Critical Care
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Crush Injuries
MONOGRAPH: In the U.S., alcohol intoxication associated with prolonged muscle compression and/or seizures is the most common cause of traumatic rhabdomyolysis.
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Emergency Medicine Reports - Full September 7, 2014 Issue in PDF
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Evaluation and Management of Sudden Vision Loss: Part I
Emergency physicians are often consulted by patients experiencing ocular symptoms. It is estimated that more than two million emergency department (ED) visits occur in the United States every year (approximately 3% of total ED visits) due to ocular complaints. Acute vision loss is an especially frightening experience that leads many patients to seek emergency care. Although this symptom is rarely life-threatening, early recognition and treatment of the cause is of paramount importance, as the patient may permanently lose sight in the affected eye(s). Emergency physicians (EPs) should be adept at diagnosing, treating, and obtaining appropriate ophthalmology consultation and follow up for this reason. -
PEG and J-tube Placement Is Associated with High In-hospital Mortality
Percutaneous gastrostomy (PEG) and jejunostomy (J) tubes are utilized in hospital practice for medical or surgical patients in whom oral nutrition is either inadequate to meet caloric needs or unsafe as a result of structural or functional abnormality. -
Why Is the Hospitalization Rate for Patients with Atrial Fibrillation Increasing?
Atrial fibrillation (AF) is the most common sustained cardiac arrhythmia and has been the leading arrhythmic cause for hospitalization. With an increasing trend toward outpatient care of subacute illness, it is possible that the AF hospitalization rate is stable or decreasing despite the aging population. -
Discontinuity of Care Is Associated with Increased Hospital Cost
This study demonstrated an association between increased discontinuity of physician care in the inpatient setting and increased hospital costs at a tertiary care center. -
Atrial Fibrillation and Cryptogenic Stroke: Important New Information
Ischemic stroke remains a leading cause of death worldwide, and atrial fibrillation is a major risk factor, increasing the risk of ischemic stroke five-fold in those who have a confirmed diagnosis of atrial fibrillation. -
Delaying Initiation of Antiretroviral Therapy for Cryptococcal Meningitis Improves Survival
HIV-infected patients diagnosed with cryptococcal meningitis who received antiretroviral therapy (ART) 5 weeks after starting antifungal therapy had improved survival at 26 weeks compared to similar patients who received ART at 1-2 weeks (45% vs 30%, respectively, P=0.03). -
Emergency Management of the Technology-Assisted Child
The acute presentation of the technology-assisted child in the emergency department (ED) setting is a dreaded situation. These children often have numerous ongoing chronic medical conditions, and their lives are assisted by adjuncts that aid feeding, breathing, administration of medication, and cerebrospinal fluid (CSF) drainage. When these devices malfunction, they can put children at risk of serious medical and surgical problems. -
Emergency Medicine Reports - Full November 9, 2009 Issue in PDF