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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
Calculated decisions: Richmond Agitation-Sedation Scale (RASS). 计算决策:Richmond激动镇静量表(RASS)。
Emergency medicine practice Pub Date : 2021-03-15
Kamal Medlej
{"title":"Calculated decisions: Richmond Agitation-Sedation Scale (RASS).","authors":"Kamal Medlej","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":38728,"journal":{"name":"Emergency medicine practice","volume":"23 Suppl 3","pages":"CD3-CD4"},"PeriodicalIF":0.0,"publicationDate":"2021-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25487017","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 acute urinary retention in the emergency department. 急诊科急性尿潴留的处理。
Emergency medicine practice Pub Date : 2021-03-01
Jonathan Gelber, Amandeep Singh
{"title":"Management of acute urinary retention in the emergency department.","authors":"Jonathan Gelber,&nbsp;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}
引用次数: 0
Practical protocols for managing patients with SARS-CoV-2 infection (COVID-19) in the emergency department. 急诊部门SARS-CoV-2感染(COVID-19)患者管理的实用方案
Emergency medicine practice Pub Date : 2021-02-22
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,&nbsp;Sonya Stokes,&nbsp;Danish Ahmad,&nbsp;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}
引用次数: 0
Community-acquired pneumonia in the emergency department. 急诊科的社区获得性肺炎
Emergency medicine practice Pub Date : 2021-02-01
Matthew DeLaney, Charles Khoury
{"title":"Community-acquired pneumonia in the emergency department.","authors":"Matthew DeLaney,&nbsp;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}
引用次数: 0
Calculated decisions: CURB-65 score for pneumonia severity. 计算决策:肺炎严重程度的CURB-65评分。
Emergency medicine practice Pub Date : 2021-02-01
Sagar Patel
{"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}
引用次数: 0
Calculated decisions: PSI/PORT score: pneumonia severity index for community-acquired pneumonia. 计算决策:PSI/PORT评分:社区获得性肺炎的肺炎严重程度指数。
Emergency medicine practice Pub Date : 2021-02-01
Sagar Patel
{"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}
引用次数: 0
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