Care for a patient who undergoes an amputation is often complicated and is time-sensitive. A lot of thought goes into whether replantation is attempted or not, but those decisions are reserved for the replantation team. The role of the emergency provider is to expediently evaluate the patient and prepare him or her for care by the replantation team.
Just a wrist sprain? After reading this issue, you may want to look at that X-ray again.
Failed extubation is more likely to occur in elderly patients with underlying chronic cardiac or pulmonary disease, and patients in whom it occurs have substantially worse clinical outcomes than those who do not require reintubation.
Adding gabapentin to valacyclovir early in the treatment of acute herpes zoster may reduce the incidence of postherpetic neuralgia.
