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Emergency medicine practice最新文献

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Abdominal pain: update on emergency department management of appendicitis and diverticulitis. 腹痛：阑尾炎和憩室炎急诊科处理方法的最新进展。
Emergency medicine practice Pub Date : 2024-10-01
Liza Hartofilis, John K Riggins
{"title":"Abdominal pain: update on emergency department management of appendicitis and diverticulitis.","authors":"Liza Hartofilis, John K Riggins","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Abdominal pain is one of the most common presenting complaints to the emergency department, and appendicitis and diverticulitis are common causes. Intra-abdominal infections have historically been managed with admission to the hospital, antibiotics, and surgical interventions, and best-practice pathways are an important part of quality programs. Advances in diagnostics and management, supported with outcome data, are impacting care pathways. This review provides an update on best practices related to the management of appendicitis and diverticulitis, with the goal of improving patient care, minimizing risk, and maximizing the patient experience.</p>","PeriodicalId":38728,"journal":{"name":"Emergency medicine practice","volume":"26 10","pages":"1-28"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142355885","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
Drugs of addiction and stroke: diagnostic and treatment challenges in the emergency department. 滥用药物与中风：急诊科在诊断和治疗方面面临的挑战。
Emergency medicine practice Pub Date : 2024-09-15
Abigail La Nou, Smitesh Padte, Mustafa Sajjad Cheema, Sindhura Tadisetty, Rahul Kashyap
{"title":"Drugs of addiction and stroke: diagnostic and treatment challenges in the emergency department.","authors":"Abigail La Nou, Smitesh Padte, Mustafa Sajjad Cheema, Sindhura Tadisetty, Rahul Kashyap","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Drugs of addiction have been associated with an increased risk of both hemorrhagic and ischemic stroke. While the mechanisms that increase stroke risk are well recognized for the most commonly used substances, there is limited evidence to guide the management and treatment of stroke in the setting of concurrent substance use disorder. This review presents a comprehensive approach to evaluation and management of stroke in patients with substance use disorders. Identification of concurrent drug intoxication and guidelines for drug screening in stroke patients are discussed, along with standardized treatment strategies to improve care and outcomes in these patients.</p>","PeriodicalId":38728,"journal":{"name":"Emergency medicine practice","volume":"26 Suppl 9","pages":"1-39"},"PeriodicalIF":0.0,"publicationDate":"2024-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142082095","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
Elder abuse and neglect: making the diagnosis and devising a treatment plan in the emergency department. 老年人虐待和忽视：在急诊科做出诊断并制定治疗计划。
Emergency medicine practice Pub Date : 2024-09-01
Nicole Cimino-Fiallos
{"title":"Elder abuse and neglect: making the diagnosis and devising a treatment plan in the emergency department.","authors":"Nicole Cimino-Fiallos","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The prevalence of elder abuse and neglect is trending upward among American seniors, but physician reports of suspected maltreatment are not keeping pace. The most important step in management of elder abuse and neglect is making the diagnosis and reporting the suspicions to Adult Protective Services. This review presents a systematic approach for emergency department diagnosis of elder abuse and neglect, including a thorough history and physical examination combined with the use of standardized validated screening tools. To better assess and treat victims of suspected abuse, physicians can also employ a multidisciplinary team or recruit available resources in the hospital and the community, such as case managers, social workers, and primary care providers to create safety plans for at-risk elders.</p>","PeriodicalId":38728,"journal":{"name":"Emergency medicine practice","volume":"26 9","pages":"1-20"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142037254","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 dialysis. 急诊科对透析并发症患者的管理。
Emergency medicine practice Pub Date : 2024-07-01
Hemang Acharya, Sabrina M Tennant, Kathleen Yip
{"title":"Emergency department management of patients with complications of dialysis.","authors":"Hemang Acharya, Sabrina M Tennant, Kathleen Yip","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>In the United States, more than 450,000 patients are on dialysis due to end-stage renal disease. Compared to the general population, these patients account for a disproportionate number of emergency department visits due to higher rates of infection and cardiovascular complications, as well as issues unique to the process of dialysis itself, such as vascular access problems and dialysis disequilibrium syndrome. This issue describes the pathophysiology arising from hemodialysis and peritoneal dialysis-related complications, as well as the evaluation and initial treatment within the emergency department, based on best available evidence.</p>","PeriodicalId":38728,"journal":{"name":"Emergency medicine practice","volume":"26 7","pages":"1-24"},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141432980","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
Managing emergency department patients with opioid use disorder. 管理急诊科阿片类药物使用障碍患者。
Emergency medicine practice Pub Date : 2024-06-01
Corey S Hazekamp, Dana Sacco
{"title":"Managing emergency department patients with opioid use disorder.","authors":"Corey S Hazekamp, Dana Sacco","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>As the United States continues to grapple with the opioid crisis, emergency clinicians are on the front lines of managing patients with opioid use disorder. This issue reviews tools and best practices in emergency department management of patients with opioid overdose and opioid withdrawal, and how substance use history will inform treatment planning and disposition. As growing evidence shows that medications for opioid use disorder (MOUD)- buprenorphine, methadone, and naltrexone-can have lasting impacts on patients' addiction recovery, strategies for assessing patient readiness for MOUD and overcoming barriers to emergency department initiation of these medications are reviewed. Newer approaches to buprenorphine dosing (high-dose, low-dose, home induction, and long-acting injectable dosing) are also reviewed.</p>","PeriodicalId":38728,"journal":{"name":"Emergency medicine practice","volume":"26 6","pages":"1-24"},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141072049","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
Current concepts in ketamine therapy in the emergency department. 急诊科氯胺酮疗法的最新理念。
