Emergency Medicine - Adult and Pediatric
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The Photosensitive Patient
A 65-year-old female presents to the emergency department with a chief complaint of a severe rash. The rash has been present for two weeks on her arms, neck, and scalp. It began while she was sitting on her porch one afternoon. She denies any associated fevers, chills, headache, or muscle ache. She denies any exposure to pets, new soaps, detergents, or lotions, and she denies recent travel.
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Emergency Medicine Reports - Full November 30, 2014 Issue in PDF
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Blunt Pelvic Trauma
Trauma to the pelvis is a great example of how an entity in trauma has undergone major evolutionary changes. Despite advances, the treatment of pelvic trauma continues to pose difficult challenges, and, thus, it continues to be a widely studied topic. -
Pediatric Myocarditis
Myocarditis can at times be asymptomatic and has a varied presentation; consequentially, it often goes undiagnosed and its true incidence is unknown -
End-of-Life and Futile Medical Care in the Emergency Department
The purpose of this article is to review the complicated issues of end-of-life and futile medical care as applicable to the emergency department (ED). It will address sources of conflict and confusion, and will conclude with a practical discussion of how emergency physicians can best navigate these complex waters by practical case review. -
Emergency Ultrasound Part I: Pelvic Ultrasound and the First Trimester Patient
In this article and the succeeding two parts in this series, three distinctive applications of ultrasound in the ED will be discussed. The ability to perform a proficient and diagnostically effective ultrasound examination requires a judicious understanding of the underlying principles. -
Full January 1, 2003, Issue in PDF
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ECG Review: Chest Pain and Lots of P Waves
The 12-lead ECG shown in the figure was obtained from a 55-year-old woman with new-onset chest pain. Many more P waves than QRS complexes are seen on the tracing. How would you interpret this ECG? -
Syncope Should Not Be Taken Lightly
The authors of this study in the New England Journal of Medicine evaluated participants enrolled in the Framingham Heart Study between 1971 and 1998 who reported syncopal events. -
Fibrinolysis in Acute MI and Hospital Revascularization Capability
In this retrospective study of the GUSTO-1 database, investigators compared clinical outcomes of more than 25,000 patients with acute myocardial infarction who were treated with fibrinolytic therapy in U.S. hospitals with and without coronary revascularization capability for percutaneous transluminal coronary angioplasty and coronary artery bypass grafting.