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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
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
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