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A 63-year-old construction worker came to the ED at Jacobi Medical Center in Bronx, NY, with difficulty swallowing, and reported losing 40 pounds in the previous six months.
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Paramedics arrive with a man you recognize instantly from his many previous visits to your ED, always intoxicated. You learn that his vital signs are stable, and he was found on the ground by bystanders, says Tia Valentine, RN, CEN, clinical nurse educator for the ED at University of California-San Diego Medical Center.
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With intraosseous (IO) vascular access, patients are subjected to a minimum number of sticks, so there is less chance of creating a portal for infection, says Sean Hall, an ED nurse at Desert Island Hospital in Bar Harbor, ME. "The time which can be saved by using these devices can be lifesaving in a critical patient," he says.
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A common presenting complaint for patients seeking emergency medical care is acute abdominal pain. Although difficult to diagnose in healthy patients, it is even more challenging in special populations. This article will focus on three distinct populations: patients with altered immunologic function, pregnant women, and post-procedural patients.
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You are nearing the end of a busy shift in your emergency department (ED) when pre-hospital providers arrive with your next patient. They bring in a 69-year-old male with a chief complaint of headache and chest pain. Emergency medical services (EMS) activated him as a "code STEMI" in the field. He is hypertensive, diaphoretic, and complaining of a headache and chest pain on arrival.
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Our faces play a role in almost every part of our lives. The structure and components of the face are involved in our ability to eat, speak, and see, and often are the features first noticed when we meet someone.
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