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Trauma complicates 6% to 7% of all pregnancies.1 Emergency department (ED) physicians and nurses will find themselves frequently caring for pregnant women who have suffered a variety of traumatic injuries, ranging from minor to life-threatening. These cases will be complicated by a variety of issues, including pregnancy-associated physiologic changes, imaging/radiation risks, limitations in medication use, and fetal monitoring/tocometry.
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Informed consent is recognized as a fundamental principle of American law. The concept from which the informed consent doctrine evolved is based upon the common law tenet ...
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Anaphylaxis is a true life-threatening emergency that may occur following a variety of exposures. Foods, such as peanuts and tree nuts, antibiotics, and more recently, latex have all been implicated as potential triggers of a severe analpylactic reaction.
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When things go wrong in airway management, they do so with a vengeance. Critical airway skills are a must in emergency medicine because intubations tend to occur in less than ideal circumstances. Along with those less than ideal circumstances come less than ideal risks for errors. Errors during endotracheal intubations have serious to devastating consequences for the patient. Hence, a prudent emergency provider anticipates potential problems during the process of airway management.
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Accidental injury is the number one cause of death and disability in all children between 1 and 18 years of age. In 2002, trauma accounted for 33-39% of mortality in children aged 1-14 years.
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Part I of this series examined the pathophysiology of asthma and emergency department management strategies such as beta agonists, steroids, and magnesium. Part II will continue with management strategies and will also discuss asthma in special populations.
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In this study from the University of Liverpool, Duffy and associates sought to determine whether the addition of intravenous aminophylline produced clinically important improvements in the rates of symptomatic recovery or increases in pulmonary function, and whether it shortened hospital stay, in comparison with standard therapy without aminophylline, among patients with COPD who were admitted with an exacerbation.
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Propylene glycol is used as the carrier vehicle for a number of drugs including lorazepam and diazepam. It may cause metabolic abnormalities such as anion gap metabolic (usually lactic) acidosis and hyperosmolality.
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