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Emergency medicine practice最新文献

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Emergency department evaluation and management of serious and high-risk infections in the febrile returning traveler. 返乡发热旅客严重高危感染的急诊评价与处理。
Emergency medicine practice Pub Date : 2026-05-01
Benjamin Wyler, Nita Avrith
{"title":"Emergency department evaluation and management of serious and high-risk infections in the febrile returning traveler.","authors":"Benjamin Wyler, Nita Avrith","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Fever in the returning international traveler presents a diagnostic challenge in the emergency department due to the wide range of potential infectious diseases that may be encountered abroad, many of which may manifest with nonspecific presentations. Malaria remains the most common and life-threatening tropical cause of fever and must be ruled out in all febrile patients returning from malaria-endemic regions. Other key infections to consider in returning travelers include dengue, enteric fever, and leptospirosis. Early recognition and treatment of these diseases can reduce morbidity and mortality and may help contain disease outbreaks. This review presents a structured, systematic approach to the timely evaluation of fever in returning international travelers, including evidence-based recommendations for the diagnosis and treatment of malaria, dengue, enteric fever, and leptospirosis.</p>","PeriodicalId":38728,"journal":{"name":"Emergency medicine practice","volume":"28 5","pages":"1-36"},"PeriodicalIF":0.0,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147784253","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Emergency management of renal and genitourinary trauma: best practices update. 肾和泌尿生殖系统创伤的急诊管理：最新最佳做法。
Emergency medicine practice Pub Date : 2026-03-15
Whitney K Bryant, Sanjay Shewakramani
{"title":"Emergency management of renal and genitourinary trauma: best practices update.","authors":"Whitney K Bryant, Sanjay Shewakramani","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>For polytrauma patients who may have life-threatening injuries, renal and genitourinary trauma may be overlooked initially, but a delayed or missed diagnosis of these injuries may result in potentially preventable complications. This review provides a best-practice approach to the diagnosis and management of renal and genitourinary injuries, with an emphasis on the systematic approach needed to identify subtle injuries and avoid long-term sequelae such as hypertension, incontinence, urethral stricture, erectile dysfunction, chronic kidney disease, and nephrectomy.</p>","PeriodicalId":38728,"journal":{"name":"Emergency medicine practice","volume":"27 Suppl 6","pages":"1-40"},"PeriodicalIF":0.0,"publicationDate":"2026-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147460471","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Emergency department diagnosis and management of cerebral venous sinus thrombosis. 脑静脉窦血栓形成的急诊诊断与处理。
Emergency medicine practice Pub Date : 2025-10-01
Archana Hinduja
{"title":"Emergency department diagnosis and management of cerebral venous sinus thrombosis.","authors":"Archana Hinduja","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Cerebral venous sinus thrombosis is a rare cause of stroke with an overall good prognosis. It predominantly affects women of reproductive age and patients with prothrombotic conditions. It has a diverse presentation that includes headache, seizures, focal neurological deficits, and encephalopathy. A strong index of suspicion is required to make a prompt diagnosis and initiate early management. Despite aggressive care, death or functional dependence occurs in 10% to 15% of patients. This review provides an overview of the literature and recent guidelines on the emergency department approach and the therapeutic challenges in the management of patients with cerebral venous sinus thrombosis.</p>","PeriodicalId":38728,"journal":{"name":"Emergency medicine practice","volume":"27 Suppl 4","pages":"1-38"},"PeriodicalIF":0.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145276258","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Emergency department management of patients with status epilepticus. 急诊科对癫痫持续状态患者的处理。
Emergency medicine practice Pub Date : 2025-09-01
Destiny Marquez, Rmneek Kaur, Cappi Lay
{"title":"Emergency department management of patients with status epilepticus.","authors":"Destiny Marquez, Rmneek Kaur, Cappi Lay","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Status epilepticus is a neurological emergency requiring prompt intervention by emergency clinicians, as delays can lead to significant morbidity and mortality. Etiologies include acute causes such as electrolyte imbalance, infection, drugs, and acute strokes, as well as chronic causes such as remote brain injury, progressive epilepsies, and brain tumors. This issue presents evidence for an algorithmic approach to status epilepticus, from managing underlying causes and administering initial benzodiazepines, to second-line antiseizure agents, and escalating to intravenous anesthetics for refractory cases. Disposition for patients in status epilepticus includes inpatient care tailored to the patient's clinical needs, and appropriate follow-up.</p>","PeriodicalId":38728,"journal":{"name":"Emergency medicine practice","volume":"27 9","pages":"1-24"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144875746","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Difficult airway management in trauma: a review of current guidelines. 创伤中气道管理困难：当前指南综述。
Emergency medicine practice Pub Date : 2025-08-15
Christian Menard, Sarah Pierce, Thomas R deTar
{"title":"Difficult airway management in trauma: a review of current guidelines.","authors":"Christian Menard, Sarah Pierce, Thomas R deTar","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The American Society of Anesthesiologists and the British Difficult Airway Society have generated and revised guidelines over the past 30 years based on analyses of the causes of airway catastrophes. Guideline components include airway management algorithms, equipment standardization, and routine training. Algorithms utilize intubation, supraglottic airway insertion, fiberoptic intubation, awake intubation, and front of neck surgical access. This issue summarizes difficult airway management guidelines and discusses their application to trauma patients, including patients with physiologically difficult airways and patients with maxillofacial and laryngotracheal trauma.</p>","PeriodicalId":38728,"journal":{"name":"Emergency medicine practice","volume":"27 Suppl 3","pages":"1-40"},"PeriodicalIF":0.0,"publicationDate":"2025-08-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144276213","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Emergency department management of patients with thyroid emergencies. 急诊科对甲状腺急症患者的管理。
