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Bleeding is a common chief complaint in the emergency department. Recognizing excessive bleeding and treating bleeding disorders may be challenging. Awareness of the differential, diagnostic strategies and treatment options is critical. This article presents a comprehensive approach to the patient with a bleeding disorder.
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Sickle cell disease is a common condition seen throughout the spectrum of ages. Emergency department (ED) physicians must be aware of the range of presentations and the vulnerability of these patients to certain clinical conditions.
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Eye trauma is a common chief complaint among emergency department (ED) pediatric patients. Although many eye injuries can be prevented by appropriate supervision of children's activities and the appropriate use of protective eyewear, eye injuries remain an important cause of visual loss in children.
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Hand trauma is common, and children frequently present to the emergency department (ED) with these injuries.
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Entrapments and retained foreign bodies represent a common cause of emergency department (ED) visits. A majority of these pediatric presentations are easily assessed and managed by emergency physicians. However, even when accurately identified, this injury pattern may present therapeutic challenges.
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Methicillin-resistant Staphylococcus aureus (MRSA) has reached almost mythic status. It has come to mean much more than an isolate of S. aureus that happens to be resistant to methicillin, an antibiotic that is no longer in clinical use. It is a slap in the face of humankind's efforts to rein in infectious illness.
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Asthma is the most common chronic childhood illness; it is estimated that it currently affects 6 million children in the United States.
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By simplest definition, shock is a state of inadequate substrate delivery at the cellular level.
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Individuals caring for children must be prepared to diagnose and treat airway emergencies expeditiously. Appropriate management of acute upper airway obstruction tests the organization of emergency care systems. Successful management of airway emergencies in children requires a team approach, including the skills of the primary physician and the staff of the emergency department, radiology department, and operating room staff.
