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The recognition of non-accidental injury is critical for a pediatric trauma patient. In the year 2000, almost 3 million reports of child abuse were made to social service agencies. Forty-four percent of the fatalities were children younger than 1 year of age. Not only are these statistics alarming, but they point out the need for emergency department and trauma physicians and nurses to recognize non-accidental injury and aggressively protect the children who seek our medical expertise and protection.
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The diagnosis of patients with chest pain is straightforward only occasionally. A systematic method of evaluating these patients is essential to assess for potentially life-threatening conditions. This article discusses noncardiac causes of chest pain, particularly GI causes and aortic dissection.
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As experienced physicians understand, heart failure can be a difficult diagnosis to establish in the emergency department setting, especially when there are factors that may complicate a patients presentation. This issue of Emergency Medicine Reports reviews the role and clinical utility of brain natriuretic peptide in the management of patients suspected of having heart failure upon presentation to the ED
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Avierinos and colleagues at the Mayo Clinic have used the Olmstead County, Minn, Data Base to study the association between mitral valve prolapse and ischemic neurological events.
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Subarachnoid hemorrhage (SAH) due to a ruptured cerebral aneurysm is a disorder that is without apparent cause and is generally impossible to predict. This study suggests that there are a number of SAH risk factors related to lifestyle that are, in fact, modifiable.
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Sabsevitz and associates report a correlation between Functional MRI results and language dysfunction following anterior temporal lobectomy in the treatment of medically refractory epilepsy.
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Jayne and associates studied whether it was possible to substitute a regimen of azathioprine at 2 mg/kg per day for maintenance therapy in patients with generalized vasculitis.
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The value of the 14-3-3 test for establishing a diagnosis of probable sporadic Creutzfeldt-Jakob disease (CJD) has been suggested to be as high as 96-100% in several reports. In the present report, 32 patients who had definite CJD established by biopsy or autopsy confirmation were studied for 14-3-3 reactivity.
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In this paper, Sato and colleagues conducted a double-blind, placebo-controlled study of the effect of 3 days of treatment with steroid pulse therapy in neuroleptic malignant syndrome.
