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Recently, the Centers for Medicare and Medicaid Services proposed several changes to EMTALA that attempt to clarify hospital and physician duties. Undoubtedly, this new legislation will have an impact upon the care of emergency patients and the emergency physicians caring for them.
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The emergency department physician can be an advocate for the appropriate use of antibiotics in children by becoming familiar with the pathogenesis of common ENT infections and the latest treatment guidelines for some of these entities. This article reviews common ENT infections, diagnostic criteria, and treatment options.
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This article reviews the pathophysiology involved in the newborn with congenital heart disease and familiarizes the reader with the nomenclature and known complications encountered in the care of these children.
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This article, the second of two parts, deals with the potentially disastrous situation in which either the patients airway presents a substantial challenge or standard intubation methods have failed.
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The diagnosis of genitourinary pathology may be challenging, especially in a busy emergency department. It is important in any infant with a complaint of fussiness, vomiting, or not acting right to undo the diaper and do a careful assessment of the genitalia. It is easy to miss a hernia or testicular torsion if an infant is not fully examined. Identification of children with a potential for underlying pathology is also essential.
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