Emergency Medicine - Adult and Pediatric
RSSArticles
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Hypothermia and Frostbite
Hypothermia is a medical emergency that requires immediate attention and correction. For patients with environmental exposures, especially freezing ambient temperatures, cold water, snow, and ice, frostbite injuries are of significant concern.
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Managing Pott’s Puffy Tumor and Sinogenic or Otogenic Intracranial Empyema
Following the COVID-19 pandemic, the incidence of sinogenic and otogenic intracranial empyemas increased. The author reviews the presentation, imaging, and treatment for this potentially life-threatening infection, with a reminder to keep this on your differential when evaluating your youngest patients.
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Falls in Older Adults
Falls cause significant morbidity and mortality among older adult patients compared to younger patients. When treating a patient who has fallen, the emergency medicine physician should identify traumatic injuries and evaluate for medical pathology contributing to the fall, as well as manage the patient.
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Scarlet Fever and Invasive Streptococcal Disease
While most physicians are familiar with the common presentations of streptococcal infections (e.g., pharyngitis, impetigo), it is important to recognize the carrier state, learn management of common complications (e.g., peritonsillar abscess), and identify the potentially serious, and perhaps deadly, complications and invasive infections.
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Envenomations Update
This article will give an overview of medically important non-marine envenomations in the United States, including their clinical manifestations, treatment, and disposition.
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Identifying and Managing Rocky Mountain Spotted Fever
Rocky Mountain spotted fever is an infectious disease that may be rapidly fatal if not rapidly recognized based on clinical findings and early institution of appropriate antibiotic therapy. The epidemiologic shift of this disease makes it important for all healthcare providers to be familiar with the current status, clinical presentation, and therapy for Rocky Mountain spotted fever.
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Ketamine: Old Drug, New Uses
Ketamine is a dissociative medication, the only one in its class. Most commonly used as a general anesthetic, it permits patients to tolerate acutely uncomfortable procedures while maintaining most brainstem function, such as breathing and perfusion.
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Diagnosis and Management of Acute Heart Failure in the Emergency Department
This article will focus on the care of patients with acute heart failure in the emergency department, reviewing new onset and decompensation of chronic heart failure, discussing heart failure classification based on clinical presentation, and providing updated recommendations on management and disposition from the emergency department.
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Pediatric Hematologic Emergencies
Hematology is a challenging area in pediatrics, with unique diseases that do not occur commonly. The authors review critical pediatric hematologic conditions that the acute care provider may encounter and provide a concise guide to diagnosis, stabilization, and management.
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Novel Psychoactive Substances of Abuse: Part II
This is the second of a two-part series. Part I reviewed stimulants and started the discussion of hallucinogens and psychedelics. Part II will finish the discussion of hallucinogens and conclude with novel sedative drugs.