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In settings in which an admitting neurology service is unavailable, hospitalists may be called upon to care for and initiate an appropriate diagnostic evaluation for adult patients with new-onset seizures.
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There are specific injury mechanisms that should lead the practitioner to suspect the presence of intra-abdominal injury, such as a handlebar injury to the upper abdomen and seat belt signs from a motor vehicle accident.
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The paradigm I grew up with in emergency medicine is that there are a limited number of ways to die, and our role was to intervene and prevent death using the principles of A, B, and C: airway, breathing, and circulation. This concept works well for the previously healthy acutely ill or injured patient. But for the patient nearing the end of a life-limiting illness, it is not appropriate and can even be cruel. The introduction of palliative care to the emergency department at first seems out of place; that is the place where patients are snatched from the jaws of death. But as the authors of this issue explain, the ABC of resuscitation can be revised to the ABCD of palliative care assessment to provide better care to patients and families in times of crisis.
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A spinal cord injury can be devastating. The National Spinal Cord Injury Statistical Center (NSCISC) has been collecting epidemiologic data on spinal cord injury (SCI) for nearly 40 years and has been able to provide the public and medical community with information on the evolution of SCI, including demographics, injury patterns, long-term prognosis, and socioeconomic impacts.
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The modern-day intensive care unit (ICU) is a cacophony of noise from beeps, buzzers, loud conversations, and harsh lighting. Stimuli overload has been documented to be detrimental to critically ill patients.
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Hampson and colleagues present a review of the literature and pathophysiology of carbon monoxide (CO) poisoning and provide treatment and prevention recommendations.