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Emergency medicine practice最新文献

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Emergency department management of syncope. 晕厥的急诊处理。
Emergency medicine practice Pub Date : 2021-06-01
James Morris
{"title":"Emergency department management of syncope.","authors":"James Morris","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Syncope is the transient loss of consciousness and postural tone, with spontaneous recovery. It accounts for approximately 1% of all emergency department visits and $5.6 billion in healthcare costs annually. In a very small subset of patients, syncope may be a warning sign for serious outcomes or death, but identifying these patients is challenging, as the emergency clinician must distinguish between life-threatening causes and the more common, benign etiologies. Low-yield and expensive testing is often performed, even for benign presentations. Much research on syncope is observational, and clinical decision rules frequently perform poorly in validation studies. This issue reviews the clinical and diagnostic findings that are useful for safely and efficiently identifying patients presenting to the emergency department with syncope.</p>","PeriodicalId":38728,"journal":{"name":"Emergency medicine practice","volume":" ","pages":"1-24"},"PeriodicalIF":0.0,"publicationDate":"2021-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38997902","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
Atrial fibrillation: an approach to diagnosis and management in the emergency department. 心房颤动:急诊科的诊断与处理方法。
Emergency medicine practice Pub Date : 2021-05-01
Brian Milman, Boyd D Burns
{"title":"Atrial fibrillation: an approach to diagnosis and management in the emergency department.","authors":"Brian Milman,&nbsp;Boyd D Burns","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Atrial fibrillation is the most common dysrhythmia encountered in the emergency department. In patients aged >65 years, the incidence approaches 10%, and the number of patients with atrial fibrillation is expected to almost double in the next 30 years. Atrial fibrillation and its associated comorbidities also carry significant healthcare cost. Electrocardiogram findings may be subtle at times, but prompt diagnosis is needed to maximize good outcomes, especially when patients are cardiovascularly compromised. This review includes evidence-based recommendations on rate versus rhythm control, discusses pharmacologic versus electrical cardioversion, evaluates thromboembolic risk, and provides options for anticoagulation.</p>","PeriodicalId":38728,"journal":{"name":"Emergency medicine practice","volume":"23 5","pages":"1-28"},"PeriodicalIF":0.0,"publicationDate":"2021-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38897539","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
Neck trauma: diagnosis and management in the emergency department. 颈部创伤:急诊科的诊断和处理。
Emergency medicine practice Pub Date : 2021-04-15
Karen Lind, Amy Do-Nguyen
{"title":"Neck trauma: diagnosis and management in the emergency department.","authors":"Karen Lind,&nbsp;Amy Do-Nguyen","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Neck trauma is an uncommon but serious presenting complaint in the emergency department. Many vital structures may be affected in a patient with a traumatic neck injury, including the airway, digestive tract, and carotid and vertebral arteries. Emergency clinicians must also be prepared to diagnose and manage occult and delayed presentations of injury related to neck trauma. This supplement reviews advances and best practices in the evaluation and management of patients with neck trauma, with a focus on evidence-based guidelines. A streamlined algorithm is provided as well as discussion of recent changes and controversies in neck trauma management in the prehospital and emergency department settings.</p>","PeriodicalId":38728,"journal":{"name":"Emergency medicine practice","volume":" ","pages":"1-29"},"PeriodicalIF":0.0,"publicationDate":"2021-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25568103","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
Updates and controversies in the early management of sepsis and septic shock. 脓毒症和感染性休克早期治疗的最新进展和争议。
Emergency medicine practice Pub Date : 2021-04-15
Ashley B. Norse, Faheem Guirgis, Lauren Page Black, Elizabeth L DeVos
{"title":"Updates and controversies in the early management of sepsis and septic shock.","authors":"Ashley B. Norse,&nbsp;Faheem Guirgis,&nbsp;Lauren Page Black,&nbsp;Elizabeth L DeVos","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Sepsis is a common and life-threatening condition that requires early recognition and swift initial management. Diagnosis and treatment of sepsis and septic shock are fundamental for emergency clinicians, and include knowledge of clinical and laboratory indicators of subtle and overt organ dysfunction, infection source control, and protocols for prompt identification of the early signs of septic shock. This issue is a structured review of the literature on the management of sepsis, focusing on the current evidence, guidelines, and protocols.</p>","PeriodicalId":38728,"journal":{"name":"Emergency medicine practice","volume":"23 Suppl 4-2","pages":"1-24"},"PeriodicalIF":0.0,"publicationDate":"2021-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25587957","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: Injury severity score. 计算决策:损伤严重程度评分。
