Test Your Knowledge: The Child With a Syndrome
April 20, 2021


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

Children with syndromes often access emergency services and they may present unique challenges for emergency clinicians. Our recent issue The Child With a Syndrome: Considerations for Management in the Emergency Department reviews 3 pediatric syndromes—spina bifida, Down syndrome, and Marfan syndrome—each of which are associated with unique emergent conditions. read more

Test Your Knowledge: Management of Suspected Rabies Exposure in the ED
April 20, 2021


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Rabies is a rare, yet nearly universally fatal diagnosis, responsible for over 59,000 deaths worldwide annually. Appropriate use of pre- and postexposure prophylaxis can eliminate the risk of developing rabies if administered according to the United States Centers for Disease Control and Prevention Advisory Committee on Immunization Practices guidelines. Though rabies is very rare, rapid recognition of potential exposures is vital to patient care and protection of public health. read more

Test Your Knowledge: Pediatric Acute Demyelinating Syndromes
March 23, 2021


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Acute demyelinating disorders can present with vague complaints and subtle abnormalities of the neurological examination. A thorough history and physical examination are impor- tant for narrowing the differential diagnosis and determining which diagnostic studies are indicated. read more

Test Your Knowledge: Acute Urinary Retention in the ED
March 23, 2021


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Etiologies of acute urinary retention fall into 4 broad categories: structural, medication/ toxicologic, neurologic, and infectious. Although two-thirds of cases in men are related to prostatomegaly, there is also a high burden of concomitant morbid pathology. Acute urinary retention can also result from trauma, drug toxicity, infection, or compressive or demyelinating neurologic pathology, and these must be ruled out, particularly in women, children, and elderly patients. read more

Test Your Knowledge: Nontraumatic Ocular Complaints in Children
February 24, 2021


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Children commonly present to emergency departments with eye complaints in the absence of antecedent trauma. Signs and symptoms of ocular disease are often nonspecific. Red, swollen, or painful eyes may represent benign or vision-threatening processes, making recognition and triage challenging for the emergency clinician. read more

Test Your Knowledge: Community-Acquired Pneumonia
February 24, 2021


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As recommendations for the diagnosis, treatment, and disposition of patients with community-acquired pneumonia continue to evolve, our recent issue Community-Acquired Pneumonia in the Emergency Department reviews the current evidence and guidelines for managing these patients. read more

Test Your Knowledge: Pediatric Influenza in the Emergency Department
January 26, 2021


Posted by Andy Jagoda MD in: Brain Tease , add a comment

Influenza in children is a significant cause of morbidity and mortality. Presenting symptoms of influenza vary greatly among children; clinical presentation should be assessed for severity of illness and potential complications. Available clinical and laboratory findings should be used to guide treatment for young children with fever. Clinicians should be aware of up-to-date recommendations to diagnose and treat children with influenza and to ensure public health engagement to prevent and manage influenza outbreaks and epidemics. read more

Test Your Knowledge: ST-Segment Elevation Myocardial Infarction
January 26, 2021


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

ST-segment myocardial infarction (STEMI) is a time-sensitive emergency that requires swift and seamless integration of prehospital and emergency department resources in order to achieve early diagnosis and reperfusion therapy. read more

Test Your Knowledge: Neonatal Resuscitation
January 4, 2021


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Neonatal resuscitation is a high-risk event that may be required when a precipitous delivery occurs during prehospital transport or in the emergency department. Although neonatal resuscitation is not frequently needed, emergency clinicians must be prepared to manage neonates who require respiratory assistance. read more

Test Your Knowledge: Rhabdomyolysis
January 4, 2021


Posted by Andy Jagoda MD in: Brain Tease , add a comment

Rhabdomyolysis is a life-threatening pathological process that must be treated as early as possible to avoid potentially life-threatening sequelae. Much of the evidence that informs the management of rhabdomyolysis is retrospective research, often reported from mass disasters, and many practices that have been implemented as standard treatment are based on small studies published more than 30 years ago. read more