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Emergency medicine practice最新文献

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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
Acute traumatic wounds: evaluation, cleansing, and repair in the ED. 急诊科的急性创伤:评估、清洗和修复。
Emergency medicine practice Pub Date : 2021-12-15
Stacey Barnes, Katrina D'Amore, Marco Propersi, Miguel Reyes
{"title":"Acute traumatic wounds: evaluation, cleansing, and repair in the ED.","authors":"Stacey Barnes,&nbsp;Katrina D'Amore,&nbsp;Marco Propersi,&nbsp;Miguel Reyes","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Traumatic wounds are a common presentation in the emergency department. While most minor traumatic wounds and lacerations will heal well, appropriate management is required to preserve function and cosmesis as well as to prevent infection and other complications. This supplement reviews evidence-based recommendations for management of acute traumatic wounds, including evaluation, cleansing, anesthesia, selection of closure methods and materials, and post-repair instruction. Management of high-risk wounds and special considerations for the evaluation and repair of facial lacerations are also reviewed.</p>","PeriodicalId":38728,"journal":{"name":"Emergency medicine practice","volume":"23 Suppl 12","pages":"1-43"},"PeriodicalIF":0.0,"publicationDate":"2021-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39805652","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
Thoracic aortic syndromes in the emergency department: recognition and management. 急诊科胸主动脉综合征的认识和处理。
Emergency medicine practice Pub Date : 2021-12-01
Anthony Hackett, Jonathan Stuart, Douglas L Robinson
{"title":"Thoracic aortic syndromes in the emergency department: recognition and management.","authors":"Anthony Hackett,&nbsp;Jonathan Stuart,&nbsp;Douglas L Robinson","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Acute aortic syndromes include aortic dissection, penetrating atherosclerotic ulcer, and intramural hematomas, but aortic dissection is the most common and the deadliest. This review summarizes the latest evidence on developing a differential for aortic dissection when common complaints, such as chest pain, abdominal pain, and syncope are also present. Recent evidence on the optimal uses of emergency department imaging studies and risk stratification tools are reviewed, along with special considerations in the management of penetrating atherosclerotic ulcer and intramural hematoma. Pharmacologic therapies for managing hemodynamic parameters and shock, and indications for operative intervention are also reviewed, along with cutting-edge diagnostic and treatment options on the horizon.</p>","PeriodicalId":38728,"journal":{"name":"Emergency medicine practice","volume":" ","pages":"1-28"},"PeriodicalIF":0.0,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39720594","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
Calculated decisions: Aortic Dissection Detection Risk Score (ADD-RS). 计算决策:主动脉夹层检测风险评分(ADD-RS)。
Emergency medicine practice Pub Date : 2021-12-01
Seth Crockford
{"title":"Calculated decisions: Aortic Dissection Detection Risk Score (ADD-RS).","authors":"Seth Crockford","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>A review of the uses and evidence for the ADD-RS, which rules out aortic dissection.</p>","PeriodicalId":38728,"journal":{"name":"Emergency medicine practice","volume":"23 12","pages":"CD1-CD3"},"PeriodicalIF":0.0,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9233314","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 rib fractures 急诊部对肋骨骨折的处理
Emergency medicine practice Pub Date : 2021-11-01
Patrick Maher
{"title":"Emergency Department management of rib fractures","authors":"Patrick Maher","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Rib fractures resulting from blunt thoracic trauma are often associated with life-threatening complications of injury to cardiorespiratory systems. Given the risk for morbidity and mortality, the emergency clinician must be swift and thorough in diagnosing and managing these injuries. Society guidelines have been published to assist in determining best-practice approaches to pain control, imaging, and treatment. This issue reviews the recent studies and evidence for multimodal pain control, decision tools for diagnostic imaging, ventilatory support, and operative fixation. Scoring systems to determine disposition of patients are evaluated, with particular attention given to the special risks to the elderly patient.</p>","PeriodicalId":38728,"journal":{"name":"Emergency medicine practice","volume":"23 11","pages":"1-24"},"PeriodicalIF":0.0,"publicationDate":"2021-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39535298","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
