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As a result of the recent military conflicts, cutaneous leishmaniasis has emerged as a significant disease among US troops deployed in Iraq, Afghanistan, and Kuwait. Physicians should consider the possibility of cutaneous leishmaniasis in persons with chronic skin lesions who have traveled to or been deployed within areas where leishmaniasis is endemic.
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Families traveling with infants and children should be aggressive about malaria prevention using DEET, permethrin, and chemoprophylaxis. Both this review and that of associate editor, Lin Chen, MD, in this issue underscore the importance of bednets and repellents as critical components of malaria prophylaxis
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Though nuclear weapons are one of the few potential bioterrorism agents that have actually been used against human populations, in many ways, the Cold Wars ultimate weapon remains as poorly understood as some emerging, exotic pathogen.
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With nuclear terror, there is every reason to hope but very much to fear. Consider these findings of an analysis of the current situation by a scholar at Harvard University in Cambridge, MA.
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The topic of pediatric traumatic brain injury (TBI) is extensive, and the majority of information is very familiar to the practicing emergency department physician. The author discusses two areas of controversy patient selection for imaging and an update on management strategies for children with TBI.
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Endorsed by a multi-disciplinary panel of clinical experts, the Year 2004 ATBS Clinical Consensus Report primarily is directed toward physicians faced with the challenge of managing patients with acute bacterial rhinosinusitis in the primary care, emergency, and urgent care settings. The ultimate goal is to provide a concise, practical, and clinically relevant schemata for day-to-day patient management in which evidence can be put into practice to optimize clinical outcomes.
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Have you made your labor and delivery unit a veritable fortress with high-tech equipment and strict policies to prevent infant abductions, while leaving the back door wide open? Children in the pediatrics unit can be just as vulnerable as infants, experts say, but risk managers too often put all their focus on protecting the newborns while devoting relatively few resources to other young patients.
