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.
Novel Bedside Procedure Improves Tracheostomy Outcomes
Nurse-driven initiative led to zero incidents of tracheostomy medical device-related pressure injuries for three years.
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.
Instituting Pediatric Readiness Standards Saves Lives
Emergency departments that fully adopted national guidelines reported lower mortality rates.
Trauma Patients at Risk for Developing Opioid Use Disorder
Better identification and referral of patients with opioid use disorder could enhance the quality and continuity of care these patients receive, while also reducing reliance on EDs and the crowding that ensues.
Working Collaboratively with Law Enforcement at Trauma Patient’s Bedside
Trauma patients and law enforcement might arrive together, raising multiple ethical issues — and a potential conflict with clinicians. While some clinicians say law enforcement should never be present on trauma units, others think law enforcement needs unfettered access. The answer likely is somewhere in the middle.
EMS Trauma Stabilization and Transport: A Comprehensive Review
It is essential that acute care providers have an awareness of the prehospital system — strengths, scope of practice, different transport modalities (strengths and limitations) — to optimize patient outcomes.
High Altitude Illness
Some patients love to challenge themselves, seeking new locations and activities, pushing themselves to perform in extreme environments. In this issue, the authors explore the physiology of altitude and the various illnesses encountered by people working and playing in the higher areas of the earth.
Selected Orthopedic Emergencies
Musculoskeletal complaints are among the most seen conditions presenting to the emergency department (ED), accounting for nearly 20% of all ED visits. The majority of these diagnoses involve significant patient discomfort but are not typically associated with significant morbidity. However, there are a few diagnoses that are considered true orthopedic emergencies. The emergency physician should be familiar with the evaluation and management of these critical diagnoses.