Complaints pertaining to teeth are very common, and patients frequently utilize emergency departments (EDs) for their initial care. Most patients understand that definitive care must be provided by a dentist or oral surgeon, but either a lack of financial resources, inability to contact their dentist, severe pain, or acute trauma leads patients to EDs first.
A pacemaker is an electronic device that provides an electrical signal to stimulate the heart beat when the intrinsic pacemakers fail. The development and implementation of cardiac pacing and pacemaker generators has been well described and documented in many publications.
In the case of fulminant meningococcal disease, laboratory tests are not available fast enough to be helpful, and may be within normal ranges early in a precipitous course. Provide rapid fluid support and antibiotics immediately and obtain blood cultures with the initial IV placement if possible, but do not delay antibiotics for the sake of good cultures.
