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Domestic violence is a serious problem that, unfortunately, is seen all too commonly in our emergency departments. Statistics show, however, that physicians, including emergency physicians, are not good at identifying victims of domestic violence.
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In a child who is critically injured there is the potential for many serious or life-threatening injuries. The initial focus must always be to stabilize the child's airway and breathing and, then, rapidly identify shock and aggressively correct volume deficits.
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Everyone who provides care for patients in emergency departments is well aware of the annual winter-spring spike in patient volume due to influenza disease and its complications.
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In North America, rotavirus gastroenteritis is a predictable winter epidemic every year--young children presenting to emergency departments and outpatient clinics with fever, vomiting, diarrhea, and varying degrees of dehydration.
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In this randomized-controlled trial, Koeman and associates wanted to determine the effect of two oral decontaminating gels, chlorhexidine 2% (CHX) or chlorhexidine 2% plus colistin 2% (CHX/COL), compared to a placebo, on the development of ventilator-associated pneumonia (VAP) in patients requiring more than 48 hours of mechanical ventilation.
