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Musculoskeletal and connective tissue complaints are the third most common chief complaint in the emergency department (ED), comprising nearly 20% of all ED visits.1 While the diagnosis and management of acute injuries are well delineated in the emergency medicine literature, pain from lower extremity overuse injuries is less commonly addressed.
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Identifying and managing agitated pediatric patients in the emergency department (ED) can be stressful and challenging for patients, families, and providers.
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AIDS- and HIV-related infections have changed significantly over the last decade. Although the overall incidence has declined, young adults have shown an increase in AIDS, with 50% of all new HIV infections in this age group. Many of these new HIV infections are in patients who are late presenters. These patients have received less care and are more likely to have unknowingly transmitted the infection. Routine screening identifies patients earlier, decreases the stigma associated with HIV testing, and increases the likelihood of future testing during risky behavior periods. The authors review the current role of the ED provider in identifying and managing patients with potential HIV.
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Children frequently present with infections of the neck. A comprehensive understanding of both superficial and deep infections of the neck is essential for clinical practice. Accurate recognition and early definitive management can minimize the risk of subsequent complications.
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No one wants to believe that a pediatric mass casualty incident will occur where they live and work, but, unfortunately, the recent events in Boston have shown that this is a very real possibility. In the event an incident occurs, preparation, response, and management of all of the victims, including the children, are critical and will define the future for each of the victims. The author reviews the basics for preparation and steps to recognize, prepare, and maximize the possibility of a good outcome in the event of a pediatric disaster.
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Adolescent girls may not be straightforward about gynecologic issues, and the emergency practitioner should specifically and in a sensitive manner ask about the patients gynecologic history.
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