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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.

  • Evaluation and Management of Neck Trauma

    The neck is a complex region that may have injuries that range from minor to life-threatening. An understanding of the anatomy and potential injuries is essential to optimize patient care and outcomes.

  • Major Orthopedic Trauma

    Major orthopedic trauma is a common issue for the emergency medicine provider. Being able to make a timely diagnosis and optimize care improves patient outcomes.

  • Anticoagulated Trauma Patient

    Emergency medicine providers commonly encounter anticoagulated trauma patients, and it is essential to understand the critical aspects of caring for this unique subpopulation, including specific traumatic injury patterns, emergent reversal, and surgical considerations, as well as relevant emerging concepts.

  • Traumatic Hemorrhagic Shock

    This issue will review the management of traumatic hemorrhage in the emergency department, highlighting prehospital care, recognition of hemorrhagic shock, initial resuscitative measures, massive hemorrhage protocol, reversal agents, and technological advancements in medical and mechanical support for traumatic hemorrhage.

  • 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.

  • New Research Suggests Treating Traumatic Brain Injury as a Chronic Illness

    The road to recovery might be longer than initially thought.

  • Computed Tomography Scans in Pediatric Trauma

    Computed tomography has become an invaluable tool for the evaluation of a pediatric trauma patient. However, there are risks associated with use of this technology, and balancing the risks and benefits is critical. The authors present a balanced approach to the appropriate use of this imaging modality in children who sustain trauma.

  • Intimate Partner Violence

    Domestic violence and abuse is a national and global healthcare problem with massive consequences, affecting men, women, and children, which worsened during the COVID-19 pandemic. Awareness, recognition, and resource allocation, in addition to trauma management, is an important aspect of emergent care of the trauma patient possibly injured in a domestic violence incident.

  • Ethics Skills Align with Trauma-Informed Care Principles

    Ethics consults often center on traumatic situations — for patients, families, and even the clinicians who are providing treatment. Trauma-informed care transforms questions about what is wrong with someone by adding more context, such as discovering information about what happened to the patient.