Emergency Medicine - Adult and Pediatric
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USPSTF Refrains from Definitive Blood Pressure Screening Recommendation
Panel says more research needed before clear judgments for or against screening children, adolescents can be made.
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Rapid Diagnostic Testing in the ED for Mononucleosis, Strep Pharyngitis, Influenza, Respiratory Syncytial Virus, and Procalcitonin
Clinicians strive to use the most accurate tests available while also considering other factors, such as cost, ease of use, and turnaround time for results. It is important to understand the limitations of a test while interpreting the results. This issue will deal with a few of the most common rapid or point-of-care tests used in the emergency department.
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Flu Shot Can Reduce Adverse Heart Outcomes
Those with heart disease can lower their risk of death or other serious complications by receiving the influenza vaccine.
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New Approaches for Ethically Challenging ED Cases
For emergency providers, time is precious. If a full-blown consult is not possible, ethicists can help discern the most critical aspect of a concern these clinicians may express. Quick, in-person responses; phone consults; and telemedicine consults all are possible approaches.
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Communicate Collaboratively Before End-of-Life Care Conversations Disintegrate
Once communication breaks down, it is difficult to rebuild. Clinicians, ethicists, and palliative care all should be talking to each other to be sure the family hears a common message.
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Families Are Confused, Skeptical About ‘Inappropriate’ Treatment
Many, if not most, ethics consults involve conflicts over withdrawal of life-sustaining treatment at the end of a patient’s life. Yet families are likely to be quite confused by commonly used terms such as “futile” and “potentially inappropriate.”
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Veterans with PTSD, TBI at Much Higher Risk for Heart Attack
Such patients also more likely to experience first attack at a younger age than the general population.
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American Heart Association Calls for End to Structural Racism
Group “declares its unequivocal support of antiracist principles” in a recent presidential advisory.
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Fever in the Returning Pediatric Traveler
Although, currently, there are travel restrictions in many countries, this will pass. Acute care physicians need to have an awareness of diseases that are prevalent in other countries to accurately diagnose, manage, and treat patients traveling to and from other parts of the world. The authors present an incredibly valuable synopsis of fever and differential of fever in returning pediatric travelers
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Length of Time in ED Linked to Patient Safety Events
The odds of a patient safety event (defined as a near-miss event or adverse event) increase by 4.5% for every additional hour a patient stays in the ED, according to the authors of a recent study.