Emergency Publication
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Pediatric Hematologic Emergencies
Hematology is a challenging area in pediatrics, with unique diseases that do not occur commonly. The authors review critical pediatric hematologic conditions that the acute care provider may encounter and provide a concise guide to diagnosis, stabilization, and management.
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Teen Pregnancies in the ED Part 2: Handling Complications
Teenage pregnancies have a higher incidence of adverse medical outcomes and obstetrical complications that are critical for providers to recognize and manage in a timely manner. The author provides a succinct, comprehensive review of the critical aspects of trauma in pregnancy; preeclampsia; hemolysis, elevated liver enzymes, and low platelet count (HELLP) syndrome; venous thromboembolism; as well as precipitous delivery and postpartum hemorrhage.
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Teen Pregnancies in the ED Part 1: First Trimester
This article is the first of a two-part series that focuses on an important emergency medicine topic — teenage pregnancy. In this first part, the author focuses on the unique features that affect diagnosis and management of pregnancy in adolescence. Part two will focus on obstetrical emergencies in pregnant teenagers.
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Preparing for Pediatric Asthma Exacerbations in the ED
Asthma is a common disease in pediatrics, with exacerbations occurring frequently. Every clinician who cares for children must be familiar with recognition and timely management to optimize each child's outcome.
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Pediatric Burn Care: Strategies for Identification and Treatment
Pediatric burn injuries, especially minor, are an essential part of caring for children. Classification of the depth of injury, recognition of nonaccidental trauma, and appropriate care are all critical aspects of management. The authors comprehensively review pediatric burn care.
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Racial, Ethnic Disparities in Restraint Use
Use restraints only when absolutely necessary, and in accordance with established protocols and regulations. Undergo training on appropriate restraint techniques. Ensure regular monitoring of restrained patients. Continuously reassess the need for restraints. Clearly document the rationale for restraint use.
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Study Shows Effect of Pediatric Readiness on Racial, Ethnic Disparities Regarding Mortality
Researchers estimated that if the three quartiles of hospitals that are least pediatric ready raised their readiness levels, there would be a threefold reduction in the mortality disparity of medically ill patients.
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Telestroke Facilitates Care for Rural Stroke Patients
In the year before the telestroke program was implemented, 11 of 15 eligible patients received thrombolytics in less than one hour, and there was a mean door-to-needle time of 61 minutes. After the telestroke program was implemented, 11 of 12 eligible patients received thrombolytics in less than one hour, with a mean door-to-needle time of just 38 minutes.
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Emergency Care Providers Help Identify Candidates for Hospital-at-Home Program
Project planners intend to care for hundreds of patients per year in the hospital-at-home program, thereby offloading some of that capacity from inpatient hospitals.
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Shorter Length of Stay if ED Workup Completed Before Surgical Consult
Researchers reported completion of workups, such as basic labs and imaging before consultation, resulted in patients spending less time in the ED. Average consultant-to-decision time was 2.5 hours for patients with complete workups vs. 4.9 hours for those with incomplete workups.