultrasound has emerged as a critical tool for use at the bedside to guide both diagnosis and treatment strategies. In this article, the authors discuss cardiac arrest, congenital abnormalities, pneumothorax, pleural effusion, and pneumonia.

  • Pediatric Sepsis and Septic Shock

    Pediatric sepsis is a high-stakes diagnosis that requires vigilance to make an early, timely diagnosis. Aggressive resuscitation, including fluids, antibiotics, and vasoactive agents, may be necessary. Rapidly changing standard of care also makes sepsis a critical diagnosis for clinicians.

  • Tranexamic Acid in Trauma

    Tranexamic acid or TXA is a potent antifibrinolytic that has the potential to decrease clot breakdown and reduce bleeding in trauma patients. Studies have shown that the use of TXA in trauma patients improves overall survival, although these studies have been discounted as not being relevant to trauma care as practiced in well-resourced countries. Thus, the adoption of TXA into trauma protocols in U.S. centers has been slow and controversial. Further studies are needed to answer questions about which patient populations can benefit most from TXA and how it should be used in highly developed and well-resourced trauma systems and centers.

  • Penetrating Thoracic Trauma

    Trauma continues to be a significant cause of morbidity and mortality. Accidental death remained the fifth most common cause of death for all ages in 2009. Thoracic injuries reportedly have been involved in up to 75% of all deaths related to trauma and may be directly responsible in up to 25% of these deaths.
  • Pediatric Skin Infections

    The skin is a dynamic organ, accounting for 15-20% of total body weight, and exhibits many functions such as protection against thermal and mechanical insults and against pathogenic microorganisms.
  • FDA actions

  • Rosuvastatin no better than atorvastatin

  • Saw palmetto for prostate symptoms

  • Off-label use of atypical antipsychotics