Emergency medicine practice Pub Date : 2025-06-01
Jazmyn J Shaw, Cindy D Chang
{"title":"Emergency department management of patients with thyroid emergencies.","authors":"Jazmyn J Shaw, Cindy D Chang","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Patients experiencing thyroid emergencies can present with a wide array of clinical presentations and comorbid conditions, so a systematic strategy to identify key historical and physical examination features can help guide the emergency clinician in recognizing these infrequent conditions. This issue review the most up-to-date evidence for diagnosing and managing decompensated hypothyroidism and thyroid storm in adult, pediatric, and pregnant patients.</p>","PeriodicalId":38728,"journal":{"name":"Emergency medicine practice","volume":"27 6","pages":"1-24"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144144009","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Emergency department management of patients with complications of chronic neurologic disease: Parkinson disease, myasthenia gravis, and multiple sclerosis. 慢性神经系统疾病并发症患者的急诊科管理：帕金森病、重症肌无力和多发性硬化症。
Emergency medicine practice Pub Date : 2025-05-01
Jeremy Rose, Caroline W Burmon, John Rozehnal
{"title":"Emergency department management of patients with complications of chronic neurologic disease: Parkinson disease, myasthenia gravis, and multiple sclerosis.","authors":"Jeremy Rose, Caroline W Burmon, John Rozehnal","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>This issue reviews 3 neurological conditions that can cause or complicate a patient's emergency department presentation: Parkinson disease, myasthenia gravis, and multiple sclerosis. Parkinson disease is a common comorbidity, and can be exacerbated in the ED if not managed expeditiously. Myasthenia gravis carries the potential for significant respiratory compromise and requires swift recognition and emergency care. Multiple sclerosis has many manifestaions, stages, and treatments that emergency clinicians need to understand to best manage flares. This review presents a summary of the presentations, the common pitfalls, and the roles of various therapeutics in managing patients with chronic neurologic disease.</p>","PeriodicalId":38728,"journal":{"name":"Emergency medicine practice","volume":"27 5","pages":"1-24"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144052904","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Sodium disorders in the emergency department: a review of hypernatremia and hyponatremia. 急诊科的钠障碍：高钠血症和低钠血症的综述。
Emergency medicine practice Pub Date : 2025-04-01
Camiron L Pfennig, Caroline Astemborski
{"title":"Sodium disorders in the emergency department: a review of hypernatremia and hyponatremia.","authors":"Camiron L Pfennig, Caroline Astemborski","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Manifestation of sodium disorders will depend on the rapidity of development, the absolute level of sodium, and the patient's overall health. Acute symptomatic hypernatremia should be corrected rapidly, while chronic hypernatremia is generally corrected more slowly due to the risks for brain edema during treatment. Hyponatremia symptoms are vague, but acute severe symptomatic hyponatremia, whether self-induced, drug related, or hospital-acquired, is a medical emergency that demands immediate recognition and intervention. This issue reviews the evidence on the causes, diagnosis, and treatment of hypernatremia and hyponatremia in the emergency department, focusing on early recognition and best-practice management.</p>","PeriodicalId":38728,"journal":{"name":"Emergency medicine practice","volume":"27 4","pages":"1-28"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143671342","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Emergency department management of knee pain. 急诊科对膝关节疼痛的处理。
Emergency medicine practice Pub Date : 2025-03-01
Vanica Guignard, John Kiel
{"title":"Emergency department management of knee pain.","authors":"Vanica Guignard, John Kiel","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Knee pain is a common presenting complaint in the emergency department, and although the major etiologies are overuse and degenerative, inflammatory and infectious causes must be ruled out. This issue reviews the potential causes of knee pain from the history and physical examination, symptom location based differential, clinical clues, and special testing strategies. Evidence on the uses of x-ray and ultrasound for diagnostic imaging is reviewed. For suspected infectious causes, procedures for palpation-guided and ultrasound-guided arthrocentesis are outlined. Treatment strategies are summarized, with evidence on the effectiveness of weight loss, physical therapy, orthotics, medication therapies, joint injections, and nerve blocks considered.</p>","PeriodicalId":38728,"journal":{"name":"Emergency medicine practice","volume":"27 3","pages":"1-24"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143469513","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Management of mild traumatic brain injury in the emergency department. 急诊科对轻度创伤性脑损伤的处理。
Emergency medicine practice Pub Date : 2025-02-15
Micelle Haydel
{"title":"Management of mild traumatic brain injury in the emergency department.","authors":"Micelle Haydel","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>With almost 2.9 million people in the United States seeking medical attention for head trauma each year,1 emergency clinicians face the critical task of efficiently and accurately identifying those with potentially life-threatening intracranial trauma. Due to the heterogeneity of patients, there is no one-size- fits-all approach to managing patients with suspected mild traumatic brain injury. This issue of Emergency Medicine Practice: Trauma EXTRA! reviews clinical guidelines, challenges in care for patients at extremes of ages, and strategies for managing patients with bleeding disorders or those taking anticoagulants or antiplatelet agents. Indications for imaging are also discussed, as well as which patients are at increased risk for intracranial injury and post-concussive syndrome. Management of patients with mild traumatic brain injury includes neurosurgery consultation, hospital admission for further observation, repeat imaging, or discharge home with careful discharge instructions.</p>","PeriodicalId":38728,"journal":{"name":"Emergency medicine practice","volume":"27 Suppl 2","pages":"1-46"},"PeriodicalIF":0.0,"publicationDate":"2025-02-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143190562","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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