Emergency medicine practice Pub Date : 2021-04-14
Max Berger, Alexandra Ortego
{"title":"Calculated decisions: Injury severity score.","authors":"Max Berger,&nbsp;Alexandra Ortego","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>A review of the uses and evidence for the Injury Severity Score, which standardizes the severity of traumatic injury based on the 3 worst injuries from 6 body systems.</p>","PeriodicalId":38728,"journal":{"name":"Emergency medicine practice","volume":"23 Suppl 4","pages":"CD4-CD5"},"PeriodicalIF":0.0,"publicationDate":"2021-04-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9574653","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: NEXUS criteria for c-spine imaging. 计算决策:c-脊柱成像的NEXUS标准。
Emergency medicine practice Pub Date : 2021-04-14
Daniel Runde
{"title":"Calculated decisions: NEXUS criteria for c-spine imaging.","authors":"Daniel Runde","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>A review of the uses and evidence for the NEXUS criteria for C-spine imaging, which are used to clear patients from cervical spine fracture clinically, without imaging.</p>","PeriodicalId":38728,"journal":{"name":"Emergency medicine practice","volume":"23 Suppl 4","pages":"CD1-CD2"},"PeriodicalIF":0.0,"publicationDate":"2021-04-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9275163","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: Canadian C-spine rule. 计算决策:加拿大颈椎规则。
Emergency medicine practice Pub Date : 2021-04-14
Daniel Runde
{"title":"Calculated decisions: Canadian C-spine rule.","authors":"Daniel Runde","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>A review of the uses and evidence for the Canadian C-spine rule, which can be used to clinically clear cervical spine fracture without imaging.</p>","PeriodicalId":38728,"journal":{"name":"Emergency medicine practice","volume":"23 Suppl 4","pages":"CD3-CD4"},"PeriodicalIF":0.0,"publicationDate":"2021-04-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9537375","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 suspected rabies exposure in the emergency department. 急诊部门疑似狂犬病暴露的处理。
Emergency medicine practice Pub Date : 2021-04-01
Bess Storch
{"title":"Management of suspected rabies exposure in the emergency department.","authors":"Bess Storch","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Rabies is a rare, yet nearly universally fatal diagnosis, responsible for over 59,000 deaths worldwide annually. Appropriate use of pre- and postexposure prophylaxis can eliminate the risk of developing rabies if administered according to the United States Centers for Disease Control and Prevention Advisory Committee on Immunization Practices guidelines. Though rabies is very rare, rapid recognition of potential exposures is vital to patient care and protection of public health. This review focuses on the challenges of managing patients who are at risk for or have had a potential rabies exposure, indications and guidelines for administering pre- or postexposure prophylaxis, and requirements for reporting, testing, and monitoring. Evidence regarding management of patients presenting with suspected clinical rabies is also reviewed.</p>","PeriodicalId":38728,"journal":{"name":"Emergency medicine practice","volume":"23 4","pages":"1-20"},"PeriodicalIF":0.0,"publicationDate":"2021-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25527554","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
Alcohol withdrawal syndrome: improving outcomes in the emergency department with aggressive management strategies. 酒精戒断综合征:积极管理策略改善急诊科预后
Emergency medicine practice Pub Date : 2021-03-15
Joseph Yanta, Greg Swartzentruber, Anthony Pizon
{"title":"Alcohol withdrawal syndrome: improving outcomes in the emergency department with aggressive management strategies.","authors":"Joseph Yanta,&nbsp;Greg Swartzentruber,&nbsp;Anthony Pizon","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Alcohol use disorder is a prevalent medical and psychiatric disease, and consequently, alcohol withdrawal is encountered frequently in the emergency department. Patients commonly manifest hyperadrenergic signs and symptoms, necessitating admission to the intensive care unit, administration of intravenous sedatives, and frequently, adjunctive pharmacotherapy. This issue reviews the pathophysiology of alcohol withdrawal syndrome, describes the manifestations of alcohol withdrawal, and examines the available evidence for optimal treatment of alcohol withdrawal. An aggressive frontloading approach with benzodiazepines is presented, and the management of benzodiazepine-resistant disease is addressed.</p>","PeriodicalId":38728,"journal":{"name":"Emergency medicine practice","volume":"23 Suppl 3","pages":"1-41"},"PeriodicalIF":0.0,"publicationDate":"2021-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25487015","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: CIWA-Ar for Alcohol Withdrawal. 计算决策:CIWA-Ar酒精戒断。
Emergency medicine practice Pub Date : 2021-03-15
Jonathan Avery, Katherine E Taylor
{"title":"Calculated decisions: CIWA-Ar for Alcohol Withdrawal.","authors":"Jonathan Avery,&nbsp;Katherine E Taylor","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":38728,"journal":{"name":"Emergency medicine practice","volume":"23 Suppl 3","pages":"CD1-CD2"},"PeriodicalIF":0.0,"publicationDate":"2021-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25487016","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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