Acute Coronary Syndromes
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Burst Steroid Therapy for COPD Exacerbations
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. -
Ottawa Ankle Rules Applied to Children with Mixed Results
The purpose of this prospective study was to evaluate the Ottawa Ankle Rules in children younger than 18 years presenting to a pediatric ED. -
Noncardiac Causes of Chest Pain in the Emergency Department: Part I
The diagnosis of patients with chest pain is straightforward only occasionally. A systematic method of evaluating these patients is essential to assess for potentially life-threatening conditions. This article discusses noncardiac causes of chest pain, particularly GI causes and aortic dissection. -
Evaluating the patient with minor head trauma
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B-Type Natriuretic Peptide: Clinical Utility in the Emergency Department Setting
As experienced physicians understand, heart failure can be a difficult diagnosis to establish in the emergency department setting, especially when there are factors that may complicate a patients presentation. This issue of Emergency Medicine Reports reviews the role and clinical utility of brain natriuretic peptide in the management of patients suspected of having heart failure upon presentation to the ED -
Central Nervous System Manifestations of Drug Toxicity
Emergency medicine physicians routinely manage patients with neurologic toxicity due to drugs and chemicals. The causes of these toxicities are diverse. The focus of this article will be on the manifestations of drugs in the CNS, along with management recommendations. -
Pediatric Appendicitis
MONOGRAPH: The diagnosis of acute appendicitis remains a challenging conundrum for the emergency physician.
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Influx of patients with asthma- like symptoms strains resources in many pediatric EDs
An outbreak of a rarely seen virus in the United States is spiking volumes at pediatric EDs across the country, with children typically presenting with asthma-like symptoms. -
Researchers: New resources, tools needed to reduce variation in the admissions decisions
New research suggests there is considerable variation in the decisions emergency providers make regarding whether to admit patients with certain common, low-mortality conditions. -
Strong administrative buy-in, firm mandates can push flu vaccination rates up to more than 99% among health care workers
While flu vaccination rates are inching up among health care workers, there is still room for improvement. The Centers for Disease Control and Prevention reports that slightly more than 75% of health care workers received the flu vaccination during the 2013-14 season — an increase of roughly 3% over the 2012-13 season.