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This second part concludes our discussion of acute appendicitis, focusing on three patient populations where the diagnosis can be challenging and imaging modalities are commonly used: the elderly, children, and pregnant women.
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The emergency department assessment of appendicitis has sure changed a lot in the past 30 years.
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Imagine a new disease strikes your community that significantly increases mortality rates, particularly in critically ill patients. This same disease causes patients to suffer more pain, greater heart damage from a myocardial infarction, and, if they are elderly, increases the chance they will be discharged to a nursing home. Such a disease clearly would grab the public's attention, and even in these difficult times, money would be diverted to find a cure. This problem exists today in many of our communities: crowding.
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Recently, we published a series of articles on the international traveler in the ED, emphasizing the risk factors and geography. This article provides a more standard review of some of the diseases seen in travelers to tropical areas and also some, like West Nile, that have migrated into temperate climates. This article will complete our series.
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The purpose of this article is to review the complicated issues of end-of-life and futile medical care as applicable to the emergency department (ED). It will address sources of conflict and confusion, and will conclude with a practical discussion of how emergency physicians can best navigate these complex waters by practical case review.
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To help you prepare for sweeping procedural changes, Thomson American Health Consultants is offering "Imminent Smallpox Vaccinations in Hospitals: Consequences for You and Your Facility," a 90-minute audio conference Wednesday, Dec. 11, from 2-3:30 p.m., Eastern time.
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Because failure to diagnose severe hand injuries is associated with significant medical legal risk, emergency physicians should access the surgeons specializing in hand injuries whenever the diagnosis or management plan is in doubt. In this article, the author provides a comprehensive review and management strategies for common hand fractures and neurovascular injuries.