Breakthroughs, boosters, and beyond: a practical primer on current challenges with COVID-19 突破、助推器和超越:关于COVID-19当前挑战的实用入门
Emergency medicine practice Pub Date : 2021-10-03
Sonya Stokes, Karen Shek, Michelle Hung
{"title":"Breakthroughs, boosters, and beyond: a practical primer on current challenges with COVID-19","authors":"Sonya Stokes,&nbsp;Karen Shek,&nbsp;Michelle Hung","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Identifying the extent to which breakthrough infections are contributing to the spread of COVID-19 can help guide vaccination policies and other infection prevention and control protocols to promote public health and safety. This special report summarizes key studies on COVID-19 vaccine efficacy and effectiveness and presents caveats to these studies.</p>","PeriodicalId":38728,"journal":{"name":"Emergency medicine practice","volume":"23 Suppl 10","pages":"1-22"},"PeriodicalIF":0.0,"publicationDate":"2021-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39590735","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 cervical spine injuries. 颈椎损伤的急诊处理。
Emergency medicine practice Pub Date : 2021-10-01
Geoffrey Jara-Almonte, Chandni Pawar
{"title":"Emergency department management of cervical spine injuries.","authors":"Geoffrey Jara-Almonte,&nbsp;Chandni Pawar","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The majority of the nearly 18,000 new cases of spinal cord injury in the United States each year involve the cervical spine. Although the morbidity, mortality, and healthcare costs associated with these injuries is very high, quality evidence to guide emergency management is limited. Recent changes to guidelines have called into question decades of practice, including prehospital spinal immobilization protocols, timing of surgery, and pharmacotherapy. A systematic approach to the diagnosis and management of the spine-injured patient is outlined in this review, with a focus on recent updates and management of emergent complications.</p>","PeriodicalId":38728,"journal":{"name":"Emergency medicine practice","volume":"23 10","pages":"1-28"},"PeriodicalIF":0.0,"publicationDate":"2021-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39428072","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
Maternal hemorrhage and severe hypertension/pre-eclampsia: identification and management in the emergency department. 产妇出血和严重高血压/先兆子痫:在急诊科的识别和处理。
Emergency medicine practice Pub Date : 2021-09-15
Sarmed Ashoo
{"title":"Maternal hemorrhage and severe hypertension/pre-eclampsia: identification and management in the emergency department.","authors":"Sarmed Ashoo","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>This special report summarizes evidence-based recommendations and provides tools for the recognition and management of patients with maternal hemorrhage or severe hypertension/pre-eclampsia in the emergency department (ED). This information can also serve as a foundation to develop institutional protocols for accredited organizations that do not have existing protocols.</p>","PeriodicalId":38728,"journal":{"name":"Emergency medicine practice","volume":"23 Suppl 9","pages":"1-19"},"PeriodicalIF":0.0,"publicationDate":"2021-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39483542","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
High-altitude illness: updates in prevention, identification, and treatment. 高原疾病:预防、鉴定和治疗的最新进展。
Emergency medicine practice Pub Date : 2021-09-01
Ninad A Shroff, Jerome Balbin, Oluwaseun Shobitan
{"title":"High-altitude illness: updates in prevention, identification, and treatment.","authors":"Ninad A Shroff,&nbsp;Jerome Balbin,&nbsp;Oluwaseun Shobitan","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>High-altitude illness is a continuum of syndromes that includes the potential for death. Understanding how to prevent altitude illness and how to treat it if it occurs is fundamental to trip planning and is an important role of medical advisors to travelers. Gradual ascent, along with pharmacotherapy where indicated, are the mainstays of prevention. Travelers with certain chronic medical conditions may require additional pretravel counseling and preparation. Diagnostic recognition of the differing manifestations of high-altitude illness as well as recommendations on appropriate therapeutic options are discussed in detail.</p>","PeriodicalId":38728,"journal":{"name":"Emergency medicine practice","volume":"23 9","pages":"1-24"},"PeriodicalIF":0.0,"publicationDate":"2021-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39319310","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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