Risk Management Pitfalls for Deep Vein Thrombosis in the ED
January 11, 2021


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The management of patients presenting to the ED with deep vein thrombosis (DVT) has changed in several ways over the last decade, and emergency clinicians have more tools to manage a safe and cost-effective disposition. Our recent issue Management of Deep Vein Thrombosis in the Emergency Department reviews the the diagnosis process, treatment options, managing DVT in pregnant women and the elderly, and more.  read more

Management of Pediatric Hypothermia and Peripheral Cold Injuries in the ED
December 7, 2020


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Hypothermia occurs when the core body temperature falls below 35°C (95°F) due to primary exposure or secondary to other pathologies. Infants, children, and adolescents are at higher risk for primary cold injuries due to a combination of physiologic and cognitive factors, but quick re-warming and appropriate disposition can result in survival and improved neurological outcomes. 

This issue, Management of Pediatric Hypothermia and Peripheral Cold Injuries in the Emergency Departmentreviews the stages of hypothermia and offers recommendations for emergent management of pediatric patients with hypothermia.

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

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

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


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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

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


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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

Current Topics in Acute Stroke Care: Clinical Pathway for Acute Management of Central Retinal Artery Occlusion
August 10, 2020


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Clinicians are highly likely to encounter patients with stroke in the emergency department and must be able to diagnose and manage stroke in a timely and effective manner to optimize patient outcomes. Emergency department management of stroke includes utilizing imaging appropriately based on the type of stroke, assessing patient risk for additional cardiovascular or stroke events, and recognizing subtle or different forms of stroke, such as patients who have normal initial imaging or patients who present with a central retinal artery occlusion.  read more

Ventilator Management in Adults: Initial Ventilator Settings
July 8, 2020


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There are a variety of ventilator options available to the emergency clinician, and decisions on choosing optimal settings will depend on the clinical circumstances.

Our recent?Emergency Medicine Practice?course,?Ventilator Management of Adult Patients in the Emergency Department,?reviews the most appropriate ventilator settings for a variety of conditions in intubated adult patients presenting to the emergency department, and gives recommendations on monitoring the ventilated patient and making ventilator adjustments.?

You can?preview?some of the example?ventilator settings from the course in the tables below.? read more

Optimizing Emergency Management to Reduce Morbidity and Mortality in Pediatric Burn Patients
July 7, 2020


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Burn injuries in children are a frequent cause of ED visits. Although the majority of pediatric burn injuries are minor, the relative risk of morbidity for pediatric patients with burn injuries is higher than for adult burn patients. When pediatric patients present with serious burn injury, appropriate airway management, fluid resuscitation, and disposition can reduce morbidity and mortality. read more

MIS-C in the Mix: New Algorithm Factors in COVID-19 for Kids with Fever + Rash
June 18, 2020


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As time passes, we are learning more about COVID-19 and how it presents in children. As most PEM providers now know, Multisystem Inflammatory Syndrome in Children, or MIS-C is a hyperinflammatory state likely related to previous exposure to the SARS-CoV-2 virus. There is a spectrum of presentations of MIS-C, but current case definitions include fever and involvement of 2 or more organ systems. One of the organ systems that can be involved is skin.  read more

Stories From the Front Lines: Emergency Medicine Staff and the Fight Against COVID-19
May 6, 2020


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Stories From the Front Lines: Emergency Medicine Staff and the Fight Against COVID-19

Every night at 7 p.m., the streets of New York City, once cluttered with the noise of honking taxi cabs, buzzing crowds, and screeching trains, are now filled with a different sound?the sound of rhythmic chants and gracious applause. read more