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Emergency Medicine - Adult and Pediatric

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Articles

  • EDs Can Make Discharges Against Medical Advice Safer

    Recognizing a discharge as higher risk could encourage physicians and care providers to engage in risk assessment and risk reduction.

  • Housing Instability Increases Likelihood of Discharge Against Medical Advice

    It is important for emergency medicine providers to recognize that patients facing housing instability might be more inclined to self-discharge, even when dealing with severe medical conditions.

  • Paramedicine Program Chips Away at High ED Use, Links Patients to Appropriate Care

    Chicago-based Medical Home Network is partnering with community paramedics at the Chicago Fire Department on a program aimed at helping patients manage their chronic conditions and appropriately navigate the health system. The program is focused on steering patients away from calling 911 or presenting to EDs with nonurgent care needs.

  • Fracture-Related Complications

    The goal of this review is to familiarize emergency physicians with the initial assessment of fractures as well as the identification and management of immediate, early, and late-stage fracture complications.

  • Managing Anaphylaxis in the Emergency Department

    The incidence of anaphylaxis, a rapidly progressive and potentially fatal disease, is increasing and unfortunately common in children. It is imperative that all acute care providers are prepared to recognize, quickly treat, and ensure appropri­ate follow-up for these patients. The authors focus on anaphylaxis, its presentation, management, and disposition from the ED.

  • Traumatic Hemorrhagic Shock

    This issue will review the management of traumatic hemorrhage in the emergency department, highlighting prehospital care, recognition of hemorrhagic shock, initial resuscitative measures, massive hemorrhage protocol, reversal agents, and technological advancements in medical and mechanical support for traumatic hemorrhage.

  • Complications of Alcohol-Related Liver Disease

    Alcohol use is the leading cause of liver disease and the second most common reason for liver transplantation in the United States. This article will discuss the complications seen in alcohol-related liver disease.

  • Uncommon Diagnoses that Cannot Be Missed: An Update

    There are a variety of uncommon pediatric conditions that, if not detected, may result in devastating consequences. The authors review and update the current standard of care for a variety of conditions, including necrotizing fasciitis, DRESS syndrome, Kawasaki disease, MIS-C, Lemierre's, and RPA.

  • Pediatric Chest Trauma

    Pediatric thoracic trauma is the second highest cause of pediatric trauma mortality. It is critical for emergency care providers to be aware of the anatomic and physiologic differences in children, which result in significantly different injury patterns than adults. The authors highlight the essential steps for diagnosis and management of pediatric thoracic injuries.

  • The Hippocratic Oath: Are We Hurting Ourselves and Each Other?

    Our goal is to open a discussion about burnout, contributors that lead to burnout, and steps to deal with, minimize, and prevent burnout, which will facilitate better care for patients and caregivers alike.