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Emergency Medicine Practice

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https://www.readbyqxmd.com/read/29185671/managing-dislocations-of-the-hip-knee-and-ankle-in-the-emergency-department
#1
Caylyne Arnold, Zane Fayos, David Bruner, Dylan Arnold
Dislocation of the major joints of the lower extremities--hip, knee, and ankle--can occur due to motor-vehicle crashes, falls, and sports injuries. Hip dislocations are the most common, and they require emergent management to prevent avascular necrosis of the femoral head. Knee dislocations are uncommon but potentially dangerous injuries that can result in amputation due to the potential for missed secondary injury, especially if they are reduced spontaneously. Isolated ankle dislocations are relatively rare, as most ankle dislocations involve an associated fracture...
December 2017: Emergency Medicine Practice
https://www.readbyqxmd.com/read/29200245/management-of-inflammatory-bowel-disease-flares-in-the-emergency-department-digest
#2
Michael D Burg, Steven T Riccoboni, Jeffrey Nusbaum, Nachi Gupta
Because of the chronic relapsing nature of inflammatory bowel disease (IBD), emergency clinicians frequently manage patients with acute flares and complications. IBD patients present with an often-broad range of nonspecific signs and symptoms, and it is essential to differentiate a mild flare from a life-threatening intra-abdominal process. Recognizing extraintestinal manifestations and the presence of infection are critical. This issue reviews the literature on management of IBD flares in the emergency department, including laboratory testing, imaging, and identification of surgical emergencies, emphasizing the importance of coordination of care with specialists on treatment plans and offering patients resources for ongoing support...
November 22, 2017: Emergency Medicine Practice
https://www.readbyqxmd.com/read/29048149/management-of-inflammatory-bowel-disease-flares-in-the-emergency-department
#3
Michael D. Burg, Steven T. Riccoboni
Because of the chronic relapsing nature of inflammatory bowel disease (IBD), emergency clinicians frequently manage patients with acute flares and complications. IBD patients present with an often-broad range of nonspecific signs and symptoms, and it is essential to differentiate a mild flare from a life-threatening intra-abdominal process. Recognizing extraintestinal manifestations and the presence of infection are critical. This issue reviews the literature on management of IBD flares in the emergency department, including laboratory testing, imaging, and identification of surgical emergencies, emphasizing the importance of coordination of care with specialists on treatment plans and offering patients resources for ongoing support...
November 2017: Emergency Medicine Practice
https://www.readbyqxmd.com/read/29068639/calculated-decisions-decaf-score-for-acute-exacerbation-of-chronic-obstructive-pulmonary-disease-copd
#4
Akhil Khosla, Robyn Scatena
No abstract text is available yet for this article.
October 25, 2017: Emergency Medicine Practice
https://www.readbyqxmd.com/read/29068638/calculated-decisions-mmrc-modified-medical-research-council-dyspnea-scale
#5
Jeremy B. Richards
No abstract text is available yet for this article.
October 25, 2017: Emergency Medicine Practice
https://www.readbyqxmd.com/read/29068637/calculated-decisions-pediatric-early-warning-score-pews
#6
Rachel Kwon
No abstract text is available yet for this article.
October 25, 2017: Emergency Medicine Practice
https://www.readbyqxmd.com/read/29068636/calculated-decisions-pecarn-pediatric-head-injury-trauma-algorithm
#7
Daniel Runde, Joshua Beiner
No abstract text is available yet for this article.
October 25, 2017: Emergency Medicine Practice
https://www.readbyqxmd.com/read/29068635/calculated-decisions-endotracheal-tube-ett-depth-and-tidal-volume-calculator
#8
Joshua Farkas
No abstract text is available yet for this article.
October 25, 2017: Emergency Medicine Practice
https://www.readbyqxmd.com/read/29068634/calculated-decisions-perc-rule-for-pulmonary-embolism
#9
Benjamin H. Slovis
No abstract text is available yet for this article.
October 25, 2017: Emergency Medicine Practice
https://www.readbyqxmd.com/read/29068632/calculated-decisions-lrinec-score-for-necrotizing-soft-tissue-infection
#10
Calvin Hwang
No abstract text is available yet for this article.
October 25, 2017: Emergency Medicine Practice
https://www.readbyqxmd.com/read/29068631/calculated-decisions-heart-pathway-for-early-discharge-in-acute-chest-pain
#11
Cullen Clark
No abstract text is available yet for this article.
