发布求助
文献互助 智能选刊 最新文献

Emergency medicine practice最新文献

筛选
英文 中文
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, Amritpal S Saini, Maia Winkel, 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
Ocular injuries: emergency department strategies. 眼部损伤：急诊科策略。
Emergency medicine practice Pub Date : 2023-10-01
Emily Bae, Anne Messman, Kaushal Shah
{"title":"Ocular injuries: emergency department strategies.","authors":"Emily Bae,&nbsp;Anne Messman,&nbsp;Kaushal Shah","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Ocular injuries are common in the emergency department, and they are the most frequent cause of noncongenital monocular blindness in children and adults. Systematic evaluation and management of ocular trauma patients will ensure these patients have the best chance for a favorable final visual outcome. This review provides evidence-based recommendations for the diagnosis, treatment, and disposition of patients with traumatic ocular injuries, including retrobulbar hemorrhage, traumatic hyphema, open globe injuries, ocular chemical burns, and corneal abrasions. The use of bedside ultrasound, antibiotics, cycloplegics, steroids, antifibrinolytics, and patching are also discussed.</p>","PeriodicalId":38728,"journal":{"name":"Emergency medicine practice","volume":"25 Suppl 10","pages":"1-38"},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41162565","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 rectal bleeding. 直肠出血患者的急诊处理。
Emergency medicine practice Pub Date : 2023-09-01
Benjamin von Schweinitz, Justin Pinkston
{"title":"Emergency department management of patients with rectal bleeding.","authors":"Benjamin von Schweinitz,&nbsp;Justin Pinkston","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Rectal bleeding accounts for approximately 1 out of every 1000 United States emergency department visits annually. The causes of rectal bleeding are broad, and can range from the benign to the life-threating. This review provides foundational knowledge on rectal bleeding as well as evidence-based recommendations for its evaluation and initial management in the emergency department. Anatomic considerations are discussed, and the differential diagnosis based on risk factors such as age and comorbid conditions is presented. Treatment recommendations based on the presumed diagnosis as well as the evidence associated with their use are also described. Decision-making, including disposition based on laboratory results, imaging studies, and application of risk scoring calculations is also discussed.</p>","PeriodicalId":38728,"journal":{"name":"Emergency medicine practice","volume":"25 9","pages":"1-24"},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10041394","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 management of pulmonary embolism in the emergency department. 急诊肺栓塞的循证管理。
Emergency medicine practice Pub Date : 2023-08-01
Alfred Sacchetti, Michael Driscoll
{"title":"Evidence-based management of pulmonary embolism in the emergency department.","authors":"Alfred Sacchetti,&nbsp;Michael Driscoll","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Patients with pulmonary emboli present both diagnostic and therapeutic challenges to the emergency clinician, because initial symptoms can be variable and overlap with other medical conditions. This issue reviews treatment options for patients with pulmonary emboli based on risk stratification scores of low, intermediate-low, intermediate-high, and high risk classifications. The evidence on laboratory testing and imaging is presented, as well as treatment strategies that include anticoagulation, thrombolytics, and mechanical or surgical thrombectomy. Management decisions regarding pregnancy and COVID-19 are discussed, as well as considerations for outpatient treatment of low-risk patients.</p>","PeriodicalId":38728,"journal":{"name":"Emergency medicine practice","volume":"25 8","pages":"1-28"},"PeriodicalIF":0.0,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9867675","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 acute intracerebral hemorrhage. 急性脑出血的急诊处理。
Emergency medicine practice Pub Date : 2023-07-20
Dana Klavansky, Nicole Davis, Cappi Lay
{"title":"Emergency department management of acute intracerebral hemorrhage.","authors":"Dana Klavansky,&nbsp;Nicole Davis,&nbsp;Cappi Lay","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Acute intracerebral hemorrhage accounts for only a small portion of all stroke presentations, but often leads to a high rate of morbidity and mortality. The presentation of patients with ICH is often similar to other stroke patients and requires rapid recognition, imaging, and evaluation. Treatment begins in the emergency department and focuses on correction of abnormal coagulopathies, blood pressure reduction, emergent treatment of intracranial hypertension, and recognition of those in need of urgent surgical decompression. Patients should be admitted to capable critical care units, with expertise in neurocritical care if available. This review presents evidence-based recommendations for the emergency department identification and management of patients with ICH.</p>","PeriodicalId":38728,"journal":{"name":"Emergency medicine practice","volume":"25 Suppl 7","pages":"1-41"},"PeriodicalIF":0.0,"publicationDate":"2023-07-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9930552","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
Diagnosing and treating pericarditis and myocarditis in the emergency department. 急诊心包炎、心肌炎的诊断与治疗。
Emergency medicine practice Pub Date : 2023-07-01
Morgan McGuire, Warren Harvey, Tucker Brady, Alexandre D Nguyen
{"title":"Diagnosing and treating pericarditis and myocarditis in the emergency department.","authors":"Morgan McGuire,&nbsp;Warren Harvey,&nbsp;Tucker Brady,&nbsp;Alexandre D Nguyen","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Pericarditis and myocarditis represent a challenging set of diseases to diagnose and treat. These diseases typically present with chest pain and dyspnea in previously healthy young people, often in the weeks following a viral illness, including COVID-19. Nonetheless, the etiologies can be very diverse, including infectious, noninfectious, drug-induced, and autoimmune causes. This review focuses on the evaluation, diagnosis, and management of emergency department patients presenting with pericarditis and myocarditis and summarizes current guidelines and best-practice medical management strategies in order to avoid potential life-threatening cardiac complications.</p>","PeriodicalId":38728,"journal":{"name":"Emergency medicine practice","volume":"25 7","pages":"1-24"},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9684790","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
Hypertensive emergencies: guidelines and best-practice recommendations. 高血压急症:指南和最佳做法建议。
Emergency medicine practice Pub Date : 2023-06-01
Ari B Davis, Kyle Hughes, Jonathan Pun, Scott Goldstein
{"title":"Hypertensive emergencies: guidelines and best-practice recommendations.","authors":"Ari B Davis,&nbsp;Kyle Hughes,&nbsp;Jonathan Pun,&nbsp;Scott Goldstein","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Due to a variety of demographic and public health factors, the number of emergency department visits related to hypertensive emergencies has increased dramatically in recent decades, making it imperative that clinicians clearly understand the current treatment guidelines and definitions for the spectrum of hypertensive disease. This issue reviews current evidence on identifying and managing hypertensive emergencies and the differences between expert opinions on diagnosing and managing these emergencies. Clear protocols differentiating patients with hypertension from patients with hypertensive emergencies are needed to appropriately manage this patient population.</p>","PeriodicalId":38728,"journal":{"name":"Emergency medicine practice","volume":"25 6","pages":"1-28"},"PeriodicalIF":0.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9497503","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
首页 上一页 下一页 尾页
0
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整，为了账户安全，请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
现在去查看 取消
×
提示
确定
请完成安全验证×
相关产品
×
本文献相关产品
联系我们：info@booksci.cn Book学术提供免费学术资源搜索服务，方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号：604180095
Book学术官方微信
小红书