Emergency Medicine General
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Trauma Reports Supplement - Non-accidental Injury: Recognizing Child Abuse in the Pediatric Trauma Patient
The recognition of non-accidental injury is critical for a pediatric trauma patient. In the year 2000, almost 3 million reports of child abuse were made to social service agencies. Forty-four percent of the fatalities were children younger than 1 year of age. Not only are these statistics alarming, but they point out the need for emergency department and trauma physicians and nurses to recognize non-accidental injury and aggressively protect the children who seek our medical expertise and protection. -
ECG Review: Pulmonary Pattern and What Else?
The ECG in the Figure was obtained from a 78-year-old man with long-standing pulmonary disease and new-onset heart failure. Based on the low voltage in leads V1, V2, V3, the rightward frontal plane axis, incomplete right bundle-branch block, and persistent precordial S waves, the computer interpreted the overall pattern as consistent with pulmonary disease. What else should be added to your interpretation? -
Special Feature - Hyperkalemia: Electrocardiographic Recognition and Initial Therapeutic Considerations
Hyperkalemia is an electrolyte disorder with life-threatening potential. The spectrum of clinical presentation is wide, ranging from asymptomatic laboratory discovery to cardiac arrest. -
Burst Steroid Therapy for COPD Exacerbations
This prospective randomized, double-blind, placebo-controlled trial looked at the use of prednisone 40 mg daily for 10 days vs. placebo in 147 patients presenting to any of 10 emergency departments who were well enough to be discharged after treatment for exacerbation of their chronic obstructive pulmonary disease. -
Ottawa Ankle Rules Applied to Children with Mixed Results
The purpose of this prospective study was to evaluate the Ottawa Ankle Rules in children younger than 18 years presenting to a pediatric ED. -
Noncardiac Causes of Chest Pain in the Emergency Department: Part I
The diagnosis of patients with chest pain is straightforward only occasionally. A systematic method of evaluating these patients is essential to assess for potentially life-threatening conditions. This article discusses noncardiac causes of chest pain, particularly GI causes and aortic dissection. -
Evaluating the patient with minor head trauma
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B-Type Natriuretic Peptide: Clinical Utility in the Emergency Department Setting
As experienced physicians understand, heart failure can be a difficult diagnosis to establish in the emergency department setting, especially when there are factors that may complicate a patients presentation. This issue of Emergency Medicine Reports reviews the role and clinical utility of brain natriuretic peptide in the management of patients suspected of having heart failure upon presentation to the ED -
Central Nervous System Manifestations of Drug Toxicity
Emergency medicine physicians routinely manage patients with neurologic toxicity due to drugs and chemicals. The causes of these toxicities are diverse. The focus of this article will be on the manifestations of drugs in the CNS, along with management recommendations. -
Pediatric Appendicitis
MONOGRAPH: The diagnosis of acute appendicitis remains a challenging conundrum for the emergency physician.