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Emergency Medicine Reports - Full July 6, 2009 Issue in PDF

Imaging in Pediatric Abdominal Trauma: What Test, and Why?

With trauma as the leading cause of death in children nationwide, pediatric abdominal trauma is a commonly encountered clinical situation in the emergency department (ED).

Trauma Reports - Full July 1, 2009 Issue in PDF

The Missed MI: Understanding the Limits of Biomarkers and CT Angiography

I remember when the Goldman myocardial infarction (MI) algorithm came out, quickly followed by a seven-button hand-held "calculator." It promised to reduce all decision-making regarding ED chest pain patients to seven yes or no questions. But when you looked into the mathematics, if you answered no or negative to all of the questions, it indicated a 4% chance of acute cardiac ischemia. So, what would you do with this information? Could you tell the patient that there was only a 4% chance of a heart attack, so it was OK to go home?

Emergency Medicine Reports - Full June 22, 2009 Issue in PDF

Emergency Medicine Reports - Full June 22, 2009 Issue in Streaming Audio/Downloadable MP3 Format

Missed Myocardial Infarction: ECG Strategies to Reduce the Risk

Does the electrocardiograph in your emergency department include a computer-generated interpretation on every electrocardiogram printed? Like me, do you often find them less than helpful? Occasionally troubling?