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The diagnosis of genitourinary pathology may be challenging, especially in a busy emergency department. It is important in any infant with a complaint of fussiness, vomiting, or not acting right to undo the diaper and do a careful assessment of the genitalia. It is easy to miss a hernia or testicular torsion if an infant is not fully examined. Identification of children with a potential for underlying pathology is also essential.
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This article, the second of two parts, deals with the potentially
disastrous situation in which either the patients airway presents a
substantial challenge or standard intubation methods have failed.
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The demographics of our foreign-born population have undergone a polar shift during the past 50 years. Europeans once made up the majority of new arrivals, but Asians and Latin Americans now predominate. Part II of this series will familiarize physicians with some of the infections and diseases specific to immigrants from particular regions of the world.
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Bronchiolitis is an acute lower respiratory tract infection caused by a virus, resulting in small airway obstruction. Although some classic symptomswheezing, hypoxia, and hyperinflationtypically are associated with bronchiolitis, many young infants may not have wheezing as part of their initial presentation.
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Synopsis: The clinical decision rule tested in this study reduced unnecessary hospital admissions in patients with suspected acute cardiac ischemia without affecting safety.
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In a recent issue of Critical Care Alert I discussed the epidemiology and pathophysiology of invasive fungal infections that afflict patients in the ICU. In this issue, I review the current treatment options.
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The Joint Commission on Accreditation of Healthcare Organizations (JCAHO) is pilot testing 8 of the 11 standardized intensive care core measures initially put forth for public comment.
