Emergency Medicine General
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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? -
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. -
Imaging in Low Back Pain: Is X-ray or Rapid MRI Better?
This randomized, controlled trial compared rapid magnetic resonance imaging with plain radiographs as the initial diagnostic imaging test in patients with low back pain. -
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. -
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.
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Strong administrative buy-in, firm mandates can push flu vaccination rates up to more than 99% among health care workers
While flu vaccination rates are inching up among health care workers, there is still room for improvement. The Centers for Disease Control and Prevention reports that slightly more than 75% of health care workers received the flu vaccination during the 2013-14 season — an increase of roughly 3% over the 2012-13 season.