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Acute ischemic stroke: emergency department management after the 3-hour window. 急性缺血性脑卒中:3小时后的急诊管理。
Emergency medicine practice Pub Date : 2021-06-15
James P Ho
{"title":"Acute ischemic stroke: emergency department management after the 3-hour window.","authors":"James P Ho","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Acute ischemic stroke is a leading cause of morbidity and mortality in the United States, and a majority of acute ischemic stroke patients are evaluated for the first time by a clinician in the emergency department. Intravenous tissue plasminogen activator and mechanical thrombectomy are powerful tools for the treatment of acute ischemic stroke. Treatment algorithms for acute ischemic stroke are evolving rapidly, and strokes in select patients can now be treated up to 24 hours after last known well time. However, even in the setting of extended treatment times, the treatment effects of both intravenous tissue plasminogen activator and mechanical thrombectomy are time dependent. The emergency clinician must remain current with the newest treatment algorithms in order to provide expeditious and high-quality care to stroke patients.</p>","PeriodicalId":38728,"journal":{"name":"Emergency medicine practice","volume":" ","pages":"1-33"},"PeriodicalIF":0.0,"publicationDate":"2021-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39235639","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: EGSYS (Evaluation of Guidelines in SYncope Study) Score for Syncope. 计算决策:晕厥的EGSYS(晕厥研究指南评估)评分。
Emergency medicine practice Pub Date : 2021-06-01
Graham Walker
{"title":"Calculated decisions: EGSYS (Evaluation of Guidelines in SYncope Study) Score for Syncope.","authors":"Graham Walker","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>A review of the uses and evidence for the EGSYS score, which predicts the likelihood that syncope is from a cardiac cause.</p>","PeriodicalId":38728,"journal":{"name":"Emergency medicine practice","volume":"23 6","pages":"CD3-CD4"},"PeriodicalIF":0.0,"publicationDate":"2021-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9222390","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: San Francisco Syncope Rule. 计算决策:旧金山晕厥规则。
Emergency medicine practice Pub Date : 2021-06-01
Cullen Clark, Marc Probst
{"title":"Calculated decisions: San Francisco Syncope Rule.","authors":"Cullen Clark,&nbsp;Marc Probst","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>A review of the uses and evidence for the San Francisco Syncope Rule, which predicts risk for serious outcomes at 7 days in patients presenting with syncope or near syncope.</p>","PeriodicalId":38728,"journal":{"name":"Emergency medicine practice","volume":"23 6","pages":"CD1-CD3"},"PeriodicalIF":0.0,"publicationDate":"2021-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9222391","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 Syncope Risk Score. 计算决策:加拿大晕厥风险评分。
Emergency medicine practice Pub Date : 2021-06-01
Thomas Yang, Eric Steinberg
{"title":"Calculated decisions: Canadian Syncope Risk Score.","authors":"Thomas Yang,&nbsp;Eric Steinberg","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>A review of the uses and evidence for the Canadian Syncope Risk Score, which predicts 30-day serious adverse events in patients presenting with syncope.</p>","PeriodicalId":38728,"journal":{"name":"Emergency medicine practice","volume":"23 6","pages":"CD5-CD6"},"PeriodicalIF":0.0,"publicationDate":"2021-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9222393","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 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
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