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As hospitals in the United States and other resource-intensive countries prepare for the care of patients with possible Ebola virus disease, the greatest impact on its clinical outcome and further spread will most likely come from the application of existing basic critical-care and infection-control principles.
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Myocarditis can at times be asymptomatic and has a varied presentation; consequentially, it often goes undiagnosed and its true incidence is unknown
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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.
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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.
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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.
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The value of hyperbaric oxygen therapy for the treatment of CO-poisoned patients, and its ability to prevent long-term cognitive sequelae, has been debated for years among toxicology and hyperbaric experts. This study from the University of Utah addressed this difficult issue.
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Crowther and associates tested the hypothesis that oral vitamin K would reduce high international normalized ratio values faster than subcutaneous vitamin K.
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A systematic approach with an understanding of the pathophysiology can help the clinician correctly diagnose and treat metabolic alkalosis, a condition that carries a high morbidity and mortality rate.
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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.
