Emergency
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Priapism: Evaluation and Emergency Management
Priapism is one of those issues that emergency physicians must know how to recognize and treat. Several things have changed in the care of the patient with priapism recently.
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Patients more likely to engage in treatment at 30 days when given buprenorphine in the ED, referred for follow-up
Emergency providers hesitant to take on treatment for addiction, citing complexity, lack of resources.
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Simplified approach for delivering medicine to patients with severe pain shows promise
Experts agree direct patient input is superior to relying on numbered pain scales.
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The next big challenge for EPs: The transition to ICD-10-CM coding system
Changing definitions, requirements for much more specificity may create workflow, reimbursement challenges.
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Identification of Elder Abuse in the Emergency Department
MONOGRAPH: The challenge is identifying and reporting it amidst the complexities of assessing and caring for these challenging patients and situations.
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Diagnosis and Treatment of Skin and Soft Tissue Infections
MONOGRAPH: A comprehensive review of common and life-threatening conditions associated with skin and soft tissue infections in pediatrics.
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When Do Ventilator Modes Matter?
Although pressure-controlled ventilation and volume-controlled ventilation approach mechanical breath delivery differently in terms of inspiratory flow and airway pressure characteristics, this comprehensive review found no significant differences in terms of their impact on breathing mechanics or gas exchange in patients with various forms of acute respiratory failure.
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Inferior Vena Cava Filters and Recurrent Pulmonary Embolism
Even in patients who seem most vulnerable to additional embolism, retrievable inferior vena cava filter placement plus anticoagulation did not improve outcomes vs. anticoagulation alone.
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Decreasing Cross-Transmission of Carbapenemase-Producing Enterobacteriaceae
The implementation of a bundled infection control intervention was able to significantly decrease cross-transmission of a multi-drug-resistant pathogen and decrease healthcare-associated infections in an long-term acute care hospitals population.
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Is Fresh Blood Better?
The Age of Blood Evaluation trial supports the notion that the relative expiration date of red blood cells is not important.