Emergency Medicine

Team-based medicine, freeway style

Team-based medicine, freeway style

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Citizen responders assess and comfort patients in the aftermath of a car accident.

How long is long enough? Taking time off after an illness

How long is long enough? Taking time off after an illness

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Different illnesses require that patients stay home from school or work for different lengths of time.

Making appointments for emergency department visits

Making appointments for emergency department visits

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As the volume of patients in emergency departments across the country rise, more EDs are experimenting with appointment reservation systems.

Summertime blues

Summertime blues

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Sunburn, mosquito bites, and fireworks all present dangerous hazards during the summer months.

Chest pain in ER patients rarely life threatening

Chest pain in ER patients rarely life threatening

Only 5.5% of ER patients are diagnosed with 1 of 6 life threatening conditions.

Naloxone coprescription reduces opioid-related ER visits

Naloxone coprescription reduces opioid-related ER visits

Patients on opioids for chronic pain who were coprescribed naloxone had 47% fewer opioid-related ER visits.

Intensive blood pressure reduction offers no added benefit in stroke outcomes

Intensive blood pressure reduction offers no added benefit in stroke outcomes

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For patients with intracerebral hemorrhage, intensive blood pressure reduction has similar outcomes compared with standard treatment.

Overcrowding in the emergency department

Overcrowding in the emergency department

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Emergency department clinicians are faced with a number of challenges as ED's become more crowded.

Aspirin significantly reduces the risk for secondary stroke

Aspirin significantly reduces the risk for secondary stroke

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Aspirin significantly reduces the risk of a recurrent stroke 6 weeks after a transient ischemic attack or minor stroke.

Short-term STICU patients often admitted for brief ventilator management

Short-term STICU patients often admitted for brief ventilator management

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Almost one-quarter of patients admitted to the STICU short term are there for <4 hours of ventilator management.

Survival unimproved with deferred second defibrillation

Survival unimproved with deferred second defibrillation

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Deferred defibrillation was not associated with improved survival.

Brief resolved unexplained events in lower-risk infants: a clinical practice guideline

Brief resolved unexplained events in lower-risk infants: a clinical practice guideline

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The American Academy of Pediatrics has proposed a new term—brief resolved unexplained events—and has released guidelines for management.

Nonurgent patients routinely receive urgent care in emergency departments

Nonurgent patients routinely receive urgent care in emergency departments

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Triage practices in EDs are essential to providing patient care.

Conjunctivitis confusion: are we overtreating pink eye?

Conjunctivitis confusion: are we overtreating pink eye?

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Identifying the type of conjunctivitis that a patient has is the key to identifying the most effective course of action.

Recognizing victims of domestic violence

Recognizing victims of domestic violence

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Clinicians should trust their intuition when a patient's injuries don't match up with their story.

Undisclosed condition 
leads to death

Undisclosed condition 
leads to death

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A patient's widow 
asserts that the clinician
 should have checked
 hospital records taken prior to admission.

The importance of clinician-patient confidentiality in the emergency department

The importance of clinician-patient confidentiality in the emergency department

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When patients present with concerning behavior, an explanation of patient-provider confidentiality can help clinicians provide effective treatment more quickly.

Holiday healing in the emergency department

Holiday healing in the emergency department

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The patient flow may slow down during the holidays, but some people come to the emergency department for more than just physical reasons.

Intranasal naloxone approved by FDA for opioid overdose reversal

Intranasal naloxone approved by FDA for opioid overdose reversal

A new formulation of intranasal naloxone - marketed as Narcan - has been FDA approved to help combat opioid abuse in the United States.

A new method for closing skin tears in elderly patients

A new method for closing skin tears in elderly patients

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Using a combination of sutures and Steri-Strips can help close skin tears in elderly patients with fragile skin.

Family doctors encouraged to prescribe naloxone when necessary

Family doctors encouraged to prescribe naloxone when necessary

The American Academy of Family Physicians suggests the prescription of naloxone to the family and friend of patients who are at risk of opioid overdose.

Stopping prescription drug abuse

Stopping prescription drug abuse

Emergency providers need to make every effort to be responsible prescribers.

A costly HIPAA 
violation

A costly HIPAA 
violation

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After a major car accident, two providers disclose a patient's health information to his employer.

Fever and tachycardia after a liver transplant

Fever and tachycardia after a liver transplant

A 29-year-old woman, 12 years post-liver transplant, presents with fever and tachycardia and had recently reported fatigue, weakness, and abdominal pain.

Narcotic abuse in the emergency department

Narcotic abuse in the emergency department

Providers need to address the overuse of prescription narcotics in the emergency room.

Epinephrine for suspected anaphylaxis

Epinephrine for suspected anaphylaxis

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Epinephrine should be used if anaphylaxis is suspected, even if it is unconfirmed.

Buprenorphine may benefit patients with opioid dependence

Buprenorphine may benefit patients with opioid dependence

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Emergency-department initiated buprenorphine treatment may increase addiction treatment 
and decrease opioid use in patients with opioid dependence
.

Continuity of care improves survival after major surgery

Continuity of care improves survival after major surgery

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After major surgery, returning to the same hospital for any complications increases survival.

Uric acid therapy may be effective
 for women after acute ischemic stroke

Uric acid therapy may be effective
 for women after acute ischemic stroke

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Uric acid therapy reduced disability for up to 90 days in women after stroke.

UTIs, STIs in women are often misdiagnosed in ERs

UTIs, STIs in women are often misdiagnosed in ERs

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In emergency rooms, UTIs are overdiagnosed while STIs are underdiagnosed in women.

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