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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
Calculated decisions: Drug resistance in pneumonia (DRIP) score. 计算决策:肺炎耐药(DRIP)评分。
Emergency medicine practice Pub Date : 2021-02-01
John Dayton
{"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}
引用次数: 0
Calculated decisions: SMART-COP score for pneumonia severity. 计算决策:肺炎严重程度的SMART-COP评分。
Emergency medicine practice Pub Date : 2021-02-01
Jennifer Chen
{"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}
引用次数: 0
Calculated decisions: Sgarbossa criteria for myocardial infarction in left bundle branch block. 计算判定:Sgarbossa标准判定左束支阻滞心肌梗死。
Emergency medicine practice Pub Date : 2021-01-01
Graham Walker
{"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}
引用次数: 0
Evaluation and management of ST-segment elevation myocardial infarction in the emergency department. 急诊st段抬高型心肌梗死的评价与处理。
Emergency medicine practice Pub Date : 2021-01-01
Marshall Frank, Carson Sanders, Bryan P Berry
{"title":"Evaluation and management of ST-segment elevation myocardial infarction in the emergency department.","authors":"Marshall Frank,&nbsp;Carson Sanders,&nbsp;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}
引用次数: 0
Blunt cerebrovascular injuries: early recognition and stroke prevention in the emergency department. 钝性脑血管损伤:急诊早期识别及脑卒中预防。
Emergency medicine practice Pub Date : 2020-12-15
Rhonda Cadena
{"title":"Blunt cerebrovascular injuries: early recognition and stroke prevention in the emergency department.","authors":"Rhonda Cadena","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Blunt cerebrovascular injuries include cervical carotid dissections and vertebral artery dissections that are due to blunt trauma. Although the overall incidence is low, dissections remain a common cause of stroke in children, young adults, and trauma patients. Symptoms of dissection, such as headache, neck pain, and dizziness, are commonly seen in the emergency department, but may not be apparent in the obtunded trauma patient or may not be recognized as being due to a dissection. A missed diagnosis of cervical artery dissection can result in devastating neurologic sequelae, and emergency clinicians must act quickly to recognize this diagnosis and begin treatment as soon as possible. This supplement reviews the application of advanced screening criteria, imaging options, and antithrombotic treatment for patients with blunt cerebrovascular injuries, with a focus on reducing the occurrence of ischemic stroke.</p>","PeriodicalId":38728,"journal":{"name":"Emergency medicine practice","volume":"22 Suppl 12","pages":"1-43"},"PeriodicalIF":0.0,"publicationDate":"2020-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38374300","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
Rhabdomyolysis: evidence-based management in the emergency department. 横纹肌溶解:急诊循证管理。
Emergency medicine practice Pub Date : 2020-12-01
Gi Xiang Lee, David K Duong
{"title":"Rhabdomyolysis: evidence-based management in the emergency department.","authors":"Gi Xiang Lee,&nbsp;David K Duong","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Rhabdomyolysis is a life-threatening pathological process that must be treated as early as possible to avoid potentially life-threatening sequelae. Much of the evidence that informs the management of rhabdomyolysis is retrospective research, often reported from mass disasters, and many practices that have been implemented as standard treatment are based on small studies published more than 30 years ago. This issue reviews the current literature on rhabdomyolysis and provides recommendations for each phase of care, from the prehospital setting through disposition. The evidence is examined regarding the variety of therapies that are used to manage rhabdomyolysis, the potential for recognizing a genetic predisposition for the condition, and therapeutic recommendations that improve patient outcomes.</p>","PeriodicalId":38728,"journal":{"name":"Emergency medicine practice","volume":"22 12","pages":"1-20"},"PeriodicalIF":0.0,"publicationDate":"2020-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38726804","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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