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Emergency medicine practice最新文献

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Pelvic inflammatory disease: diagnosis and treatment in the emergency department. 盆腔炎:急诊科诊断与治疗。
Emergency medicine practice Pub Date : 2022-12-01 Epub Date: 2022-12-02
Taku Taira, Nolan Broussard, Charles Bugg
{"title":"Pelvic inflammatory disease: diagnosis and treatment in the emergency department.","authors":"Taku Taira,&nbsp;Nolan Broussard,&nbsp;Charles Bugg","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Pelvic inflammatory disease is associated with complications that include infertility, chronic pelvic pain, ruptured tubo-ovarian abscess, and ectopic pregnancy. The diagnosis may be delayed when the presentation has nonspecific signs and symptoms. Even when properly diagnosed, pelvic inflammatory disease is often treated suboptimally. This review provides evidence-based recommendations for the diagnosis, treatment, disposition, and follow-up of patients with pelvic inflammatory disease. Arranging follow-up of patients within 48 to 72 hours and providing clear patient education are fundamental to ensuring good patient outcomes. Emerging issues, including new pathogens and evolving resistance patterns among pelvic inflammatory disease pathogens, are reviewed.</p>","PeriodicalId":38728,"journal":{"name":"Emergency medicine practice","volume":"24 12","pages":"1-24"},"PeriodicalIF":0.0,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40488523","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 surgical airway complications. 外科气道并发症的急诊科处理。
Emergency medicine practice Pub Date : 2022-11-01
John Dubensky, Chelsea Schmidt, Scott Goldstein
{"title":"Emergency department management of surgical airway complications.","authors":"John Dubensky,&nbsp;Chelsea Schmidt,&nbsp;Scott Goldstein","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Emergency clinicians are often responsible for the acute management of complications pertaining to both the acute difficult airway and the chronic surgical airway; however, clinical knowledge and/or experience may be lacking. This review provides an overview of surgical airway complications, which can be a result of mechanical, infectious, or hematologic causes, and provides best-practice recommendations. Current consensus guidelines for the management of the difficult airway and indications for a surgical airway are discussed.</p>","PeriodicalId":38728,"journal":{"name":"Emergency medicine practice","volume":"24 11","pages":"1-24"},"PeriodicalIF":0.0,"publicationDate":"2022-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40667750","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
Angioedema in the emergency department: an evidence-based update. 急诊科的血管性水肿:循证更新
Emergency medicine practice Pub Date : 2022-10-01 Epub Date: 2022-10-02
Prayag Mehta, Nikola Milanko, Jedediah Leaf, Joshua Kern
{"title":"Angioedema in the emergency department: an evidence-based update.","authors":"Prayag Mehta,&nbsp;Nikola Milanko,&nbsp;Jedediah Leaf,&nbsp;Joshua Kern","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Angioedema is a histamine- or bradykinin-mediated response that can be acquired, hereditary, or idiopathic. Manifestations include nonpitting edema of the subcutaneous layer of the skin or submucosal layers of the respiratory or gastrointestinal tracts. While acute presentations are typically transient and localized, angioedema can result in acute airway compromise, requiring immediate stabilization. It can also result in abdominal pain that is commonly misdiagnosed, resulting in unnecessary and potentially harmful procedures. This review assesses current literature on the etiology and management of angioedema in the emergency department. An analysis of the most recent evidence on therapeutic options is provided, while addressing barriers to use.</p>","PeriodicalId":38728,"journal":{"name":"Emergency medicine practice","volume":"24 10","pages":"1-24"},"PeriodicalIF":0.0,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40369792","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
Advances in cardiac resuscitation in the emergency department. 急诊科心脏复苏的进展。
Emergency medicine practice Pub Date : 2022-09-01 Epub Date: 2022-09-02
Kamal Medlej, Ivana Nikolic
