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  • From the Lab

    The most striking and deadly example of thrombotic disease is atherosclerosis, in which unwanted clots build up in the coronary arteries that nourish the heart. Also, a clot fragment in a leg can break loose and hitchhike via the bloodstream until it lodges in a lung.
  • Report from Europe

    German news media reported last month that the center-left government headed by Chancellor Gerhard Schroeder and the conservative Christian Democrat opposition had reached agreement on a wide-ranging plan to cut healthcare costs in the country that currently are said to be among the highest in the world. The agreement apparently paves the way for the legislative approvals needed to start implementing the reforms as of Jan. 1 of next year.
  • Acquisitions

    Abbott Laboratories (Abbott Park, Illinois) completed the asset purchase of the coronary and peripheral interventional business line of the Jomed Group (Helsingborg, Sweden) for a cash purchase price of EUR 60 million.
  • Personnel File

    3F Therapeutics (Lake Forest, California/Brussels, Belgium) reported three additions to its senior management team. LeRoy LeNarz III, MD, has been named vice president of clinical affairs.
  • Ottawa Ankle Rules Applied to Children with Mixed Results

    The purpose of this prospective study was to evaluate the Ottawa Ankle Rules in children younger than 18 years presenting to a pediatric ED.
  • Burst Steroid Therapy for COPD Exacerbations

    This prospective randomized, double-blind, placebo-controlled trial looked at the use of prednisone 40 mg daily for 10 days vs. placebo in 147 patients presenting to any of 10 emergency departments who were well enough to be discharged after treatment for exacerbation of their chronic obstructive pulmonary disease.
  • Special Feature - Hyperkalemia: Electrocardiographic Recognition and Initial Therapeutic Considerations

    Hyperkalemia is an electrolyte disorder with life-threatening potential. The spectrum of clinical presentation is wide, ranging from asymptomatic laboratory discovery to cardiac arrest.
  • ECG Review: Pulmonary Pattern and What Else?

    The ECG in the Figure was obtained from a 78-year-old man with long-standing pulmonary disease and new-onset heart failure. Based on the low voltage in leads V1, V2, V3, the rightward frontal plane axis, incomplete right bundle-branch block, and persistent precordial S waves, the computer interpreted the overall pattern as consistent with pulmonary disease. What else should be added to your interpretation?
  • Trauma Reports Supplement - Non-accidental Injury: Recognizing Child Abuse in the Pediatric Trauma Patient

    The recognition of non-accidental injury is critical for a pediatric trauma patient. In the year 2000, almost 3 million reports of child abuse were made to social service agencies. Forty-four percent of the fatalities were children younger than 1 year of age. Not only are these statistics alarming, but they point out the need for emergency department and trauma physicians and nurses to recognize non-accidental injury and aggressively protect the children who seek our medical expertise and protection.
  • Imaging in Low Back Pain: Is X-ray or Rapid MRI Better?

    This randomized, controlled trial compared rapid magnetic resonance imaging with plain radiographs as the initial diagnostic imaging test in patients with low back pain.