Emergency
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Be Vigilant Distinguishing Between EVALI and Flu-Associated Pneumonia
If dealing with the COVID-19 outbreak and peak flu season are not enough, frontline providers in the ED also need to remain on the lookout for cases of e-cigarette or vaping product use-associated lung injury (EVALI). One big problem is that the symptoms of these illnesses can overlap, making it difficult to distinguish between flu-associated pneumonia and EVALI.
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Flu Season Charts an Unusual Course, Beginning With a Predominant B Victoria Strain
Frontline providers confronted an unusual influenza season, with flu activity spiking as early as December. B virus strains, which usually lead to worse outcomes in children, was predominant in the early part of the season. By mid-February, flu activity remained widespread throughout the United States.
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Work With Public Health Partners on Treatment, Care of Patients Diagnosed With COVID-19
The recommended care of a patient with COVID-19 is similar to what is required for other viral pneumonias, such as those associated with influenza or respiratory syncytial virus. Further, mild disease does not necessarily require hospitalization.
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Frontline Providers Use Lessons Learned During 2014 Ebola Crisis to Manage COVID-19
Experts from the National Ebola Training and Education Center urge healthcare systems to adopt processes in line with “Identify, Isolate, and Inform,” a process for quickly identifying and managing cases of infectious disease in a way that minimizes the risk for subsequent transmissions.
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Extracorporeal Membrane Oxygenation in the Emergency Department
Extracorporeal membrane oxygenation (ECMO) can be lifesaving in selected patients, albeit with a high rate of complications and some long-term effects. Awareness of this therapy and an understanding of potential candidates is the purpose of this article.
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Status Epilepticus
Status epilepticus is a serious medical condition that is defined as a seizure lasting longer than five minutes or more than one seizure without recovery to baseline between seizures.
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Status Epilepticus
The authors present an approach to the diagnostic evaluation and therapeutic management of neonates and children in SE.
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Laryngeal Injury Is Common After 12 Hours of Intubation
After 12 hours of intubation, most patients showed laryngeal injury, including mucosal ulceration, that led to impaired breathing and voicing 10 weeks after extubation.
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Management of Nontraumatic Intracranial Emergencies: A Clinical Update
This article attempts to provide evidence-based, practical guidelines to the frontline clinician in the nontrauma intensive care setting.
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Causation Difficult for Plaintiff in ED Malpractice Claim
Generally, plaintiff attorneys find some aspect of care that was arguably beneath the standard of care. Likewise, they can show the ED provider was acting in the scope of his or her employment. However, causation often is a difficult problem.