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How would you interpret the 12-lead electrocardiogram shown in the Figure? What is distinctly unusual about this tracing? What would you ask the technician who recorded this tracing?
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The purpose of this prospective study was to assess whether a strategy of D-dimer testing and multidetector-row computed tomography —without the use of lower-limb ultrasonography —would safely rule out pulmonary embolism in emergency department patients suspected to have PE.
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The purpose of this study was to perform a comprehensive meta-analysis of all randomized trials with abciximab as adjunctive treatment of STEMI, including both fibrinolytic and mechanical reperfusion
strategies.
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Less lethal weapons are becoming increasingly popular amongst law enforcement agencies and the military to apprehend and subdue violent and dangerous persons in the field.
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This article will review and dispute some commonly held beliefs about dogma in the practice of emergency medicine.
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The authors discuss radiographic imaging, specific management of different types of commonly seen injuries, and appropriate consultation and disposition of patients who have sustained maxillofacial trauma.
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Few chief complaints cause more apprehension and dread for emergency physicians than dizziness. It is a common condition seen in the emergency department, is understood poorly, and has potentially malignant etiologies. Dizziness cannot be measured. It can mean different things to different patients and is often difficult to precisely characterize. Unfortunately, it is the ability to obtain a precise history and perform an exacting examination that allows a diagnosis to be made and appropriate treatment instituted. This article examines some of the different causes of dizziness, how they can be differentiated via history and physical examination, and their appropriate treatments and dispositions.
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Barriers to the informed consent process may exist among emergency patients, including impaired decisional capacity, impaired cognition, language barriers, illiteracy, insufficient time and communication, and numerous others. Because of the inherent vulnerability of ED patients, particular attention should be paid to addressing barriers to adequate informed consent, and steps should be taken to ensure adequate delivery of information, understanding of the proposed intervention and its risks and benefits, and voluntariness of the informed consent.
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ED nurses will face even greater responsibility for compliance under the 2006 National Patient Safety Goals just unveiled by the Joint Commission on Accreditation of Healthcare Organizations (JCAHO).
