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Emergency medicine practice最新文献

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Emergency department management of gastrointestinal foreign body ingestion. 胃肠异物误食的急诊科处理。
Emergency medicine practice Pub Date : 2023-05-01
James C Crosby
{"title":"Emergency department management of gastrointestinal foreign body ingestion.","authors":"James C Crosby","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>There are over 150,000 reports to American Poison Centers every year due to foreign body ingestions, and many patients will be directed to emergency departments for evaluation and management. This comprehensive review evaluates the current literature related to gastrointestinal foreign body diagnosis and management. A discussion of the utility of various imaging modalities is presented, along with a description of high-risk ingestions and the evidence behind society guidelines and management strategies. Finally, controversies in the management of esophageal impactions are reviewed, including the use of glucagon.</p>","PeriodicalId":38728,"journal":{"name":"Emergency medicine practice","volume":"25 5","pages":"1-28"},"PeriodicalIF":0.0,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9420939","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
Evaluation and management of intimate partner violence in the emergency department. 急诊部门亲密伴侣暴力的评估和管理。
Emergency medicine practice Pub Date : 2023-04-20
Gilberto A Salazar, Jo-Anna Palma, Maria Box, Davindeep Brar
{"title":"Evaluation and management of intimate partner violence in the emergency department.","authors":"Gilberto A Salazar,&nbsp;Jo-Anna Palma,&nbsp;Maria Box,&nbsp;Davindeep Brar","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Intimate partner violence (IPV) and emergency medicine intersect when individuals experiencing IPV present to emergency departments for medical care, either on their own or when brought in by law enforcement authorities for medical evaluation and social services. Coordination of care is required, with particular attention paid to the sensitive nature of the patient's presentation and with an emphasis on trauma-informed care. Emergent medical needs must be balanced with concerns for the patient's emotional well-being and the need for advocacy and social services. This supplement reviews best practices and evidence-based recommendations for the evaluation and management of patients who have experienced IPV, with a focus on the considerations for traumatic injuries in these patients.</p>","PeriodicalId":38728,"journal":{"name":"Emergency medicine practice","volume":"25 Suppl 4","pages":"1-37"},"PeriodicalIF":0.0,"publicationDate":"2023-04-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9385996","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
An evidence-based approach to managing gunshot wounds in the emergency department. 急诊部门枪伤的循证管理方法
Emergency medicine practice Pub Date : 2023-04-01
Drew Clare, Samantha Baxley
{"title":"An evidence-based approach to managing gunshot wounds in the emergency department.","authors":"Drew Clare,&nbsp;Samantha Baxley","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Education regarding ballistic injuries in the emergency department is sparse and may rarely be encountered if not training or practicing in a trauma center or a military wartime setting. This article provides a comprehensive review on the management of ballistic injuries in the emergency department, including how to assess and manage gunshot wounds, how to recognize when further imaging or evaluation is needed, and how to recognize when transfer to another facility is required. Algorithms are proposed for the management of gunshot wounds based on body part: head, neck, chest and abdomen, and extremities/soft tissue.</p><p><p></p>","PeriodicalId":38728,"journal":{"name":"Emergency medicine practice","volume":"25 4","pages":"1-28"},"PeriodicalIF":0.0,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9161466","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 infective endocarditis-associated stroke. 感染性心内膜炎相关脑卒中的急诊处理。
Emergency medicine practice Pub Date : 2023-03-01
Lauren Gillespie, Natalie Kreitzer
{"title":"Emergency department management of infective endocarditis-associated stroke.","authors":"Lauren Gillespie,&nbsp;Natalie Kreitzer","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Stroke in patients with endocarditis is a unique, highly morbid condition requiring a high index of suspicion for diagnosis. This issue reviews the historical and physical examination factors that can provide clues to the etiology. The workup of these patients, involving both infection-focused and stroke-focused laboratory testing and neuroimaging, is discussed. The mainstay of treatment is empiric antibiotics, as thrombolytics are contraindicated. Recent evidence regarding the use of mechanical thrombectomy in largevessel occlusion strokes is discussed, as well as surgical options and consultation strategies with stroke, neurocritical care, infectious disease, and neurosurgery teams.</p>","PeriodicalId":38728,"journal":{"name":"Emergency medicine practice","volume":"25 3","pages":"1-24"},"PeriodicalIF":0.0,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10735516","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 blast injuries in the emergency department. 急诊科爆炸伤的诊断与处理。
Emergency medicine practice Pub Date : 2023-02-01
Tung-Lin Yuan, Navin Ariyaprakai
{"title":"Diagnosis and management of blast injuries in the emergency department.","authors":"Tung-Lin Yuan,&nbsp;Navin Ariyaprakai","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Managing patients with blast injuries can challenge emergency department operations, as patients can present in multiple waves, with occult or delayed injuries, and by personal transport, without standard prehospital care. Rapid and effective triage and evaluation includes approximation of blast proximity, determination of the category of blast - primary to quinary - and assessment of the body systems that are most likely to be injured from the type, location, and mechanism of the blast. This issue reviews the physics of the various types of explosions, how this affects the types of injuries that may be seen, and recommended treatments. Best-evidence recommendations are made for decision-making for observation, admission, or discharge.</p><p><p></p>","PeriodicalId":38728,"journal":{"name":"Emergency medicine practice","volume":"25 2","pages":"1-24"},"PeriodicalIF":0.0,"publicationDate":"2023-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10618711","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
An evidence-based approach to emergency department patients at risk for posttraumatic stress disorder symptoms. 急诊病人创伤后应激障碍症状风险的循证方法
Emergency medicine practice Pub Date : 2023-01-01
Maria Lynn Pacella-LaBarbara, Enzo G Plaitano, Bernard P Chang
{"title":"An evidence-based approach to emergency department patients at risk for posttraumatic stress disorder symptoms.","authors":"Maria Lynn Pacella-LaBarbara, Enzo G Plaitano, Bernard P Chang","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Approximately one-quarter of emergency department patients who are injured or experience medical emergencies will develop clinically significant posttraumatic stress disorder (PTSD) symptoms, which can evolve into PTSD. Emergency clinicians and rapid response teams (eg, trauma, cardiac, stroke) can play a critical role in recognizing symptoms of posttraumatic stress and providing early distress management techniques, screening, and referral to services that may mitigate the development of PTSD. This review summarizes the existing literature on psychological distress related to events that trigger the need for emergency care and synthesizes cutting-edge approaches that may impact patient outcomes.</p>","PeriodicalId":38728,"journal":{"name":"Emergency medicine practice","volume":"25 1","pages":"1-28"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10476546","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
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
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