Emergency Medicine - Adult and Pediatric
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Mobile Stroke Units, Teleneurology Units Accelerate Time to Treatment
Investigators recently published evidence that appears to support the efficacy of mobile stroke units (MSU), specially equipped ambulances that essentially bring treatment to patients experiencing ischemic strokes. In a multicenter trial, researchers found patients treated on an MSU received clot-busting medication faster and demonstrated better health at 90 days than patients who were transferred to the hospital for treatment via traditional ambulance.
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Antibiotics for Appendicitis, Revisited
One year later, researchers present updated data that strengthen the alternative to surgery approach.
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Medicaid Expansion Helped Young Adults with Traumatic Injuries
Better insurance coverage led to wider access to rehab resources, chipped away at certain racial, socioeconomic disparities.
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Study: Interferon Does Not Help Hospitalized COVID-19 Patients
When combined with remdesivir, the multiple sclerosis drug did not produce clinical benefit.
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U.S. Advocacy Groups Declare National Emergency on Children’s Mental Health
Health professionals call on policymakers to address regulatory, financial, and technological challenges.
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Management of Asthma and Chronic Obstructive Pulmonary Disease Exacerbations
This article discusses emergent management of patients with asthma and chronic obstructive pulmonary disease exacerbations, as well as the epidemiology, etiology, and pathophysiology of each condition
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Pediatric Mental Health in the Emergency Department
The increasing volume of children with mental health conditions across all acute care settings highlights the need for ED providers to be familiar with the most common mental health presentations in the pediatric population to effectively engage with and provide proper care for and disposition to this at-risk population. -
Study: More Than Half of DNR ED Patients Resuscitated Against Their Wishes
Of 419 cardiac arrest patients, 65 were DNR status. Of this group of DNR patients, 38 were resuscitated against their wishes. Not adhering to a patient’s wishes not only violates their autonomy, but it is arguably not acting in the patient’s best interest — and may in fact be causing them harm.
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Approaches to the Hemorrhaging Pediatric Trauma Patient
Clinicians might be surprised to learn that after central nervous system injury, hemorrhage/hemorrhagic shock is the second most common injury complex resulting in death for pediatric trauma patients. A thorough understanding of subtle presentations and management is essential to improve the outcome for these children.
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Health Disparities in the Emergency Department
Overall health is a result of the interactions between a complex set of social, economic, cultural, educational, and healthcare-related variables. To properly care for a wide range of patients, emergency department clinicians must understand how these variables affect our individual patients, our practices, and the communities we serve.