What’s Your Diagnosis? Pediatric Travel-Associated Infectious Diseases in the ED
October 21, 2021


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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 Management of Pediatric Transplant Patients in the Emergency Department right. read more

Identifying Fractures or Sutures in Pediatric Trauma Patients
October 13, 2021


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Skull sutures normally found in pediatric patients can make it difficult to differentiate a fracture from normal suture lines.⁷,⁹ CT with sagittal and coronal reformatted series as well as 3-dimensional shaded-surface volume-rendered images can accurately differentiate between fractures and sutures.⁹ Fractures have sharp borders and increase in diameter as they approach sutures. Fractures may cross sutures and can be associated with overlying soft-tissue swelling or hematomas and/or widening of the sutures (diastasis).⁹ In comparison, sutures are usually uniform in diameter, have a zigzag pattern with sclerotic borders, and join with (rather than cross) other sutures.⁹ read more

What’s Your Diagnosis? Emergency Department Management of Rib Fractures
October 12, 2021


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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 Department Management of Cervical Spine Injuries right. read more

Test Your Knowledge: Less-Lethal Law Enforcement Weapon Injuries
September 21, 2021


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 Less-lethal weapons and tactics are being increasingly used by law enforcement to minimize the reliance on more-lethal force. While these methods are designated as “less-lethal,” they can cause morbidity and mortality when deployed. Knowledge of these weapons and tactics can help direct the workup and management of patients with injuries from these methods and can protect clinicians from secondary exposure and injuries. read more

Test Your Knowledge: Abnormal Uterine Bleeding in the Nonpregnant Patient
September 21, 2021


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Uterine bleeding that is abnormal in timing, duration, or quantity affects nearly one-third of women and carries a substantial financial and quality-of-life burden. An estimated 5% of ED visits are for vaginal bleeding, and 1% of those patients will have a life-threatening cause that must be identified. read more

What’s Your Diagnosis? Management of Pediatric Transplant Patients in the Emergency Department
September 16, 2021


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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 Terrestrial Envenomations in Pediatric Patients: Identification and Management in the Emergency Department right. read more

What’s Your Diagnosis? Emergency Department Management of Cervical Spine Injuries
September 13, 2021


Posted by Andy Jagoda MD in: What's Your Diagnosis , 1 comment so far

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 High-Altitude Illness: Updates in Prevention, Identification, and Treatment right. read more

Clinical Pathway for Initial Approach to the Stable Patient with Atrial Fibrillation with Rapid Ventricular Response
August 23, 2021


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Atrial fibrillation is the most common dysrhythmia encountered in the emergency department. Our recent issue Atrial Fibrillation: An Approach to Diagnosis and Management in the Emergency Department includes evidence-based recommendations on rate versus rhythm control, discusses pharmacologic versus electrical cardioversion, evaluates thromboembolic risk, and provides options for anticoagulation.

To help you with the decision-making process, we’ve created a Clinical Pathway for Initial Approach to the Stable Patient with Atrial Fibrillation with Rapid Ventricular Response. read more

Test Your Knowledge: Pediatric Acute Mild Traumatic Brain Injury and Concussion
August 23, 2021


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Mild traumatic brain injury (mTBI) and concussion, a subtype of mTBI, commonly present to the emergency department and may present with symptoms identical to those associated with more severe TBI. The development and use of clinical decision rules, increased awareness of the risk of radiation associated with head computed tomography, and the potential for patient observation has allowed emergency clinicians to make well-informed decisions regarding the need for imaging for patients who present with mTBI. read more

Test Your Knowledge: Acute Ischemic Stroke
August 23, 2021


Posted by Andy Jagoda MD in: Brain Tease , 1 comment so far

Acute ischemic stroke is a leading cause of morbidity and mortality in the United States, and a majority of acute ischemic stroke patients are evaluated for the first time by a clinician in the emergency department. read more