Emergency Medicine - Adult and Pediatric
RSSArticles
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Traumatic Amputations
Traumatic amputations can be extremely debilitating injuries that have long-term functional and psychological outcomes. The authors review traumatic amputations, diagnostic evaluation, and management.
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Pediatric Syncope: Current Status of Diagnostic Evaluation and Management
Children may present to the emergency department with a potential syncopal event. Although the presentation is unusual, everyone fears missing a cardiac issue. The authors present a concise review, focusing on the history, physical exam, and ECG, of how to evaluate and manage a child with syncope, differentiating other mimics and discussing the current therapeutic approach to the most common diagnosis.
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EPs Caught Between Patient Care and Law Enforcement Requests
EPs always must consider the patient’s best interest.
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EMTALA Claim Against Individual EP: ‘Almost Always an Empty Threat’
Some use EMTALA as leverage to coerce settlement.
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What Happens When an ED Chart Shows PA ‘Went Rogue?’
EP can be held liable if physician assistant’s care was negligent.
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Are EP and Hospital Jointly Defending Med/Mal Lawsuit?
EP will face repercussions if pointing finger at hospital.
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CANDOR: An Evolving Approach to Patient Harm
While most agree transparency, forthrightness, and 'doing the right thing' for patients and their families are ethical imperatives, practical concerns and lack of definitive data have yet to prove conclusively they will make a difference.
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Stridor in the Infant and Young Child
Stridor is a high-pitched, monophonic sound caused by turbulent air flow through a narrowed airway, and is a common symptom among young children presenting to the emergency department.
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Tranexamic Acid in Trauma
Tranexamic acid or TXA is a potent antifibrinolytic that has the potential to decrease clot breakdown and reduce bleeding in trauma patients. Studies have shown that the use of TXA in trauma patients improves overall survival, although these studies have been discounted as not being relevant to trauma care as practiced in well-resourced countries. Thus, the adoption of TXA into trauma protocols in U.S. centers has been slow and controversial. Further studies are needed to answer questions about which patient populations can benefit most from TXA and how it should be used in highly developed and well-resourced trauma systems and centers.
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Pediatric Oncology
Many emergency department (ED) visits for children are driven by parental fears of serious illness, including concerns that a child may have cancer. Some presenting symptoms are high-risk and require serious inquiry, while others are less concerning and may be managed by reassurance alone. Additionally, children with established cancer diagnoses may present to the ED with complications of their cancer, an unexpected recurrence after a period of remission, or issues related to treatment. The authors review the presentations for the most common pediatric cancers and the complications associated with pediatric cancers and their treatment.