Children with intracerebral hemorrhage are at increased risk for seizures and epilepsy compared to adults, particularly those who develop elevated intracranial pressures.
The combination of interferon beta 1a (30 mcg IM weekly) and glatiramer acetate was not more effective on annualized relapse rate in multiple sclerosis compared to either treatment alone.
In a study of the elderly who are normal or have mild cognitive impairment, vascular brain disease and brain amyloid deposition appear to be independent risks for dementia.
Nocturnal calf cramps are usually benign and respond to stretching and muscle-strengthening exercises.
Beta-blockers and noncardiac surgery; prenatal medication exposure and risk of autism; reasons for statin discontinuations; and FDA actions.
The paradigm I grew up with in emergency medicine is that there are a limited number of ways to die, and our role was to intervene and prevent death using the principles of A, B, and C: airway, breathing, and circulation. This concept works well for the previously healthy acutely ill or injured patient. But for the patient nearing the end of a life-limiting illness, it is not appropriate and can even be cruel. The introduction of palliative care to the emergency department at first seems out of place; that is the place where patients are snatched from the jaws of death. But as the authors of this issue explain, the ABC of resuscitation can be revised to the ABCD of palliative care assessment to provide better care to patients and families in times of crisis.
Emergency providers are trained to deal with crises, but it can be frustrating to see the same patients rotating through time and time again.
Great strides have been made in the treatment of sickle cell disease, the inherited blood disorder that occurs most commonly in African-Americans.