Emergency medicine practice Pub Date : 2024-05-01
Reuben J Strayer
{"title":"Current concepts in ketamine therapy in the emergency department.","authors":"Reuben J Strayer","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Ketamine has been in use since its development as a dissociative anesthetic in the 1960s, but it was largely confined to the operating theater or austere environments until used by emergency physicians to facilitate painful procedures in children. As the unique effects of ketamine across its dose-response curve were understood, new applications emerged. In low doses, ketamine has found an important role alongside or instead of opioids in the management of severe pain, and methods to slow its absorption allow higher, more effective doses while attenuating psychoperceptual effects. Ketamine's unique anesthetic properties have inspired its use as an induction agent for intubation without a paralytic and for the rapid, safe control of dangerously agitated patients. Emerging uses for ketamine in acute care include treatment for status epilepticus and alcohol withdrawal syndrome; however, its most important rising indication may be as an emergency treatment of depression and suicidality.</p>","PeriodicalId":38728,"journal":{"name":"Emergency medicine practice","volume":"26 5","pages":"1-24"},"PeriodicalIF":0.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140865955","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 North American snake envenomations. 急诊科对北美毒蛇咬伤的处理。
Emergency medicine practice Pub Date : 2024-02-15
Chiemela B Ubani, Dawn R Sollee, Sophia Sheikh
{"title":"Emergency department management of North American snake envenomations.","authors":"Chiemela B Ubani, Dawn R Sollee, Sophia Sheikh","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>There are approximately 10,000 emergency department visits in the United States for snakebites every year, and one-third of those involve venomous species. Venomous North American indigenous snakes include species from the Crotalinae (pit vipers) and Elapidae (coral snakes) subfamilies. Treatment relies on supportive care, plus antivenom for select cases. While certain principles of management are widely accepted, controversies exist with regard to prehospital use of pressure immobilization, antivenom use, coagulation testing after copperhead envenomation, and fasciotomy. An evidence-based approach to management of North American venomous snakebites will be discussed, along with a review of the current controversies.</p>","PeriodicalId":38728,"journal":{"name":"Emergency medicine practice","volume":"26 Suppl 2","pages":"1-44"},"PeriodicalIF":0.0,"publicationDate":"2024-02-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139730703","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 stroke in pregnant and postpartum patients. 急诊科对孕妇和产后患者中风的处理。
Emergency medicine practice Pub Date : 2023-12-15
Amy Emily Steinberg, Vasisht Srinivasan
{"title":"Emergency department management of stroke in pregnant and postpartum patients.","authors":"Amy Emily Steinberg, Vasisht Srinivasan","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Maternal stroke contributes to a significant burden of disease in the pregnant and postpartum patient populations, with an incidence nearly 3-fold that of comparable nonpregnant cohorts. Emergency clinicians must maintain a high index of suspicion for cerebrovascular injury in these patients, as rapid diagnosis and emergent management can prevent devastating neurological outcomes. Data on management of cerebrovascular injury in pregnant and postpartum patients are limited, but management of maternal stroke in the emergency department aligns closely with protocols established for nonpregnant patients. This issue discusses the risk factors associated with maternal stroke, and reviews the available evidence for emergency department management of maternal stroke, including thrombolytic and interventional therapies.</p>","PeriodicalId":38728,"journal":{"name":"Emergency medicine practice","volume":"25 Suppl 12","pages":"1-37"},"PeriodicalIF":0.0,"publicationDate":"2023-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138799696","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 methamphetamine toxicity. 甲基苯丙胺中毒的急诊科管理。
Emergency medicine practice Pub Date : 2023-11-01
Sherell Hicks, Briana D Miller
{"title":"Emergency department management of methamphetamine toxicity.","authors":"Sherell Hicks, Briana D Miller","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Management of patients who are acutely intoxicated with methamphetamine (a member of the substituted amphetamine class of drugs) can be resource-intensive for most emergency departments. Clinical presentations of the methamphetamine sympathomimetic toxidrome range from mild agitation to rhabdomyolysis, acute kidney injury, seizures, and intracranial hemorrhage. High-quality evidence on how to best manage these patients is lacking, and most research focuses on symptomatic interventions to control patients' agitation and hemodynamics. This review analyzes the best available evidence on the diagnosis and management of emergency department patients with substituted amphetamine toxicity and offers best-practice recommendations on treatment and disposition.</p>","PeriodicalId":38728,"journal":{"name":"Emergency medicine practice","volume":"25 11","pages":"1-20"},"PeriodicalIF":0.0,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"50158985","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
Evidence-based emergency department management of migraine and other primary headaches. 偏头痛和其他原发性头痛的循证急诊科管理。
Emergency medicine practice Pub Date : 2023-10-01
Reema Panjwani, Amritpal S Saini, Maia Winkel, Benjamin Friedman
{"title":"Evidence-based emergency department management of migraine and other primary headaches.","authors":"Reema Panjwani,&nbsp;Amritpal S Saini,&nbsp;Maia Winkel,&nbsp;Benjamin Friedman","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Headache is the fifth most common presenting chief complaint in emergency departments, and it is vital to quickly rule out life-threatening secondary causes. Though there are many medications, new and old, that can be used to treat primary headache, the evidence for their effectiveness can be conflicting. This review describes the pathology, workup, and treatment for migraine and other primary headaches based on the best available evidence, including novel medications, nerve blocks, and strategies for preventing postdrome recurrence. Other headache disorders, including cluster headache, medication overuse headache, and chronic migraine are also reviewed.</p>","PeriodicalId":38728,"journal":{"name":"Emergency medicine practice","volume":"25 10","pages":"1-24"},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41162411","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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