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Emergency Medicine - Adult and Pediatric

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Articles

  • Work on Improving the Care of Children with Medical Complexity

    Emergency physicians identified significant challenges in providing high-quality emergency care to these patients. These include time constraints, the need to adequately review the expansive medical record for key information, and the need to contact known physicians when making treatment and disposition decisions. Respondents indicated communication with known providers and use of emergency information forms summarizing the child’s medical history were helpful.

  • New Details Emerge About Acute Flaccid Myelitis, Cases Could Surge This Year

    Researchers uncovered evidence indicating enterovirus D68 directly infects neurons in the spinal cord, prompting an immune response that leads to the limb weakness that is characteristic of acute flaccid myelitis. Investigators shed important light on the disease process that takes place in children who develop this polio-like illness. This is progress that can help lead to better treatments.

  • Legal Risks if Psychiatric History Clouds Medical Decision-Making

    Patients with these life-threatening medical conditions may report mood swings, personality changes, irritability or aggression, depressed mood, anxiety, or trouble concentrating. If appropriate history, physical exam, and diagnostic testing are not completed, medical emergencies can be missed. This is particularly common if physical exam findings are subtle.

  • The Joint Commission Puts Providers on Notice Regarding Diagnostic Overshadowing

    When patients present with existing diagnoses or disabilities, clinicians might attribute any symptoms to the existing condition. This is called diagnostic overshadowing, a type of cognitive bias that can cause unnecessary suffering, unsafe care, and adverse events related to missed or delayed diagnoses. Unfortunately, the problem occurs more often among groups already experiencing healthcare disparities.

  • Should EDs Offer Contraceptives, Related Family Planning Education?

    With many states implementing or planning to implement stringent new restrictions on access to abortion, some clinicians are urging their colleagues to take strong steps to ensure the contraceptive needs of women are met.

  • EMTALA Implications if ED Patient Needs Medically Necessary Abortion

    It is a mistake for ED providers to be solely focused on what their state abortion law says, without also considering the bigger picture in terms of other legal risks and ethical obligations.

  • Emergency Providers Scramble to Prepare for Treating More Pregnancy-Related Complications

    Now that the Supreme Court has shifted abortion lawmaking decisions to the states, matters for frontline providers have become more complicated in multiple ways. In addition to tracking patchwork laws, providers must be prepared to manage pregnancy- or abortion-related complications that might have been better managed at clinics that provide appropriate services.

  • Using Biomarkers to Predict Traumatic Brain Injury Outcomes

    Measuring proteins on day of injury could help improve current predictive models.

  • Emergency Department Management of Violent Patients

    A violent patient is someone under medical care who is a threat of danger to themselves, other patients, or hospital staff. Like many of the problems we face in the emergency department, the management of a violent (or potentially violent) patient is not always straightforward. Each encounter will be influenced by the patient’s background, underlying health conditions, comorbid issues, psychiatric history, socioeconomic factors, and much more.

  • Identifying Pediatric Cervical Spine Injuries

    Cervical trauma in pediatrics is fortunately uncommon, but associated with significant morbidity. Early recognition and timely management are essential to optimize the child's outcome. Balanced against this is the need to minimize unnecessary radiation in young children. The authors comprehensively review identifying pediatric cervical spine injuries.