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Neurotrauma Update
Traumatic brain injury (TBI) continues to be a leading cause of morbidity and mortality worldwide with older adults having the highest rate of hospitalizations and deaths. Management in the acute phase is focused on preventing secondary neurologic injury from hypoxia, hypocapnia, hypotension, and elevated intracranial pressure. Recent studies on tranexamic acid and continuous hypertonic saline infusion have not found any difference in neurologic outcomes. Care must be taken in prognosticating TBI outcomes, as recovery of consciousness and orientation has been observed up to 12  months after injury. (Source: Emergency Medi...
Source: Emergency Medicine Clinics of North America - November 22, 2022 Category: Emergency Medicine Authors: Vanessa R. Salasky, Wan-Tsu W. Chang Source Type: research

Inside and Out: Trauma Resuscitation at the Speed of Light
Trauma is changing. True, the force of gravity is constant, cars still hurt, and humanity ’s thirst for violence runs deep beyond reckoning. But how we respond to injury, and the science and innovation that support our practice scarcely resemble trauma care from even a decade ago. Gone are the non-evidence-based peculiarisms of advanced trauma life support (ATLS): the savage fluid bolu ses, the primacy of the trauma surgeon, the mechanistic thoughtlessness of an algorithmic approach to everything. (Source: Emergency Medicine Clinics of North America)
Source: Emergency Medicine Clinics of North America - November 22, 2022 Category: Emergency Medicine Authors: Kimberly A. Boswell, Christopher Hicks Tags: Preface Source Type: research

Trauma Emergencies
One of the defining features of a good emergency physician is one ’s ability to provide initial resuscitation to any type of patient that shows up in the emergency department (ED)...adult and pediatric, medical, trauma, minor or major illness or injury. Over the years, however, emergency medicine in many settings has become very “compartmentalized.” In many locales, we find dedicated pediatric hospitals, heart centers, cardiac arrest centers, stroke centers, and trauma centers. The compartmentalization occurs even within individual hospitals...separate adult versus pediatric versus trauma EDs. (Source: Emergency Medi...
Source: Emergency Medicine Clinics of North America - November 22, 2022 Category: Emergency Medicine Authors: Amal Mattu Tags: Foreword Source Type: research

Trauma Emergencies
EMERGENCY MEDICINE CLINICS OF NORTH AMERICA (Source: Emergency Medicine Clinics of North America)
Source: Emergency Medicine Clinics of North America - November 22, 2022 Category: Emergency Medicine Authors: Christopher Hicks, Kimberly A. Boswell Source Type: research

Copyright
ELSEVIER (Source: Emergency Medicine Clinics of North America)
Source: Emergency Medicine Clinics of North America - November 22, 2022 Category: Emergency Medicine Source Type: research

Contributors
AMAL MATTU, MD, FAAEM, FACEP (Source: Emergency Medicine Clinics of North America)
Source: Emergency Medicine Clinics of North America - November 22, 2022 Category: Emergency Medicine Source Type: research

Contents
Amal Mattu (Source: Emergency Medicine Clinics of North America)
Source: Emergency Medicine Clinics of North America - November 22, 2022 Category: Emergency Medicine Source Type: research

Forthcoming Issues
Updates in Obstetric and Gynecologic Emergencies (Source: Emergency Medicine Clinics of North America)
Source: Emergency Medicine Clinics of North America - November 22, 2022 Category: Emergency Medicine Source Type: research

Management of Acute Coronary Syndrome
One of the most common complaints encountered in the emergency department is chest pain. In many evaluations, the leading diagnostic consideration is an acute coronary syndrome (ACS). ACS refers to a spectrum of coronary artery pathologies, including unstable angina, non-ST segment elevation myocardial infarction, and ST-segment elevation myocardial infarction. The distinction between subtypes of ACS guides acute diagnostic and management decisions. Failure to diagnose and manage ACS properly is a frequent cause of medico-legal litigation. In this article, we review the initial identification and critical management steps ...
Source: Emergency Medicine Clinics of North America - November 1, 2022 Category: Emergency Medicine Authors: Joel Atwood Source Type: research

Emergency Department Evaluation and Management of Patients with Left Ventricular Assist Devices
With the increasing use of left ventricular assist devices (LVADs) as destination therapy in patients with severe left heart failure, emergency physicians are more likely to encounter patients with LVAD in their emergency department (ED). Emergency physicians should have a basic understanding of LVAD mechanics, a specific approach to LVAD patient evaluation, and awareness of the must-not-miss LVAD therapy complications and their management to optimize outcomes in this patient population. (Source: Emergency Medicine Clinics of North America)
Source: Emergency Medicine Clinics of North America - November 1, 2022 Category: Emergency Medicine Authors: Akilesh Honasoge, Kami M. Hu Source Type: research

Cardiovascular Emergencies
EMERGENCY MEDICINE CLINICS OF NORTH AMERICA (Source: Emergency Medicine Clinics of North America)
Source: Emergency Medicine Clinics of North America - November 1, 2022 Category: Emergency Medicine Authors: Jeremy G. Berberian, Leen Alblaihed Source Type: research

Copyright
ELSEVIER (Source: Emergency Medicine Clinics of North America)
Source: Emergency Medicine Clinics of North America - November 1, 2022 Category: Emergency Medicine Source Type: research

Contributors
AMAL MATTU, MD, FAAEM, FACEP (Source: Emergency Medicine Clinics of North America)
Source: Emergency Medicine Clinics of North America - November 1, 2022 Category: Emergency Medicine Source Type: research

Contents
Amal Mattu (Source: Emergency Medicine Clinics of North America)
Source: Emergency Medicine Clinics of North America - November 1, 2022 Category: Emergency Medicine Source Type: research

Forthcoming Issues
Trauma Emergencies (Source: Emergency Medicine Clinics of North America)
Source: Emergency Medicine Clinics of North America - November 1, 2022 Category: Emergency Medicine Source Type: research