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Did an ear, nose and throat consultant refuse to come in for a critical-airway patient, a neurosurgeon for an intracranial bleed, or a hand surgeon for a patient with a tendon rupture? "Any of these instances could lead to poor or unsafe patient care and strained future relationships," says Chad Kessler, MD, FACEP, FAAEM, section chief of emergency medicine at Jesse Brown VA Hospital in Chicago.
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Michael Blaivas, MD, RDMS, professor of emergency medicine in the Department of Emergency Medicine at Northside Hospital Forsyth in Cumming, GA, says he has reviewed multiple cases involving consultants refusing to come to the ED, with a bad outcome resulting. "Mostly, this means an unhappy patient, but in critically ill ones can mean a lawsuit," he says.
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This issue of Emergency Medicine Reports is the first in a two-part series on imaging and evaluation of stroke and transient ischemic attack (TIA). This part will review risk factors, history and physical examination, and computed tomography imaging. Part 2 will review magnetic resonance imaging, duplex ultrasound imaging, and treatment.
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Non-Hodgkin B-cell lymphomas are more likely to be associated with peripheral nerve disorders, and Hodgkin's disease with central nervous system syndromes.
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Neurosurgical interventions for trigeminal neuralgia have never been rigorously studied for efficacy and carry significant risks.