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Emergency Medicine - Adult and Pediatric

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Articles

  • American Academy of Pediatrics Offers Solutions to Ease ED Crowding

    Group says “coordinated effort across the healthcare delivery system” needed to ensure continuity of care.

  • Legal Landmines for Patients Referred to ED for Psychiatric Evaluation

    These risks relate to information-sharing for care coordination and continuity of care.

  • ‘Medical Clearance’ of Psychiatric Patient Can be Legally Risky

    What does "medical clearance" really mean? Does it indicate a patient has no acute issues, or that all the patient’s chronic issues are stable? Or is it both? The answer depends on who you ask.

  • A Review of Meningitis

    Meningitis may be a devastating disease, and early diagnosis and aggressive treatment is critical to optimize outcomes for pediatric patients. The incredible effectiveness of pediatric vaccines have changed the epidemiology and approach to pediatric meningitis. The author provides a current review of pediatric meningitis to guide the acute care clinician.

  • Hemorrhage Control in Adult and Geriatric Trauma

    Death from hemorrhage may be rapid and allows the acute care practitioner a limited time frame to make critical interventions. The approach has changed drastically, and the authors provide the current tactics available to minimize blood loss until definitive hemostasis may occur.

  • Hyponatremia: Evaluation and Management in the Emergency Department

    Hyponatremia is one of the most common electrolyte derangements among adults presenting to the emergency department and is associated with significant morbidity and mortality. A variety of factors and disease processes can contribute to the development of hyponatremia, varying in both chronicity and in subsequent symptomatology. Understanding the varied etiologies of hyponatremia is essential for the emergency physician to appropriately manage this electrolyte disorder, ensuring appropriate treatment and disposition in a common but potentially dangerous disease process.

  • Emergency Care of the Medically Complex Pediatric Patient

    Children with special healthcare needs require an individualized approach based on their unique situations. Acute care providers must be familiar with the special devices, potential complications, and evaluations necessary for children with these devices. Early involvement of pediatric specialists may be necessary to provide optimal care to these children. The authors discuss many aspects of the care of children with special healthcare needs to enhance and optimize outcomes.

  • Pulmonary Embolism

    Emergency clinicians need to remain updated on the management and treatment of many critical diagnoses. Pulmonary emboli carry a significant morbidity and mortality, even with the advances in treatment that have been made over the past several decades. Having a high suspicion, making the diagnosis early, and initiating treatment are important for optimal patient outcomes.

  • Evaluation and Treatment of Acute Ischemic Stroke

    The primary goal of acute stroke care is to salvage as much brain tissue as possible by identifying patients likely to benefit from IV thrombolysis and/or endovascular thrombectomy and delivering treatment safely and promptly.

  • Spontaneous Subarachnoid Hemorrhage

    This article reviews the typical and atypical presentations of spontaneous subarachnoid hemorrhage and its complications. It also will discuss management of spontaneous subarachnoid hemorrhage and its complications, with a focus on treatment in the emergency setting.