Emergency
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Efficacy of Preoxygenation Methods Prior to Endotracheal Intubation
A post-hoc analysis of data from the MACMAN trial revealed noninvasive ventilation may be the preferred preoxygenation approach for intubation, especially in the setting of severe hypoxemia.
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Medication Errors When Patients Transition Out of ICU
Three factors associated with decreased odds of an error occurring were daily patient care rounds in the ICU, discontinuing and rewriting medication orders during the transition of care from the ICU to a non-ICU setting, and 16-20 ICU beds in the transferring ICU.
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Timing of Initiation of Renal Replacement Therapy in the ICU
Acute kidney injury is common in patients admitted to the ICU and is associated with high mortality. The decision to initiate renal replacement therapy (RRT) for these patients is complicated. Not only is the optimal time for starting therapy unclear, decisions to transfer patients to higher levels of care often are driven by the perceived need to initiate hemodialysis or continuous RRT.
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An Update on Physical Abuse of Children
Approximately one in five children evaluated in the emergency department is physically abused. Emergency physicians have a responsibility to consider abuse in the differential of every injured child. Although there is increasing awareness of the emergency physician’s role in diagnosing abuse, emergency physicians frequently fail to recognize the more subtle presentations of abuse. This article reviews the identification, evaluation, and management of a child with possible physical abuse.
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Physician Health and Malpractice Risk: A Look at Holmes v. Lyons
If a state board licensing investigation is initiated, it is wise to immediately consult an attorney who is familiar with applicable law. Cases like these are a challenging factor in the tension between physician wellness and the shift to a culture of openness about physician wellness and medicolegal risk. Physician involvement in shaping how the states manage these issues has the potential to positively affect the health of both physicians and their patients.
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Shocking Injuries: Knowing the Risks and Management for Electrical Injuries
Approximately 5,000 patients present to the emergency department each year for evaluation and treatment of electrical injuries. This article will discuss the different classifications of electrical exposures and describe the recommended initial evaluation, diagnostic workup, and treatment. In addition, the authors also discuss special situations, such as lightning exposures, pediatric exposures, and electrical exposures during pregnancy.
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An Evidence-Based Review of Gastrointestinal Bleeding Evaluation and Management in the Emergency Department
Gastrointestinal bleeding is a common presentation to the ED, and patients can present at any age with varying complexity and severity.
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As Measles Cases Mount, Frontline Providers Urged to Remain Vigilant
As of late May, 940 measles cases had been confirmed in 2019, the most cases reported in the United States in 25 years.
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Trump Administration Outlines Steps Aimed at Eliminating HIV Epidemic
CDC Director: “This is going to be a whole-of-society initiative. We have an unprecedented opportunity to end the HIV epidemic in America, and that is why the time to act is now.”