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Current Issues

Emergency Medicine Practice

 Diagnosis And Management Of Deep Venous Thrombosis In The Emergency  

Although the clinical presentations of deep venous thrombosis are notoriously subtle and nonspecific, risk stratification tools, such as the Wells clinical model, have improved the efficiency of diagnostic evaluation. This review explores some of the controversies and developments regarding risk stratification, including special populations, age-adjusted D-dimer thresholds, isolated distal deep venous thrombosis, upper extremity deep venous thrombosis, outpatient treatment, and the new oral anticoagulants.

Pediatric EM Practice

Emergency Department Management Of Seizures In Pediatric Patients  

Diagnosing and treating the life-threatening causes of seizures in pediatric patients–while avoiding unnecessary radiation exposure and painful procedures in those who are unlikely to have an emergent pathology–can be a challenge for emergency clinicians. This review summarizes available evidence and guidelines on the diagnostic evaluation of first-time, breakthrough, and simple and complex febrile seizures.

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