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Fluid therapy is an integral aspect of trauma resuscitation.
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Burns may range from a minor injury from a brief contact with hot water to a life-threatening, devastating injury. Burns may be obvious or subtle depending on the mechanism and type of force producing the injury. The early recognition and aggressive management of even the smallest burn makes a significant impact on the outcome of each individual patient, especially in terms of function.
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Trauma to the pelvis is a great example of how an entity in trauma has undergone major evolutionary changes. Despite advances, the treatment of pelvic trauma continues to pose difficult challenges, and, thus, it continues to be a widely studied topic.
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Trauma patients frequently present to the emergency department for evaluation. Early identification of injuries, a thorough diagnostic evaluation, and timely management improve outcomes. Understandably, high-risk patients with the potential for decompensation on missed injuries mandate a thorough and comprehensive evaluation. This article identifies and reviews areas where diagnostic errors may occur.
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Abdominal trauma is the most frequently initially missed fatal injury in pediatrics. A high degree of suspicion is critical and early diagnosis is essential to minimize the morbidity and mortality associated with these injuries.
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Trauma is the leading cause of death in patients between the ages of 1 and 44 years and is the fifth leading cause of overall deaths in the United States.
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Emergency department physicians frequently assess and manage patients with potential hip fractures.
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Carbon monoxide poisoning is a treatable condition when recognized prior to devastating consequences. Early on, carbon monoxide (CO) poisoning may be subtle and elusive, with vague, nonspecific symptoms that may be inappropriately contributed to other conditions.
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To adequately address the complexity and breadth of maxillofacial trauma, this article reviews the anatomy, recognition of common injury patterns, and initial stabilization. A second article will address specific injuries in detail, diagnostic imaging, definitive management, and appropriate consultation and disposition strategies.
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Burn injuries frequently present to the emergency department. In the majority of cases, the burns are minor, yet they require a careful assessment, cleaning, dressing, and careful follow-up. Patients with more severe burn injuries, especially those associated with house fires or explosions, should be assessed carefully for multiple trauma, and care should be taken to protect the spine until injury can be excluded clinically or radiographically. The authors review the diagnosis, classification, and management of patients with sustained burns.
