Articles Tagged With: emergency
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Evaluation and Management of Diplopia in the Emergency Department
Diplopia is an uncommon presenting complaint in the emergency department that can be associated with life- and vision-threatening diagnoses. Comprehensive management typically requires an interdisciplinary team, often including both ophthalmology and neurology. This article provides emergency physicians with an organized resource that they can quickly reference for guidance on the assessment, management, and disposition of diplopia patients.
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Update on Emergency Department Sedation
Procedural sedation is an important and required skill for emergency medicine providers. Performing procedural sedation allows providers to safely perform multiple procedures, such as reductions, suturing, and cardioversion. Multiple agents can be used for procedural sedation and should be chosen based on desired length of sedation and comorbidities, as well as the physician’s level of comfort.
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Telemedicine for Managing Patients with Epilepsy
This retrospective study found telemedicine (TM) visits to be noninferior to in-person (IP) visits for key outpatient epilepsy care outcomes, including medication adjustment, surgery discussions, and avoiding emergency visits. TM was less effective for assessing the neurologic exam, and seizure freedom rates were inconclusive with respect to noninferiority. Although not a full replacement for IP care, TM remains an effective option since its future in healthcare delivery is being reassessed in the wake of the COVID-19 pandemic.
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Toxic Alcohols: Mechanisms, Presentation, Evaluation, and Management
It is critical to have a high index of suspicion for toxic alcohol toxicity to make an accurate and timely diagnosis. This, in turn, facilitates expeditious treatment that may prevent morbidity and mortality in these patients.
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Review of the AHA Hypertension Update for Emergency Physicians
Hypertension is one of the most common complaints among adult patients presenting to the emergency department. The American Heart Association (AHA) issues periodic guidelines and recommendations for the management of hypertension. This article will focus on the recent AHA scientific statement on the management of hypertension in the acute care setting.
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Tracheostomy Patients in the Emergency Department
Tracheostomies are prone to complications. Most complications are minor and can be readily treated. Serious and life-threatening complications require prompt recognition and expeditious management.
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Precision Medicine Raises Unique Ethics Concerns in Emergency Department
Precision medicine technologies are rapidly advancing in healthcare, but this approach also presents some ethical challenges.
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Evaluation and Management of Elbow Injuries in the Emergency Department
Elbow injuries continue to be a very common complaint that presents to the emergency department. These injuries involve a complex joint that includes many important structures, with injuries that vary greatly. It is important that emergency medicine clinicians remain prepared to evaluate, diagnose, and treat these various elbow injuries.
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Nalmefene Injection (Zurnal) and Intranasal Nalmefene HCl (Opvee)
The U.S. Food and Drug Administration has approved the first nalmefene autoinjector for the emergency treatment of known or suspected opioid overdose. Nalmefene is an opioid antagonist and an analog of naltrexone. It was granted a priority review and accelerated approval with a breakthrough therapy designation. It is distributed by Purdue Pharma L.P. as Zurnal.
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Acute Abdominal Pain in Older Adults
Abdominal pain is a common chief complaint for patients presenting to an emergency department. This article will discuss history and physical exam findings, diagnostic tools, and analgesia, as well as several, but not all, pathologies that can cause acute abdominal pain in an older adult.