Emergency Medicine Reports
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Limb Ischemia and Gangrene
Although many cases of extremity pain are the result of mild, self-limited issues, ischemia and gangrene are catastrophic causes of pain that initially can present with nondescript findings. To limit tissue loss and optimize patient outcomes, emergency physicians must be able to distinguish benign limb pain from the earliest stages of high-risk, life- and limb-threatening disease.
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Not All Round Rashes Are Ringworm: A Differential Diagnosis of Annular and Nummular Lesions
Although rashes are not usually an emergency, it is common for emergency physicians to see patients come in with a rash. Sometimes the rash is new onset, and sometimes it has been present for a while and refractory to treatment.
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Adverse Reactions to Cannabis and Cannabinoids
Understanding the potential reactions that can occur from cannabis and synthetic cannabinoids can help emergency physicians recognize these effects in patients who may present to the emergency department.
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Syncope
Relying on the most current literature, this article discusses the causes of syncope and syncope mimics, provides the best practice evaluation strategies, and will refamiliarize emergency physicians with current state-of-the-art practices regarding syncope risk stratification guidelines.
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Subarachnoid Hemorrhage and Intracranial Hemorrhage
Time is of the essence in management of intracranial hemorrhage and subarachnoid hemorrhage. The longer it takes to make the diagnosis and initiate treatment, whether it is surgical intervention or simply aggressive primary stabilization, the greater the risk to the patient regarding both morbidity and mortality.
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Tickborne Illnesses
Blood-feeding ticks can transmit a wide variety of pathogens to people, which can result in significant infection and morbidity. During the past 10 years, the incidence of these diseases has increased rapidly, and the geographical regions where they occur has expanded. Recognizing symptoms that often are nonspecific and initiating appropriate treatment are critical to patient outcomes.
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Update on the Management of Hypertension in the Emergency Department
This article will provide emergency physicians with a roadmap to help navigate the evaluation and management of hypertension in the emergency department.
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Chronic Abdominal Pain Disorders: Chronic Pancreatitis and Cyclic Vomiting Syndrome
It is important for emergency providers to understand the pathophysiology and management of chronic abdominal pain disorders. This article will review two common chronic abdominal pain disorders encountered in the ED: chronic pancreatitis and cyclic vomiting syndrome.
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Pelvic Inflammatory Disease
The term pelvic inflammatory disease (PID) describes a compilation of infections that arise from an ascending infection of the vagina or cervix to the upper genital tract, which is comprised of the uterus, fallopian tubes, and ovaries. These infections include, either alone or in combination, tubo-ovarian abscess, salpingitis, endometritis, and peritonitis. This article provides an evidence-based review of diagnostic and treatment recommendations for PID.
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Hyperbaric Oxygen Therapy in Emergency Medicine
Hyperbaric oxygen therapy (HBO2) is a treatment modality that can be used in the emergent management of a number of life-threatening conditions. This article will review the mechanisms, indications, and future directions of HBO2 specific to the field of emergency medicine.