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The purpose of this study was to perform a comprehensive meta-analysis of all randomized trials with abciximab as adjunctive treatment of STEMI, including both fibrinolytic and mechanical reperfusion
strategies.
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The purpose of this prospective study was to assess whether a strategy of D-dimer testing and multidetector-row computed tomography —without the use of lower-limb ultrasonography —would safely rule out pulmonary embolism in emergency department patients suspected to have PE.
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How would you interpret the 12-lead electrocardiogram shown in the Figure? What is distinctly unusual about this tracing? What would you ask the technician who recorded this tracing?
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There are a number of recommendations as to the best available approach to the care of patients with pneumonia. This investigation
is part of a larger study looking at the effect of a pneumonia pathway on patient outcomes.
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This article will review and dispute some commonly held beliefs about dogma in the practice of emergency medicine.
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Few chief complaints cause more apprehension and dread for emergency physicians than dizziness. It is a common condition seen in the emergency department, is understood poorly, and has potentially malignant etiologies. Dizziness cannot be measured. It can mean different things to different patients and is often difficult to precisely characterize. Unfortunately, it is the ability to obtain a precise history and perform an exacting examination that allows a diagnosis to be made and appropriate treatment instituted. This article examines some of the different causes of dizziness, how they can be differentiated via history and physical examination, and their appropriate treatments and dispositions.
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The authors discuss radiographic imaging, specific management of different types of commonly seen injuries, and appropriate consultation and disposition of patients who have sustained maxillofacial trauma.
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Barriers to the informed consent process may exist among emergency patients, including impaired decisional capacity, impaired cognition, language barriers, illiteracy, insufficient time and communication, and numerous others. Because of the inherent vulnerability of ED patients, particular attention should be paid to addressing barriers to adequate informed consent, and steps should be taken to ensure adequate delivery of information, understanding of the proposed intervention and its risks and benefits, and voluntariness of the informed consent.
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Its 3 a.m., and a well-dressed man and woman approach the triage nurse with official-looking clipboards in hand. They claim to be surveyors from the Joint Commission on Accreditation of Healthcare Organizations, and they demand to be shown your medication storage areas.