Stroke
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Journal Reviews: Utilization of the Ottawa Ankle Rules by nurses in a pediatric ED; The prosecution of sexual assault cases - Correlation with forensic evidence
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Clinical Briefs: Diabetes; H. pylori; stroke
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Senior-focused EDs: Plenty of buzz, but outcomes/costs TBD
One indication that senior-focused emergency care settings are catching on: For the first time, geriatric EDs have appeared on the Plymouth Meeting, PA-based Emergency Care Research Institutes (ECRI) Top 10 Hospital C-Suite Watch List, an annual list of new technologies and health system developments that providers and policy makers should think carefully about, according to ECRI. -
New guidelines for geriatric EDs: Guidance focused on boosting environment, care processes
A cadre of prominent medical groups, including the ACEP, ENA, AGS, and SAEM, has unveiled a comprehensive set of Geriatric Emergency Department Guidelines to aid hospitals that are either in the process of opening senior-focused EDs or revamping their policies and procedures to better meet the needs of an aging population. The guidelines offer recommendations related to staffing, infrastructure, education, and transition-of-care strategies. In addition, they outline a host of screenings that studies have shown are beneficial for older adults. -
Care transitions: Geriatric medicine offers a roadmap to follow
While an increasing number of hospital systems are creating senior-friendly EDs, one new study suggests that many of the tenets of geriatric medicine are also applicable to the care of patients with complex health problems, especially with respect to care transitions. -
Emergency providers see big potential for Google Glass
There is no question that information technology (IT) offers many advantages to health care, but it has also introduced complications. -
Study: One-third of patients with BSIs receive inappropriate therapy
New research suggests that as many as one in every three patients with a bloodstream infection is given therapy that is not appropriate. -
Abdominal Pain in Nonpregnant Female Patients
The history and physical exam are the cornerstones of diagnosis, but some serious pelvic conditions can have a nondescript history and minimal physical findings. -
Anorectal Emergencies
- Anorectal conditions are commonly misdiagnosed on initial evaluation.
- Assistance with patient positioning, good lighting, and analgesia are often necessary for adequate examination.
- Imaging is often required in anorectal abscesses to determine their full extent.
- Anorectal manifestations of STIs may occur in the absence of anal sex.
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Fractures in Older Adults
MONOGRAPH: As the population ages and continues to retain an increasingly high level of function, a unique pattern of injuries is emerging in older patients.