{"title":"Infective endocarditis: identification and management in the emergency department.","authors":"Anthony J Hackett, Jonathan Stuart","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Recognition of infective endocarditis in the emergency department continues to be a challenge, as its signs and symptoms can be subtle, laboratory results are limited, and it can involve or lead to many other serious conditions. With the increase in use of medical access devices, implantable cardiac devices, and the rise of intravenous drug use, the epidemiology of infective endocarditis is changing. Diagnostic imaging has evolved, and the use of point-of-care ultrasound and transthoracic echocardiography are critical in making an early diagnosis. This review provides a best-evidence approach to diagnostic strategies, antibiotic recommendations, and surgical treatment recommendations for infective endocarditis.</p>","PeriodicalId":38728,"journal":{"name":"Emergency medicine practice","volume":"22 9","pages":"1-24"},"PeriodicalIF":0.0,"publicationDate":"2020-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38281904","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}
{"title":"Points & Pearls: Infective endocarditis: identification and management in the emergency department.","authors":"Nachi Gupta, Jeffrey Nussbaum","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":38728,"journal":{"name":"Emergency medicine practice","volume":"22 9","pages":"e1-e2"},"PeriodicalIF":0.0,"publicationDate":"2020-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38322496","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}
{"title":"Calculated decisions: Canadian CT head injury/trauma rule.","authors":"Daniel Runde","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The Canadian CT Head Rule was developed to help physicians determine which patients with minor head injury need head CT imaging.</p>","PeriodicalId":38728,"journal":{"name":"Emergency medicine practice","volume":"22 Suppl 8","pages":"CD5-CD6"},"PeriodicalIF":0.0,"publicationDate":"2020-08-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38281396","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}
{"title":"Calculated decisions: Ottawa Knee Rule.","authors":"Calvin Hwang","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The Ottawa knee rule describes criteria for knee trauma patients who are at low risk for clinically significant fracture and do not warrant knee imaging.</p>","PeriodicalId":38728,"journal":{"name":"Emergency medicine practice","volume":"22 Suppl 8","pages":"CD11-CD12"},"PeriodicalIF":0.0,"publicationDate":"2020-08-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38281399","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}
{"title":"Current topics in emergency trauma care: part 2: resuscitation in trauma.","authors":"Benjamin Barmaan, Julie Winkle","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Resuscitation involves the restoration of adequate tissue perfusion to meet the consumptive demands of the body. The ultimate goals of resuscitation are the prevention of an uncompensated anaerobic state and the reversal of metabolic hypoxia. To achieve these goals, timely intervention with an organized and targeted resuscitative strategy optimizes patient care. Achievement of these goals is dependent on a multidisciplinary approach to the management of the injured patient, and it requires careful coordination as the patient transitions from the resuscitation bay to the operating room and the ICU. Strategies for the management of trauma patients during initial resuscitation are continuously evolving. This supplement reviews the current evidence in these critical and evolving areas of resuscitation to help guide the emergency clinician on current best practice.</p>","PeriodicalId":38728,"journal":{"name":"Emergency medicine practice","volume":"22 Suppl 8","pages":"22-37"},"PeriodicalIF":0.0,"publicationDate":"2020-08-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38281394","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}
Bonny J Baron, Jinel Scott, Gerladine N Abbey-Mensah
{"title":"Current topics in emergency trauma care: part 1: limiting radiation exposure in trauma imaging.","authors":"Bonny J Baron, Jinel Scott, Gerladine N Abbey-Mensah","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Increased diagnostic accuracy and widespread availability of computed tomography have enhanced initial trauma evaluation and facilitated nonoperative management of many types of injuries. However, concern that excessive radiation exposure could result in an increased lifetime cancer risk has prompted renewed evaluation of the potential risks and benefits of current diagnostic strategies. This supplement reviews best practices in diagnostic radiology for evaluation of the trauma patient and discusses approaches to optimize diagnostic assessment while limiting radiation exposure.</p>","PeriodicalId":38728,"journal":{"name":"Emergency medicine practice","volume":"22 Suppl 8","pages":"1-21"},"PeriodicalIF":0.0,"publicationDate":"2020-08-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38281906","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}