Emergency Medicine - Adult and Pediatric
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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.
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Lack of Training on Psych Patients Exposes ED to Liability
EDs are obligated to provide a safe, protective environment for all patients.
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Does ED Visitor Arrive With a Gun and a Carry Permit?
Policy needed to determine next step.
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Legal Risks Are ‘Huge’ if Violence Occurs in ED
“Even meek people can be dangerous,” says one expert.
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What Are Legal Considerations if ED Security Guards Are Armed?
Should ED security be armed with guns, Tasers, or pepper spray?
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ED Staff in Crossfire of Violence Can Lead to Negligence Claims
Assaults occur disproportionately in EDs.
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Can Plaintiff Attorney Convince Jury That ED Security Was Poorly Trained?
Training gaps might become obvious at deposition.
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Expect Excessive Force Allegations if Security Harms ED Patient
ED restraint policies will undergo ‘a great deal of scrutiny.’