{"title":"Breakthroughs, boosters, and beyond: a practical primer on current challenges with COVID-19","authors":"Sonya Stokes, Karen Shek, 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}
{"title":"Emergency department management of cervical spine injuries.","authors":"Geoffrey Jara-Almonte, 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}
{"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}
{"title":"High-altitude illness: updates in prevention, identification, and treatment.","authors":"Ninad A Shroff, Jerome Balbin, 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}
{"title":"Emergency department management of abnormal uterine bleeding in the nonpregnant patient.","authors":"Tazeen Abbas, Abbas Husain","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Uterine bleeding that is abnormal in timing, duration, or quantity affects nearly one-third of women and carries a substantial financial and quality-of-life burden. An estimated 5% of ED visits are for vaginal bleeding, and 1% of those patients will have a life-threatening cause that must be identified. Emergency clinicians need to have a comprehensive understanding of the pathophysiology and etiologies of abnormal uterine bleeding to manage and treat these patients. This issue reviews the most recent updates on common causes and the approach to abnormal uterine bleeding in the nonpregnant patient, including vaginal bleeding in prepubescent females.</p>","PeriodicalId":38728,"journal":{"name":"Emergency medicine practice","volume":"23 8","pages":"1-20"},"PeriodicalIF":0.0,"publicationDate":"2021-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39222880","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}
Peter A D Steel, Christopher R Carpenter, Brian Fengler, Stephen Cantrill, Sandy Schneider
{"title":"Calculated decisions: ACEP ED COVID-19 management tool.","authors":"Peter A D Steel, Christopher R Carpenter, Brian Fengler, Stephen Cantrill, Sandy Schneider","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>This supplement reviews the ACEP ED COVID-19 Management Tool, an emergency department classification and management tool for adult patients (aged ≥18 years) with suspected or confirmed SARS-CoV-2.</p>","PeriodicalId":38728,"journal":{"name":"Emergency medicine practice","volume":"23 Suppl 7","pages":"CD1-CD6"},"PeriodicalIF":0.0,"publicationDate":"2021-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39183303","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}
{"title":"Managing the HIV-infected adult patient in the emergency department.","authors":"Fereshteh Sani, John J Faragon, Daniel J Egan","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>As highly active antiretroviral therapies have advanced, HIV patients who are treatment-adherent can achieve undetectable viral loads, virtual elimination of opportunistic infection, improved quality of life, and normal life expectancy. This issue focuses on emergency department management of HIV patients both with successful disease suppression from long-term therapy as well as the patient with low CD4 counts in the context of lack of engagement with care, nonadherence, or undiagnosed disease. Optimal emergency department management of patients with HIV also includes identifying and treating undiagnosed patients, helping to re-establish care for those who have been lost to followup, and preventing new HIV infections with pre-exposure and postexposure prophylaxis.</p>","PeriodicalId":38728,"journal":{"name":"Emergency medicine practice","volume":"23 7","pages":"1-24"},"PeriodicalIF":0.0,"publicationDate":"2021-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39128716","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}
{"title":"Calculated decisions: Alberta Stroke Program Early CT Score (ASPECTS).","authors":"Daniel Runde","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>A review of the uses and evidence for the Alberta Stroke Program Early CT Score, which determines middle cerebral artery stroke severity using available computed tomography data.</p>","PeriodicalId":38728,"journal":{"name":"Emergency medicine practice","volume":"23 Suppl 6","pages":"CD6-CD7"},"PeriodicalIF":0.0,"publicationDate":"2021-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9275156","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}
{"title":"Calculated decisions: NIH Stroke Scale/Score (NIHSS).","authors":"Daniel Runde","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>A review of the uses and evidence for the National Institutes of Health Scale/Score, which is used to quantify stroke severity.</p>","PeriodicalId":38728,"journal":{"name":"Emergency medicine practice","volume":"23 Suppl 6","pages":"CD3-CD5"},"PeriodicalIF":0.0,"publicationDate":"2021-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9275164","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}
{"title":"Calculated decisions: modified Rankin Scale for neurologic disability.","authors":"Daniel Runde","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>A review of the uses and evidence for the modified Rankin Scale, which measures the degree of disability or dependence in the daily activities of people who have suffered a stroke or other causes of neurological disability.</p>","PeriodicalId":38728,"journal":{"name":"Emergency medicine practice","volume":"23 Suppl 6","pages":"CD1-CD3"},"PeriodicalIF":0.0,"publicationDate":"2021-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9275157","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}