{"title":"Advances in cardiac resuscitation in the emergency department.","authors":"Kamal Medlej,&nbsp;Ivana Nikolic","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Cardiogenic shock, cardiac arrest, and circulatory failure are life-threatening, and recognizing the underlying etiology and initiating treatment to promote perfusion are key to managing these patients and improving outcomes. This issue reviews the current evidence on diagnosis and management of cardiogenic shock, including oxygen supplementation, red blood cell transfusion, vasopressors, and inotropes. A summary of the various mechanical circulatory support options, including inclusion/exclusion criteria and admission and inter-facility transfer guidance, is included. Special considerations regarding the resuscitation and management of patients with intracorporeal left ventricular assist devices who are experiencing circulatory failure are outlined, including testing, imaging, and treatment.</p>","PeriodicalId":38728,"journal":{"name":"Emergency medicine practice","volume":"24 9","pages":"1-24"},"PeriodicalIF":0.0,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40633692","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 acute cardiac valvular emergencies in the emergency department. 急诊科处理急性心脏瓣膜急症。
Emergency medicine practice Pub Date : 2022-08-01
Adam Sigal, Stephanie Costa
{"title":"Managing acute cardiac valvular emergencies in the emergency department.","authors":"Adam Sigal,&nbsp;Stephanie Costa","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Valvular heart disease is becoming more prevalent as the United States' population ages, with aortic and mitral valves most commonly affected. Complications, including syncope, heart failure, dyspnea, and chest pain, can arise from slow progression of stenosis and regurgitation, though acute regurgitation from an ischemic or traumatic event can be life-threatening. Patients with valvular disease may present with cardiogenic shock, and vasoactive agent treatment will depend on determination of the valvular etiology. This issue reviews aortic and mitral valvular disease as potential causes of a patient's emergency department presentation, including history, diagnostic testing, and physical examination findings that can help guide treatment.</p>","PeriodicalId":38728,"journal":{"name":"Emergency medicine practice","volume":"24 8","pages":"1-24"},"PeriodicalIF":0.0,"publicationDate":"2022-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40525090","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 allergic reactions and anaphylaxis in the emergency department. 急诊科过敏反应和过敏反应的处理。
Emergency medicine practice Pub Date : 2022-07-01
Andrea Zeke, Amita Sudhir
{"title":"Management of allergic reactions and anaphylaxis in the emergency department.","authors":"Andrea Zeke,&nbsp;Amita Sudhir","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>An acute allergic reaction is a rapid-onset, IgE-mediated hypersensitivity reaction. Although it is most commonly caused by food, insect stings, and medications, there are many additional causes. Symptoms can range from mild urticaria and swelling, to abdominal cramping, to respiratory collapse. Anaphylaxis and anaphylactic shock are the most severe, life-threatening forms of allergic reaction, with fast onset and decompensation, requiring urgent airway monitoring and support. This issue reviews the current evidence on managing allergy and anaphylaxis with epinephrine, and reviews the evidence on corticosteroids, antihistamines, and other adjunctive therapies. Guidelines are reviewed to offer assistance with grading of symptoms, which can help determine treatment and disposition. Biphasic reactions and allergic reactions caused by alpha-gal, scombroid poisoning, and Kounis syndrome are also reviewed.</p>","PeriodicalId":38728,"journal":{"name":"Emergency medicine practice","volume":"24 7","pages":"1-24"},"PeriodicalIF":0.0,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40296286","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 adults with infectious meningitis and encephalitis. 成人感染性脑膜炎和脑炎的急诊科管理。
Emergency medicine practice Pub Date : 2022-04-01 Epub Date: 2022-04-02
Andrew N Hogan, C Reece Brockman II, Amanda Santa Maria
{"title":"Emergency department management of adults with infectious meningitis and encephalitis.","authors":"Andrew N Hogan,&nbsp;C Reece Brockman II,&nbsp;Amanda Santa Maria","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Infectious meningitis and encephalitis are often life-threatening illnesses, though prompt workup and targeted treatment can greatly reduce morbidity and mortality. Although presentation of central nervous system infection can sometimes be subtle, this issue focuses on evidence-based strategies for identifying combinations of signs and symptoms to narrow the diagnosis. Identifying meningitis versus encephalitis; bacterial versus viral, fungal, or iatrogenic causes; and providing prompt empiric antimicrobials and appropriate diagnostic testing are key to management. Cerebrospinal fluid testing findings are outlined to help determine a potential cause for symptoms, along with blood and serum testing options. International society guidelines and evidence regarding the need for computed tomography prior to lumbar puncture are presented, which can help reduce unnecessary imaging. Disposition criteria are expanded to help determine whether a patient can go home, or the level of hospital care that will be required for those admitted.