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The presence of cerebral complications of infective endocarditis (IE) can affect diagnostic and treatment decisions. Thus, this group from Paris, France, evaluated whether early cerebral MRI would affect the diagnosis and management of hospitalized patients suspected of having IE.
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Bilateral absence of N20 responses in the setting of therapeutic hypothermia does not preclude neurologic recovery in comatose survivors of cardiac arrest.
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Asymptomatic pulmonary embolism is quite common among patients with deep venous thrombosis. In many instances in these patients, the pulmonary emboli are located within the central pulmonary arteries.
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This randomized, multicenter trial showed no differences in 28-day mortality in patients with shock who received either norepinephrine or dopamine, but did reveal a higher incidence of arrhythmia in the dopamine-treated group.
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>Pediatric fractures are commonly encountered in the emergency department (ED). Approximately 50% of children will fracture a bone during childhood. The unique injury patterns, especially those involving the physis, require that clinicians have a complete and thorough understanding of appropriate diagnostic and management strategies to maximize a child's potential for an optimal outcome.
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In the United States, wound care constitutes a large part of the care provided in any emergency department (ED). While many lacerations and traumatic injuries can be repaired easily, some require complex and time-consuming management.
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The authors describe a previously healthy 44-year-old woman who presented with bacterial meningitis. On presentation, she was alert but complained of high fever and meningismus. She had no other neurologic symptoms.