Emergency
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Epidemiologists See a Milder Flu Season, Warn Danger Remains for High-Risk Groups
This year’s flu season is not overwhelming EDs like last year’s record-breaking season. However, the circulating viruses remain dangerous, particularly to groups most at risk. By mid-February, the CDC reported there had been 41 flu-related pediatric deaths, with flu activity still on the rise across the country. To help frontline providers, the CDC is offering new tools to help them keep track of flu activity and severity. Further, there is a new antiviral medication that has been approved by the FDA.
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Polar Vortex Creates New Challenges for Hospitals, EDs
While the Midwest is accustomed to cold weather, the bone-chilling blast of freezing temperatures that swept through the heartland at the end of January provided added challenges to hospitals and EDs in the region. -
Stroke: The Subtle, Atypical, and Enigmatic
This article will explore the subtle and enigmatic presentations of stroke. These patients often will present with nonspecific symptoms, such as vision problems, headache, a subtle language deficit, dizziness, or amnesia.
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Evaluation and Treatment of Adrenal Insufficiency in the Emergency Department
This article addresses the pathophysiology, discusses various clinical presentations, and reviews current evidence-based practices for managing adrenal insufficiency and crisis in the emergency department.
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Rethinking the Prophylactic Use of Proton Pump Inhibitors in the ICU
The authors of this multicenter, blinded, randomized trial found that among critically ill adults at risk for gastrointestinal (GI) bleeding, fewer patients in the pantoprazole group exhibited clinically important GI bleeding compared to placebo, although mortality at 90 days was similar in both groups.
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Late Awakening Among Cardiac Arrest Survivors Predicts Worse Short- and Long-Term Outcomes
In this retrospective single-center study, late awakening after cardiac arrest was associated with a higher rate of unfavorable outcomes immediately after awakening and at three months.
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Mechanical Circulatory Support for Cardiogenic Shock
Exploring what options exist for temporary percutaneous mechanical support for cardiogenic shock associated with acute myocardial infarction?
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Update on Urinary Tract Infections in Children: What’s New in 2019?
Urinary tract infections (UTIs) are a potential cause of fever in the pediatric patient. Early testing and a timely diagnosis are critical to avert complications and potential scarring of the kidneys. Complication rates in children younger than 90 days of age include bacteremia, meningitis, and urosepsis. The authors present a concise review of the current status of the diagnosis and management of pediatric UTIs.
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Was It a Missed STEMI or Just Too Early to Identify?
A STEMI pattern may develop minutes, hours, or days after a patient’s initial presentation. When this occurs, the case appears to be a “missed STEMI,” even though the STEMI pattern was not present on the initial ECG.
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STEMI May Be in ED Waiting Room: ‘Devastating’ Consequences
Was an MI patient sent to the waiting room? It is highly possible an ED nurse failed to convey important information, as multiple malpractice cases make clear.