Toxicology
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Trauma Reports Supplement - Non-accidental Injury: Recognizing Child Abuse in the Pediatric Trauma Patient
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. -
ECG Review: Pulmonary Pattern and What Else?
The ECG in the Figure was obtained from a 78-year-old man with long-standing pulmonary disease and new-onset heart failure. Based on the low voltage in leads V1, V2, V3, the rightward frontal plane axis, incomplete right bundle-branch block, and persistent precordial S waves, the computer interpreted the overall pattern as consistent with pulmonary disease. What else should be added to your interpretation? -
Special Feature - Hyperkalemia: Electrocardiographic Recognition and Initial Therapeutic Considerations
Hyperkalemia is an electrolyte disorder with life-threatening potential. The spectrum of clinical presentation is wide, ranging from asymptomatic laboratory discovery to cardiac arrest. -
Burst Steroid Therapy for COPD Exacerbations
This prospective randomized, double-blind, placebo-controlled trial looked at the use of prednisone 40 mg daily for 10 days vs. placebo in 147 patients presenting to any of 10 emergency departments who were well enough to be discharged after treatment for exacerbation of their chronic obstructive pulmonary disease. -
Ottawa Ankle Rules Applied to Children with Mixed Results
The purpose of this prospective study was to evaluate the Ottawa Ankle Rules in children younger than 18 years presenting to a pediatric ED. -
Evaluating the patient with minor head trauma
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Pediatric Appendicitis
MONOGRAPH: The diagnosis of acute appendicitis remains a challenging conundrum for the emergency physician.
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Influx of patients with asthma- like symptoms strains resources in many pediatric EDs
An outbreak of a rarely seen virus in the United States is spiking volumes at pediatric EDs across the country, with children typically presenting with asthma-like symptoms. -
Researchers: New resources, tools needed to reduce variation in the admissions decisions
New research suggests there is considerable variation in the decisions emergency providers make regarding whether to admit patients with certain common, low-mortality conditions. -
Strong administrative buy-in, firm mandates can push flu vaccination rates up to more than 99% among health care workers
While flu vaccination rates are inching up among health care workers, there is still room for improvement. The Centers for Disease Control and Prevention reports that slightly more than 75% of health care workers received the flu vaccination during the 2013-14 season — an increase of roughly 3% over the 2012-13 season.