Trauma
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ED Visits for Alcohol and Substance Use Disorders Surging Nationally
Presentations often are bundled with a host of comorbid conditions and chronic or acute traumatic events. Providers should suspect and expect an underlying potentially serious coexisting medical complication in each patient encountered until proven otherwise.
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Strangulation and Related Injuries
It is important for emergency providers to be able to identify injuries associated with strangulation, to prevent its devastating sequelae, and to provide safety planning and resources.
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Infectious Complications Carry Ethical Implications for End-of-Life Care
Many assume antibiotics are a simple solution to infectious complications, which is not always the case. Clinicians must explain the downstream effects of traumatic injuries and ICU care to families in detail so they can see how each bump in the road will affect the patient.
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Notification Practices Vary for Emergency Research, Few Participants Withdraw
Find consent processes that protect and preserve patients’ autonomy to the extent possible, while also allowing medical progress to occur and giving participants access to potentially beneficial therapies. Doing so may require
a more creative process than just following the rules. -
Venomous Bites
Humans increasingly invade the environments of venomous creatures. The authors provide a review of venomous creatures and what acute care providers need to manage the patients affected by them.
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‘STRAUMA’ Protocol Activates Care for Patients with Concurrent Symptoms of Stroke, Trauma
Researchers designed STRAUMA specifically for patients who exhibit symptoms of stroke and show visible signs of trauma. Typically, EMS activates the protocol, but other emergency providers can call for it after an appropriate patient has presented to the ED. An activation pages stroke and trauma teams to respond so they can evaluate the patient jointly.
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Medicaid Expansion Helped Young Adults with Traumatic Injuries
Better insurance coverage led to wider access to rehab resources, chipped away at certain racial, socioeconomic disparities.
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Approaches to the Hemorrhaging Pediatric Trauma Patient
Clinicians might be surprised to learn that after central nervous system injury, hemorrhage/hemorrhagic shock is the second most common injury complex resulting in death for pediatric trauma patients. A thorough understanding of subtle presentations and management is essential to improve the outcome for these children.
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Certain Recovery Activities Can Protect First Responders’ Well-Being
Considering the effects of stress on well-being, first responders are at higher risk of suffering from emotional fallout from their work. The good news is there are some straightforward solutions that could mitigate the harmful effects of stress and reduce their risk of developing depression, PTSD, or other mental health problems. -
Drugs of Abuse in Trauma Patients Part II: Central Nervous System Depressants
Drugs of abuse are commonly encountered in the trauma setting. Patient care may be affected by acute intoxication and chronic use of these substances. Central nervous system depressants can result in coma and respiratory depression in severe toxicity. The authors discuss common presentations, potential complications, and management of central nervous system depressants in the context of a trauma patient.