Emergency Medicine - Adult and Pediatric
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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.
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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.
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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.
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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.
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Identifying and Treating Pediatric Ocular Trauma
Pediatric ocular injuries are predominantly minor but may be devastating. The emergency provider must understand the anatomy and injuries that may result in significant damage and a timely critical approach to preserve the child’s vision.
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Management of Seizures in the Emergency Department
While most seizures will be brief and self-limited, prolonged seizure activity and status epilepticus represent high morbidity and mortality presentations. This review aims to summarize the best available evidence on seizure evaluation, classification, and acute management.
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Acute Ataxia and Gait Disturbances in the Emergency Department
Ataxia and gait disturbances can signify a variety of conditions. The differential includes benign as well as life-threatening causes. An understanding of the pathophysiology and a thorough neurological exam are critical in making these distinctions.
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Incidental Findings for ED Patients Are Common, Staff Do Not Always Act
The search continues for an effective technique to identify and intervene on these findings in a way that works in the context of a busy ED workflow.
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Confusion Over ED Instructions Remains Unaddressed Even After Discharge
There is an opportunity to make the ED a place where people feel heard and like they received what they needed, which is especially important because the ED is a crucial point of contact for some historically underserved populations.
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Robust Data Collection, Careful Review Key to Preventing Disparities
A Boston health system has launched a multimillion dollar program aimed at eliminating disparities and promoting antiracist care.