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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
Points & Pearls: Rhabdomyolysis: evidence-based management in the emergency department. 要点与要点:横纹肌溶解:急诊循证管理。
Emergency medicine practice Pub Date : 2020-12-01
Nachi Gupta, Jeffrey Nusbaum
{"title":"Points & Pearls: Rhabdomyolysis: evidence-based management in the emergency department.","authors":"Nachi Gupta,&nbsp;Jeffrey Nusbaum","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":38728,"journal":{"name":"Emergency medicine practice","volume":"22 Suppl 12","pages":"1-2"},"PeriodicalIF":0.0,"publicationDate":"2020-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38663468","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
An evidence-based approach to nonoperative management of traumatic hemorrhagic shock in the emergency department. 急诊创伤性失血性休克非手术治疗的循证方法
Emergency medicine practice Pub Date : 2020-11-01
Christopher Pitotti, Jason David
{"title":"An evidence-based approach to nonoperative management of traumatic hemorrhagic shock in the emergency department.","authors":"Christopher Pitotti,&nbsp;Jason David","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The management of traumatic hemorrhagic shock has evolved, with increasing emphasis on damage control resuscitation principles. Despite these advances, hemorrhage is still the leading preventable cause of death in trauma. This issue provides evidence-based recommendations for the assessment and treatment of traumatic hemorrhagic shock. Hemostatic techniques as well as correction of hemorrhagic hypovolemia and traumatic coagulopathy are presented. The safety and efficacy of practices such as resuscitative endovascular balloon occlusion of the aorta (REBOA), viscoelastic clot testing, and whole blood resuscitation are also reviewed.</p>","PeriodicalId":38728,"journal":{"name":"Emergency medicine practice","volume":"22 11","pages":"1-24"},"PeriodicalIF":0.0,"publicationDate":"2020-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38626130","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
Points & Pearls: an evidence-based approach to nonoperative management of traumatic hemorrhagic shock in the emergency department. 要点与珍珠:急诊创伤性失血性休克非手术治疗的循证方法。
Emergency medicine practice Pub Date : 2020-11-01
Nachi Gupta, Jeffrey Nusbaum
{"title":"Points & Pearls: an evidence-based approach to nonoperative management of traumatic hemorrhagic shock in the emergency department.","authors":"Nachi Gupta,&nbsp;Jeffrey Nusbaum","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":38728,"journal":{"name":"Emergency medicine practice","volume":"22 Suppl 12","pages":"1-2"},"PeriodicalIF":0.0,"publicationDate":"2020-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38574343","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 the pregnant trauma patient in the emergency department. 急诊妊娠创伤患者的处理。
Emergency medicine practice Pub Date : 2020-10-15
Kurt A Smith, Suzanne Bryce
{"title":"Management of the pregnant trauma patient in the emergency department.","authors":"Kurt A Smith,&nbsp;Suzanne Bryce","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>This supplement reviews the evidence regarding important considerations in pregnant trauma patients, including the primary and secondary survey as well as the possibility for Rh exposure, placental abruption, uterine rupture, and the need for a prompt perimortem cesarean section in the moribund patient. Because ionizing radiation is a concern in pregnancy, the circumstances in which benefits of testing outweigh risks to the fetus are discussed. Emergency clinicians are encouraged to advocate for trauma prevention, including proper use of safety restraints in motor vehicles and screening for domestic violence, as these measures have been shown to be effective in reducing morbidity and mortality in this patient population. Recommendations for monitoring, admission, discharge, and follow-up are also provided.</p>","PeriodicalId":38728,"journal":{"name":"Emergency medicine practice","volume":"22 Suppl 10","pages":"1-36"},"PeriodicalIF":0.0,"publicationDate":"2020-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38586686","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 deep vein thrombosis in the emergency department. 急诊深静脉血栓的处理。
Emergency medicine practice Pub Date : 2020-10-01
Shane R Sergent, Michael Galuska, John Ashurst
{"title":"Management of deep vein thrombosis in the emergency department.","authors":"Shane R Sergent,&nbsp;Michael Galuska,&nbsp;John Ashurst","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Deep vein thrombosis (DVT) can present with a variety of nonspecific signs and symptoms, and can involve the upper or lower extremities. Management of patients with DVT has changed markedly over the last 10 years, moving from hospital admission for initiation of anticoagulation to outpatient management. Diagnosis requires a risk stratification process involving clinical decision rules, D-dimer testing, and ultrasonography. Once the diagnosis is confirmed, the patient should be engaged in shared decision-making regarding treatment options. Recurrent DVT, as well as managing DVT in pregnant women, the elderly population, and patients with malignancies are also discussed.</p>","PeriodicalId":38728,"journal":{"name":"Emergency medicine practice","volume":"22 10","pages":"1-24"},"PeriodicalIF":0.0,"publicationDate":"2020-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38441021","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: Well's criteria for deep vein thrombosis. 计算决策:深静脉血栓形成的Well标准。
Emergency medicine practice Pub Date : 2020-10-01
Benjamin Slovis
{"title":"Calculated decisions: Well's criteria for deep vein thrombosis.","authors":"Benjamin Slovis","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The Wells criteria for DVT are used to calculate risk of DVT based on clinical criteria.</p>","PeriodicalId":38728,"journal":{"name":"Emergency medicine practice","volume":"22 10","pages":"CD1-CD2"},"PeriodicalIF":0.0,"publicationDate":"2020-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38508045","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
Points & Pearls: Management of deep vein thrombosis in the emergency department. 要点与要点:急诊深静脉血栓的处理。
Emergency medicine practice Pub Date : 2020-10-01
Nachi Gupta, Jeffrey Nussbaum
{"title":"Points & Pearls: Management of deep vein thrombosis in the emergency department.","authors":"Nachi Gupta,&nbsp;Jeffrey Nussbaum","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":38728,"journal":{"name":"Emergency medicine practice","volume":"22 10","pages":"e1-e2"},"PeriodicalIF":0.0,"publicationDate":"2020-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38508046","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
Calcium channel blocker and beta blocker overdose, and digoxin toxicity management. 钙通道阻滞剂和受体阻滞剂过量，地高辛毒性管理。
Emergency medicine practice Pub Date : 2020-09-15
Wesley Palatnick, Tomislav Jelic
{"title":"Calcium channel blocker and beta blocker overdose, and digoxin toxicity management.","authors":"Wesley Palatnick,&nbsp;Tomislav Jelic","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>While relatively uncommon, an overdose of calcium channel blockers, beta blockers, or digoxin can result in significant morbidity and mortality, and management can be complex. An acute overdose will require different management strategies than chronic toxicity while on therapeutic dosing. Toxicity from these agents must be considered in bradycardic and hypotensive patients. This supplement provides an evidence-based overview of emergency department management of calcium channel blocker overdose, beta blocker overdose, and digoxin toxicity, and focuses on the caveats of treatment for each.</p>","PeriodicalId":38728,"journal":{"name":"Emergency medicine practice","volume":"22 Suppl 9","pages":"1-42"},"PeriodicalIF":0.0,"publicationDate":"2020-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38563127","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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