Emergency
RSSArticles
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Tactical Emergency Medicine
Mass casualty shooting events in the United States, although rare, appear to be increasing in frequency. Active shooter attacks have become a favored means of inflicting terror attacks. This article has the purpose of speeding the transition of military medical lessons learned from the battlefield to civilian medical response to high-risk situations.
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Diabetic Emergencies
Diabetes is a global health problem. This article focuses on the major diabetic emergencies: diabetic ketoacidosis, hyperosmolar non-ketotic state, and hypoglycemia.
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Pediatric Procedural Sedation
Procedural sedation is a critical skill to facilitate the performance of necessary diagnostic and therapeutic procedures in children. The clinician must have knowledge of the preparatory steps, indications, pharmacologic agents, monitoring, and recovery phase to safely and effectively perform this necessary adjunct to many common procedures. The authors review steps, current recommendations, and options to utilize procedural sedation skillfully in children. In addition, they present guidelines for managing adverse events that may be associated with the administration of procedural sedation.
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Strategies to Manage the Failed Airway
In this large, multicenter, retrospective study, video laryngoscopy, the most common approach to failed airway management, demonstrated a high rate of success, even when difficult ventilation existed.
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Antibiotic Treatment in Community-acquired Pneumonia
In patients with newly diagnosed community-acquired pneumonia, basing the duration of antibiotic treatment on clinical stability criteria led to a significant reduction in duration of antibiotic treatment without an increased risk of adverse outcomes.
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Is There an Optimal Blood Pressure Target in Patients Presenting with Intracerebral Hemorrhage?
Recently, two large randomized, controlled trials compared intensive blood pressure control with permissive hypertension in the setting of acute intracerebral hemorrhage. The authors of the two trials reached seemingly differing conclusions, leading to confusion on how to best manage patients.
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EP’s Defensive Response to Peer Review Inquiry Complicates Matters
Feeling personally attacked during peer review inquiries, EPs might claim the investigation is a sham, is harassment, or that the investigator holds a personal grudge.
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Does ED Chart Leave AMA Patient Free to Claim, ‘If Only I’d Known the Risks?’
Give solid evidence patient was fully informed before discharge.
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Plagiarized Passages in ED Chart Cause Legal Problems
Copied and pasted information complicates defense for EP.
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Surprising Number of ED Cases End Up Settled
Even if standard of care was met, many factors, including the EP’s emotions, come into play.