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Recent epidemiologic studies indicate that nearly 4% of Americans are afflicted with food allergies. The spectrum of food allergy ranges from atopic dermatitis or other cutaneous manifestations hours after eating the problem food, to life-threatening events occurring shortly after ingestion. As well, some individuals experience allergic symptoms only if the food is eaten before physical stimuli such as vigorous physical exercise.
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Burn injuries frequently present to the emergency department. In the majority of cases, the burns are minor, yet they require a careful assessment, cleaning, dressing, and careful follow-up. Patients with more severe burn injuries, especially those associated with house fires or explosions, should be assessed carefully for multiple trauma, and care should be taken to protect the spine until injury can be excluded clinically or radiographically. The authors review the diagnosis, classification, and management of patients with sustained burns.
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Dermatologic complaints commonly are seen in emergency medicine and may pose a diagnostic dilemma for the clinician. Although a detailed understanding of all dermatologic conditions is beyond the scope of practice of emergency physicians, recognition of categories of disease, particularly emergent conditions, is essential. Knowledge of basic disease lesions, patterns, diagnostic tests, and emergent management is crucial to the appropriate treatment of patients with cutaneous disease. This article presents an organized approach to the diagnosis and management of cutaneous conditions, including brief discussions of selected dermatologic complaints.
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This prospective multicenter observational study demonstrates that patients with do-not-intubate (DNI) status who receive non-invasive positive pressure ventilation (NPPV) for respiratory failure have high hospital mortality. Presence of cough, being awake, or having a primary diagnosis of COPD or CHF, is associated with improved outcome.
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Based on emerging evidence, there are increased efforts around the world to maintain strict glycemic control in non-diabetic critically ill patients. Management of hyperglycemia through the use of insulin protocols is a new standard in critical care. Several protocols have been evaluated and reported in the literature.
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A Crackdown on Importation of Drugs; FDA Actions.
