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There is mounting evidence in the literature that the routine practice by paramedics of administering IV fluids to severely injured patients before they are transported to the hospital is not only unnecessary, but may also cause harm.
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It may be in the best interest of your ED patient with chest pain, seizures, or transient ischemic attack (TIA) to be admitted, but this may not occur due to factors beyond your control.
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Pertussis, commonly known as the "whooping cough," is an infection of the upper respiratory tract leading to a protracted cough illness. Emergency physicians should become familiar with the diagnosis and management of this disease, given the potential of pertussis infections to cause serious morbidity and mortality in young infants.
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Twenty highly active patients with neuromyelitis optica (NMO) stabilized after treatment with mitoxantrone. All patients tolerated treatment without significant safety concerns. Mitoxantrone may be an option for NMO given its differential inhibitory effect on subsets of B-cells.
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Early plasmapheresis and high-dose intravenous corticosteroids may be as effective as conventional oral corticosteroid therapy in the treatment of myasthenia gravis.
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The applause sign is a nonspecific indicator of frontal lobe dysfunction and is not specific to Parkinsonian disorders.
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A novel technique used to study deviations in the subjective visual vertical may assist in the localization of brainstem lesions.
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Controversy remains regarding the optimal blood pressure early in the course of ischemic stroke.
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Severe Vitamin D deficiency appears to worsen dementia and supplementation may be beneficial.
