Management of the Pregnant Trauma Patient in the Emergency Department
October 28, 2020


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Our October supplement, Management of the Pregnant Trauma Patient in the Emergency Department, 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.

To help you with the decision-making process, we’ve created the clinical pathway below, which is also included in the supplement. read more

Test Your Knowledge: High-Flow Nasal Cannula and Noninvasive Ventilation in Pediatric Emergency Medicine
October 27, 2020


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The use of high-flow nasal cannula and noninvasive ventilation has become increasingly common in emergency medicine as a first-line treatment of pediatric patients with respiratory distress secondary to asthma and bronchiolitis. When implemented in clinical practice, close monitoring of vital signs and ventilation parameters is warranted to identify possible signs of respiratory failure. read more

Test Your Knowledge: Supraventricular Tachydysrhythmias
October 27, 2020


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The complaint of “heart palpitations” accounts for an estimated 50,000 visits a year to emergency departments in the United States. Patients present to the emergency department with supraventricular tachycardias frequently, but there are many different mechanisms to the origin of these rhythm disorders that must be investigated to determine the best — and most comfortable — treatment plan.   read more

What’s Your Diagnosis? Management of Pediatric Head and Neck Infections in the Emergency Department
October 20, 2020


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Welcome to this month’s What’s Your Diagnosis Challenge!

But before we begin, check to see if you got last month’s case on Supraglottic Airway Devices for Pediatric Airway Management in the ED right. read more

What’s Your Diagnosis? An Evidence-Based Approach to Nonoperative Management of Traumatic Hemorrhagic Shock in the ED
October 20, 2020


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Welcome to this month’s What’s Your Diagnosis Challenge!

But before we begin, check to see if you got last month’s case on Management of Deep Vein Thrombosis in the Emergency Department right. read more

Emergency Department Management of Calcium Channel Blocker and Beta Blocker Overdose, and Digoxin Toxicity
October 5, 2020


Posted by Andy Jagoda MD in: Feature Update , 1 comment so far

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. read more

Test Your Knowledge: Mechanical Ventilation of Pediatric Patients in the ED
September 29, 2020


Posted by Andy Jagoda MD in: Brain Tease , 2 comments

When pediatric patients require mechanical ventilation in the emergency department, the emergency clinician should be prepared to select initial ventilator settings and respond to an intubated patient?s dynamic physiologic needs to ensure ongoing oxygenation, ventilation, and hemodynamic stability. Pressure-targeted ventilation is generally recommended in pediatric patients, with initial ventilator settings varying depending on age and the etiology of respiratory failure. read more

What’s Your Diagnosis? Supraglottic Airway Devices for Pediatric Airway Management in the ED
September 22, 2020


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Welcome to this month’s What’s Your Diagnosis Challenge!

But before we begin, check to see if you got last month’s case on Emergency Care for Transgender and Gender-Diverse Children and Adolescents right. read more

What’s Your Diagnosis? Deep Vein Thrombosis: Emergency Department Management Recommendations
September 22, 2020


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Welcome to this month’s What’s Your Diagnosis Challenge!

But before we begin, check to see if you got last month’s case on Infective Endocarditis in the ED: Recognition, Diagnosis, and Treatment right. read more

Emergency Trauma Care: Clinical Decision Rules for Trauma Imaging
September 10, 2020


Posted by Andy Jagoda MD in: Feature Update , add a comment

Appropriate clinical decision-making in the initial evaluation and management of?trauma patients in the emergency department is critical to optimize patient outcomes.

Our August supplement,?Current Topics in Emergency Trauma Care, provides evidence-based recommendations for determining appropriate diagnostic imaging modalities in trauma patients, best practices and strategies in initial resuscitation of the trauma patient, and clinical decision tools to aid in decision-making. read more