{"title":"Management of acute urinary retention in the emergency department.","authors":"Jonathan Gelber, Amandeep Singh","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Etiologies of acute urinary retention fall into 4 broad categories: structural, medication/ toxicologic, neurologic, and infectious. Although two-thirds of cases in men are related to prostatomegaly, there is also a high burden of concomitant morbid pathology. Acute urinary retention can also result from trauma, drug toxicity, infection, or compressive or demyelinating neurologic pathology, and these must be ruled out, particularly in women, children, and elderly patients. This review provides a best-practice approach to the evaluation and management of acute urinary retention in men, women, and children. Evidence-based recommendations are made regarding the approach to difficult catheterizations, imaging, when to obtain specialty consultation, drug therapies, and the importance of follow-up.</p>","PeriodicalId":38728,"journal":{"name":"Emergency medicine practice","volume":"23 3","pages":"1-28"},"PeriodicalIF":0.0,"publicationDate":"2021-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25392579","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}
Evan S Leibner, Sonya Stokes, Danish Ahmad, Eric Legome
{"title":"Practical protocols for managing patients with SARS-CoV-2 infection (COVID-19) in the emergency department.","authors":"Evan S Leibner, Sonya Stokes, Danish Ahmad, Eric Legome","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Coronavirus disease (COVID-19), caused by the SARS-CoV-2 virus, originated in Wuhan, Hubei Province, China in late 2019 and grew rapidly into a pandemic. As of the writing of this monograph, there are over 100 million confirmed cases worldwide and 2.3 million deaths.1 New York City, with over 630,000 COVID-19-positive patients and over 27,000 deaths, became the infection epicenter in the United States. The Mount Sinai Health System, with 8 hospitals spread across New York City and Long Island, has been on the forefront of the pandemic. This compendium summarizes the lessons learned through interdisciplinary collaborations to meet the varied challenges created by the explosive appearance of the infection in our community, and will be updated continuously as new research and best practices emerge. It is our hope is that the collaborations and lessons learned that went into creating these guidelines and protocols can serve as a useful template for other systems to adapt to their fight against COVID-19.</p>","PeriodicalId":38728,"journal":{"name":"Emergency medicine practice","volume":"23 Suppl 2","pages":"1-38"},"PeriodicalIF":0.0,"publicationDate":"2021-02-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25410925","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":"Community-acquired pneumonia in the emergency department.","authors":"Matthew DeLaney, Charles Khoury","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>As recommendations for the diagnosis, treatment, and disposition of patients with community-acquired pneumonia continue to evolve, this issue reviews the current evidence and guidelines for managing these patients in the emergency department. The various clinical decision aids are compared, as they assist in determining the level of inpatient care required and allow for a greater proportion of patients to be treated successfully as outpatients. A clinical pathway for emergency department management delineates optimal antibiotic regimens based on severity, comorbidities, and risk factors.</p>","PeriodicalId":38728,"journal":{"name":"Emergency medicine practice","volume":"23 2","pages":"1-24"},"PeriodicalIF":0.0,"publicationDate":"2021-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38843811","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: CURB-65 score for pneumonia severity.","authors":"Sagar Patel","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>A review of the uses and evidence for the the CURB-65 score, which estimates mortality risk for community-acquired pneumonia and helps guide inpatient versus outpatient treatment decisions.</p>","PeriodicalId":38728,"journal":{"name":"Emergency medicine practice","volume":"23 Suppl 2","pages":"CD1-CD2"},"PeriodicalIF":0.0,"publicationDate":"2021-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25323836","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: PSI/PORT score: pneumonia severity index for community-acquired pneumonia.","authors":"Sagar Patel","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>A review of the uses and evidence for the PSI/PORT score, which estimates mortality for adult patients with community-acquired pneumonia.</p>","PeriodicalId":38728,"journal":{"name":"Emergency medicine practice","volume":"23 Suppl 2","pages":"CD2-CD3"},"PeriodicalIF":0.0,"publicationDate":"2021-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25323837","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: Drug resistance in pneumonia (DRIP) score.","authors":"John Dayton","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>A review of the uses and evidence for the DRIP score, which predicts risk for community-acquired pneumonia due to drug-resistant pathogens.</p>","PeriodicalId":38728,"journal":{"name":"Emergency medicine practice","volume":"23 Suppl 2","pages":"CD4-CD5"},"PeriodicalIF":0.0,"publicationDate":"2021-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25323839","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: SMART-COP score for pneumonia severity.","authors":"Jennifer Chen","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>A review of the uses and evidence for the SMART-COP score, which predicts the need for intensive respiratory or vasopressor support in community-acquired pneumonia.</p>","PeriodicalId":38728,"journal":{"name":"Emergency medicine practice","volume":"23 Suppl 2","pages":"CD3-CD4"},"PeriodicalIF":0.0,"publicationDate":"2021-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25323838","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: Sgarbossa criteria for myocardial infarction in left bundle branch block.","authors":"Graham Walker","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>A review of the evidence behind the Sgarbossa criteria score, which is used to diagnose acute myocardial infarction in patients with prior left bundle branch block.</p>","PeriodicalId":38728,"journal":{"name":"Emergency medicine practice","volume":"23 Suppl 1","pages":"CD1"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38843753","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":"Evaluation and management of ST-segment elevation myocardial infarction in the emergency department.","authors":"Marshall Frank, Carson Sanders, Bryan P Berry","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>ST-segment myocardial infarction (STEMI) is a time-sensitive emergency that requires swift and seamless integration of prehospital and emergency department resources in order to achieve early diagnosis and reperfusion therapy. This issue reviews the current literature on emergency department management of STEMI, including recognition of more subtle diagnoses on electrocardiogram, identification of STEMI mimics, an update on treatment therapies, and strategies to achieve more effective management of STEMI across gender and age groups.</p>","PeriodicalId":38728,"journal":{"name":"Emergency medicine practice","volume":"23 1","pages":"1-28"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38374299","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}