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"EMTALA: The Essential Guide to Compliance" from Thomson American Health Consultants, publisher of "Pediatric Emergency Medicine Reports," explains how the changes to EMTALA will affect emergency departments and off-campus clinics.
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To provide you with critical information on the updated regulations from the Centers for Medicare and Medicaid Services, Thomson American Health Consultants offers "New EMTALA Regulations: Are They Too Good to be True?" an audio conference on Tuesday, Oct. 21, from 2:30-3:30 p.m., ET.
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Children often present to the emergency department complaining of headaches. While most headaches in children are not signs of serious, underlying disorders, some headaches may be the first presentation of a migraine headache. Migraine is the most common cause of recurrent, intermittent headaches in children. However, migraine headaches often are underdiagnosed and undertreated in children.
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The ED physician and trauma surgeon must have evidence-based
information on indications for emergency department thoracotomy that
can be determined rapidly, easily accessible equipment, and the ability
to recognize situations in which EDT clearly is not in the patients
best interest.
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Although vasculitic diseases generally are uncommon in the pediatric population, early recognition of processes that do occur is important to prevent sequelae. The authors provide a comprehensive review of the most common vasculitic diseases in children, with an emphasis on diagnostic clinical features, key laboratory studies, and appropriate therapy.
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Pediatric athletic head injuries are a significant problem, especially for emergency medicine physicians. The dedication of many young athletes to performance and their avoidance of restrictions makes it imperative that ED physicians recognize and give appropriate recommendations to parents and coaches of young athletes. The cumulative damage that may result from repetitive minor head trauma is not recognized by the majority of athletes, and the ED physician has the burden of conveying these potential risks to the family. This article provides a comprehensive review of sports-related head injuries and recommendations on grading of concussions, imaging, and the safe return of the athlete to competition.
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Although cervical spine injuries are uncommon in children, a missed or
delayed diagnosis may have devastating consequences for the patient. A
thorough understanding of normal pediatric anatomy, injury patterns,
and children who are at increased risk for injury is critical for the
physician caring for the acutely injured child.
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Newbornsinfants younger than 28 days of ageare particularly challenging to emergency medicine physicians. The most important tool for recognizing a newborn with a problem or potential problem is a strong foundation of knowledge about normal infant rashes, feeding patterns, and expected variations. The authors review common newborn problems with an emphasis on normal variations and deviations that require a more thorough evaluation.
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Emergency department physicians must be vigilant to accurately assess,
rapidly stabilize, and appropriately transport a severely injured
patient to the level of trauma care the patient requires. Instead of
viewing missed injuries as occurrences that result from inexperience or
incompetence, strategies to minimize the occurrence of missed injuries
and the resulting consequences are needed. All aspects of a trauma
system must work together to improve patient care.
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Although spinal injuries occur infrequently, a delay in the detection of thoracolumbar trauma may have devastating consequences for a child. It is critical that the emergency physican be familiar with injury patterns that may result in this type of injury.