October 25, 2017: Emergency Medicine Practice
https://www.readbyqxmd.com/read/29068630/calculated-decisions-canadian-ct-head-injury-trauma-rule
#12
Daniel Runde
No abstract text is available yet for this article.
October 25, 2017: Emergency Medicine Practice
https://www.readbyqxmd.com/read/29068629/mhealth-in-emergency-medicine-special-report
#13
Nicholas Genes
With the proliferation of smartphones over the past several years, apps now play a prominent role in many social and work contexts, including medicine. This is enough of a phenomenon to have inspired the abbreviation “mHealth,” short for mobile health. The number of app-driven clinical calculators, checklists, and risk scores in common use in the emergency department (ED) has significantly increased and shows no sign of slowing. Thanks to this digital development and innovation, clinical decision support is now just a finger-tap away...
October 25, 2017: Emergency Medicine Practice
https://www.readbyqxmd.com/read/29068643/diagnosis-and-management-of-acute-exacerbation-of-chronic-obstructive-pulmonary-disease-digest
#14
Van Holden, Donald Slack Iii, Michael T McCurdy, Nirav G Shah, Nachi Gupta, Jeffrey Nusbaum
Acute exacerbation of chronic obstructive pulmonary disease (COPD) is a clinical diagnosis that is based on changes in dyspnea, cough, and/or sputum production in a COPD patient; however, patients presenting with an acute exacerbation may be undiagnosed or have a variety of comorbid conditions that can complicate diagnosis. This issue presents strategies and algorithms for the early use of evidence-based interventions, including appropriate use of antibiotics, bronchodilators, and corticosteroids, along with noninvasive ventilation with capnography, to minimize morbidity and mortality associated with this disease...
October 20, 2017: Emergency Medicine Practice
https://www.readbyqxmd.com/read/29039905/calculated-decisions-vancouver-chest-pain-rule
#15
Hyunjoo Lee, Carlos Rodriguez
No abstract text is available yet for this article.
October 9, 2017: Emergency Medicine Practice
https://www.readbyqxmd.com/read/29039904/calculated-decisions-timi-risk-score-for-ua-nstemi
#16
Hyunjoo Lee, Carlos Rodriguez
No abstract text is available yet for this article.
October 9, 2017: Emergency Medicine Practice
https://www.readbyqxmd.com/read/29039903/calculated-decisions-heart-score-for-major-cardiac-events
#17
Hyunjoo Lee, Carlos Rodriguez
No abstract text is available yet for this article.
October 9, 2017: Emergency Medicine Practice
https://www.readbyqxmd.com/read/29039902/calculated-decisions-emergency-department-assessment-of-chest-pain-score-edacs
#18
Graham Walker, Joseph Habboushe
No abstract text is available yet for this article.
October 9, 2017: Emergency Medicine Practice
https://www.readbyqxmd.com/read/28926214/diagnosis-and-management-of-acute-exacerbations-of-chronic-obstructive-pulmonary-disease
#19
Van Holden, Donald Slack III, Michael T. McCurdy, Nirav G. Shah
Acute exacerbation of chronic obstructive pulmonary disease (COPD) is a clinical diagnosis that is based on changes in dyspnea, cough, and/or sputum production in a COPD patient; however, patients presenting with an acute exacerbation may be undiagnosed or have a variety of comorbid conditions that can complicate diagnosis. This issue presents strategies and algorithms for the early use of evidence-based interventions, including appropriate use of antibiotics, bronchodilators, and corticosteroids, along with noninvasive ventilation with capnography, to minimize morbidity and mortality associated with this disease...
October 2017: Emergency Medicine Practice
https://www.readbyqxmd.com/read/28933807/recognizing-and-managing-adrenal-disorders-in-the-emergency-department-digest
#20
Amy Cutright, Stephen Ducey, Claudia L Barthold, Jeremy Kim
Primary and secondary adrenal insufficiency are underrecognized conditions among emergency department patients, affecting an estimated 10% to 20% of critically ill patients. The signs and symptoms of cortisol deficit can be nonspecific and wide-ranging, and identification and swift treatment with stress-dosing of hydrocortisone is vital to avoid life-threatening adrenal crisis. Laboratory evaluation focuses on identification of electrolyte abnormalities typical of adrenal insufficiency, and while additional testing may depend on the type and severity of symptoms, it should not delay corticosteroid replacement...
September 22, 2017: Emergency Medicine Practice
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