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A 90-year-old woman complains of leg pain and swelling, with a history of hormone replacement therapy use, hypertension, osteoarthritis, and recent eye surgery.
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Here are the steps taken when a patient with suspected deep venous thrombosis (DVT) presents at Seattle-based Harborview Medical Centers ED, according to Cynthia Natiello, RNC BSN, CCRC, the facilitys vascular research nurse:
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If your facility isnt a Level 1 Trauma Center, you probably dont care for trauma patients with multiple injuries on a daily basis.
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If youre not in full compliance with the National Safety Patient Goals for 2004 from the Oakbrook Terrace, IL-based Joint Commission on Accreditation of Healthcare Organizations, you have a lot to worry about.
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The purpose of this prospective study was to evaluate the Ottawa Ankle Rules in children younger than 18 years presenting to a pediatric ED.
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This prospective randomized, double-blind, placebo-controlled trial looked at the use of prednisone 40 mg daily for 10 days vs. placebo in 147 patients presenting to any of 10 emergency departments who were well enough to be discharged after treatment for exacerbation of their
chronic obstructive pulmonary disease.
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Hyperkalemia is an electrolyte disorder with life-threatening potential. The spectrum of clinical presentation is wide, ranging from asymptomatic laboratory discovery to cardiac arrest.
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The ECG in the Figure was obtained from a 78-year-old man with long-standing pulmonary disease and new-onset heart failure. Based on the low voltage in leads V1, V2, V3, the rightward frontal plane axis, incomplete right bundle-branch block, and persistent precordial S waves, the computer interpreted the overall pattern as consistent with pulmonary disease. What else should be added to your interpretation?
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The recognition of non-accidental injury is critical for a pediatric
trauma patient. In the year 2000, almost 3 million reports of child
abuse were made to social service agencies. Forty-four percent of the
fatalities were children younger than 1 year of age. Not only are these
statistics alarming, but they point out the need for emergency
department and trauma physicians and nurses to recognize non-accidental
injury and aggressively protect the children who seek our medical
expertise and protection.
