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  • Blunt Pelvic Trauma

    Trauma to the pelvis is a great example of how an entity in trauma has undergone major evolutionary changes. Despite advances, the treatment of pelvic trauma continues to pose difficult challenges, and, thus, it continues to be a widely studied topic.
  • End-of-Life and Futile Medical Care in the Emergency Department

    The purpose of this article is to review the complicated issues of end-of-life and futile medical care as applicable to the emergency department (ED). It will address sources of conflict and confusion, and will conclude with a practical discussion of how emergency physicians can best navigate these complex waters by practical case review.
  • Discharge Time, Discharge TISS Scores, and Discharge Facility and Post-ICU Discharge Hospital Mortality

    Intensive care is part of a continuum of progressive patient care, and a significant number of research groups are now focusing their attention on ways to improve the organization of the ICU and its place in the continuum of care. An important aspect of this process is the evaluation of ICU discharge policies and their consequences.
  • Are Thrombolytics Needed in Submassive Pulmonary Embolism?

    In this randomized, double-blind study, 256 patients with submassive pulmonary embolism (PE) were treated with either heparin or heparin plus alteplase, a thrombolytic agent.
  • Infectious Causes of Upper Airway Obstruction in Children

    Individuals caring for children must be prepared to diagnose and treat airway emergencies expeditiously. Appropriate management of acute upper airway obstruction tests the organization of emergency care systems. Successful management of airway emergencies in children requires a team approach, including the skills of the primary physician and the staff of the emergency department, radiology department, and operating room staff.
  • Trauma Reports Supplement

    One year later: Emergency department response to biological terrorism, part II - smallpox, viral hemorrhagic fevers, tularemia, and botulinum toxins
  • Special Supplement: Recurrent Respiratory Papillomatosis

    Juvenile recurrent respiratory papillomatosis (also known as laryngeal papillomatosis), a condition with benign, wartlike tumors in the respiratory tract, may be associated with upper airway obstruction.
  • Critical Care Plus: Intra-Hospital Patient Transport Fraught With Difficulties

    Whats the single most important thing intensive care units can do to avoid the disasters that can happen when patients are transported to and from hospital departments? The most important factor is having a critical care doctor or head ICU nurse present to quarterback the move, says pediatrician Robert F. Patterson, MD, FAAP, critical care intensivist at Nemours Childrens Clinic in Pensacola, Fla.
  • Critical Care Plus: Group Closing GAP in Heart Attack Care

    A team of 10 detroit-area hospitals, led by physicians from the University of Michigan Health System in Ann Arbor, has reported significant success in improving the odds that heart attack patients will get the medicines, tests, procedures, counseling, and follow-ups that have been shown to improve the chances of surviving and returning to a full life.
  • Are you ready to carry out smallpox vaccine plans?

    Have you been putting off planning for smallpox vaccination because your key concerns have not been addressed? If so, new recommendations will provide some answers.