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Although cervical spine injuries are uncommon in children, a missed or
delayed diagnosis may have devastating consequences for the patient. A
thorough understanding of normal pediatric anatomy, injury patterns,
and children who are at increased risk for injury is critical for the
physician caring for the acutely injured child.
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An 85-year-old woman comes to the ED with an ankle fracture. An elderly gentleman complains of chest pain.
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Do you ever give callers medical advice when they call the ED asking for help? If so, you are facing increased liability risks, warns Peter Alan Bell, DO, FACOEP, FACEP, professor of emergency medicine at Ohio University College of Osteopathic Medicine in Columbus.
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While performing irrigation to flush the eye after foreign body or chemical irritation, the ophthalmic anesthetic usually gets washed away, and the patient begins to complain about pain of irrigation.
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As an ED nurse, you work hard to stay current with clinical care for pediatrics. But are you effectively treating pain in infants and children? According to a just-published study, very young children with serious injuries often are undertreated for pain in the ED.
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If a patient came to your ED complaining of fever, anxiety, or coughing, would you suspect a pulmonary embolism?
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Do you often encounter frightened, squirming children when attempting to start intravenous lines or care for lacerations? Their fright and movement can make care difficult to deliver, says Teri Howick, RN, nurse educator for the ED at McKay Dee Hospital in Ogden, UT.
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