</p>","PeriodicalId":38728,"journal":{"name":"Emergency medicine practice","volume":"24 4","pages":"1-24"},"PeriodicalIF":0.0,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40312914","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 Postpartum Complications in the Emergency Department. 急诊部产后并发症的处理。
Emergency medicine practice Pub Date : 2022-03-01
Nicole Yuzuk, Joseph Bove, Riddhi Desai
{"title":"Managing Postpartum Complications in the Emergency Department.","authors":"Nicole Yuzuk,&nbsp;Joseph Bove,&nbsp;Riddhi Desai","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Postpartum patients may present to the emergency department with complaints ranging from minor issues, requiring only patient education and reassurance, to severe, life-threatening complications that require prompt diagnosis and multidisciplinary consultation and management. At times, vague presentations or overlapping conditions can make it difficult for the emergency clinician to recognize an emergent condition and initiate proper treatment. This issue reviews the major common emergencies that present in postpartum patients, by chief complaint, including hemorrhage, infection, pre-eclampsia, eclampsia, headache, and cardiopulmonary conditions, and reviews the most recent evidence and guidelines.</p>","PeriodicalId":38728,"journal":{"name":"Emergency medicine practice","volume":"24 3","pages":"1-24"},"PeriodicalIF":0.0,"publicationDate":"2022-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39821971","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 asthma exacerbations. 急性哮喘发作的急诊科管理。
Emergency medicine practice Pub Date : 2022-02-01
Steven M Hochman, Anthony Catapano, Arsalan Shawl, Brandon Somwaru
{"title":"Emergency department management of acute asthma exacerbations.","authors":"Steven M Hochman,&nbsp;Anthony Catapano,&nbsp;Arsalan Shawl,&nbsp;Brandon Somwaru","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Asthma is a disease of the airways characterized by inflammation, hyperresponsiveness, and bronchoconstriction. The diagnosis is primarily a clinical one, based on a focused history and physical examination, to differentiate from other entities such as heart failure, pneumonia, and pulmonary embolism. Radiographs, laboratory studies, and blood gases are not routinely recommended, except in atypical or refractory cases, or if there is diagnostic uncertainty. The cornerstone of acute asthma treatment includes short-acting beta agonists, anticholinergics, and systemic corticosteroids. This issue reviews the latest evidence in diagnostic and treatment strategies, including other pharmacologic treatments and newer management strategies to avoid intubation.</p>","PeriodicalId":38728,"journal":{"name":"Emergency medicine practice","volume":"24 2","pages":"1-32"},"PeriodicalIF":0.0,"publicationDate":"2022-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39854749","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
Diagnosis and management of acute joint pain in the emergency department. 急诊科急性关节痛的诊断与处理。
Emergency medicine practice Pub Date : 2022-01-01
Rachel Sullivan
{"title":"Diagnosis and management of acute joint pain in the emergency department.","authors":"Rachel Sullivan","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Acute monoarticular and polyarticular joint pain that results from infection, trauma, and autoimmune and inflammatory processes are a major cause of disability that is often preventable with early diagnosis and management. Septic arthritis presents a particular danger, with a high potential for morbidity and mortality. This issue presents an overview of the various types of acute joint pain that present to the emergency department, and outlines systematic, evidence-based strategies for diagnosis and treatment. Emerging infectious and reactive causes of arthritis, including Zika, chikungunya, and COVID-19 are reviewed. Best-practice recommendations for treatment and disposition based on diagnosis are highlighted.</p>","PeriodicalId":38728,"journal":{"name":"Emergency medicine practice","volume":"24 1","pages":"1-28"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39847199","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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