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Copyright
ELSEVIER (Source: Emergency Medicine Clinics of North America)
Source: Emergency Medicine Clinics of North America - April 5, 2023 Category: Emergency Medicine Source Type: research

Contributors
AMAL MATTU, MD (Source: Emergency Medicine Clinics of North America)
Source: Emergency Medicine Clinics of North America - April 5, 2023 Category: Emergency Medicine Source Type: research

Contents
Amal Mattu (Source: Emergency Medicine Clinics of North America)
Source: Emergency Medicine Clinics of North America - April 5, 2023 Category: Emergency Medicine Source Type: research

Forthcoming Issues
Cardiac Arrest (Source: Emergency Medicine Clinics of North America)
Source: Emergency Medicine Clinics of North America - April 5, 2023 Category: Emergency Medicine Source Type: research

Updates in Obstetric and Gynecologic Emergencies
If you were to ask a group of emergency physicians about which emergency department (ED) procedures produce the most stress, you ’d probably hear “childbirth” as one of the most common answers. The irony here, of course, is that childbirth is not a “procedure.” It is a natural process that has been occurring for thousands of years…usually with great success and without physician assistance. However, the fact that complications sometimes arise in this natural process, which is supposed to be associated with a happy outcome, is a major reason for the stress. (Source: Emergency Medicine Clinics of North America)
Source: Emergency Medicine Clinics of North America - April 5, 2023 Category: Emergency Medicine Authors: Amal Mattu Tags: Foreword Source Type: research

Emergency Delivery
Despite the majority of US births occurring in hospitals and under the direct care of obstetricians, there is a subset of patients who will deliver imminently in the emergency department (ED). ED physicians must be skillfully trained to manage both uncomplicated and complicated delivery scenarios. An ED delivery may require resuscitation of both mother and infant, so supplies should be readily available and all necessary consultants and support staff should be involved to ensure the best outcome. Most births are uncomplicated and require no significant additional interventions but ED staff must be prepared for these more c...
Source: Emergency Medicine Clinics of North America - February 20, 2023 Category: Emergency Medicine Authors: Michele Callahan Source Type: research

Cardiovascular Complications of Pregnancy
The physiologic changes in pregnancy predispose the pregnant patient to a variety of potential cardiovascular complications. In this article, we discuss the major cardiovascular disorders of pregnancy and their management, highlight specific diagnostic challenges, and discuss new developments in the field. Topics covered in this article include venous thromboembolism, acute myocardial infarction, peripartum cardiomyopathy, and aortic dissection. (Source: Emergency Medicine Clinics of North America)
Source: Emergency Medicine Clinics of North America - February 20, 2023 Category: Emergency Medicine Authors: John Mark Sawyer, Naseem Moridzadeh, Rebecca A. Bavolek Source Type: research

Intimate Partner Violence and Sexual Violence
Intimate partner violence and sexual violence represent significant public health challenges that carry many individual and societal costs. More than 1 in 3 women (35.6%) and more than 1 in 4 men (28.5%) in the United States have experienced rape, physical violence, and/or stalking by an intimate partner in their lifetime. Clinicians play an integral role on the screening, identification, and management of these sensitive issues. (Source: Emergency Medicine Clinics of North America)
Source: Emergency Medicine Clinics of North America - February 20, 2023 Category: Emergency Medicine Authors: Benjamin Chan, Carolyn Joy Sachs Source Type: research

Hypertensive Disorders of Pregnancy
This article reviews the different types of disorders of hypertension in pregnancy and how to diagnose and manage these patients, with special attention paid to any recent changes made to this management algorithm. (Source: Emergency Medicine Clinics of North America)
Source: Emergency Medicine Clinics of North America - February 19, 2023 Category: Emergency Medicine Authors: Nathaniel Coggins, Steven Lai Source Type: research

Pediatric and Adolescent Gynecologic Emergencies
This article will review the impact of normal hormonal variations in children, unique pathophysiology of certain conditions in the prepubescent period, as well as common injuries and infections of the genitourinary system in children. (Source: Emergency Medicine Clinics of North America)
Source: Emergency Medicine Clinics of North America - February 19, 2023 Category: Emergency Medicine Authors: Marissa Wolfe, Emily Rose Source Type: research

Resuscitation of the Obstetric Patient
Pregnancy is a time of tremendous physiologic change and vulnerability. At any point, symptoms and complications can prompt the need for emergency care, and these can range from minor to life-threatening. Emergency physicians must be prepared to treat any of these complications, in addition to rescucitating the critically ill and injured pregnant patient. To optimally care for these patients, it is paramount to be aware of the unique physiologic changes that occur during pregnancy. The focus of this review is to discuss illnesses unique to pregnancy and additional aspects of resuscitation that must be considered when carin...
Source: Emergency Medicine Clinics of North America - February 9, 2023 Category: Emergency Medicine Authors: Cheyenne Snavely, Caleb Chan Source Type: research

Ultrasound in Pregnancy
This article reviews the use of ultrasound in pregnancy pertinent to the emergency physician. The techniques for transabdominal and transvaginal studies are detailed including approaches to gestational dating. Diagnosis of ectopic pregnancy is reviewed focusing on the potential pitfalls: reliance on beta-human chorionic gonadotropin, pseudogestational sac, interstitial pregnancy, and heterotopic pregnancy. Techniques for the identification of placental issues and presenting parts during the second and third trimesters are reviewed. Ultrasound is a safe and effective tool for the experienced emergency physician and is integ...
Source: Emergency Medicine Clinics of North America - February 9, 2023 Category: Emergency Medicine Authors: Samantha A. King, Alexis Salerno, Sarah Sommerkamp Source Type: research

Nonobstetric Surgical Emergencies  in Pregnancy
In this article, we discuss the major nonobstetric surgical complications that may occur in pregnancy. We highlight specific diagnostic challenges particularly with imaging modalities and radiation considerations for the fetus. Topics covered in this article include appendicitis, intestinal obstruction, gallstone disease, hepatic rupture, perforated peptic ulcer, mesenteric venous thrombosis, splenic artery aneurysm rupture, and aortic dissection. (Source: Emergency Medicine Clinics of North America)
Source: Emergency Medicine Clinics of North America - February 9, 2023 Category: Emergency Medicine Authors: Caitlin L. Oldenkamp, Kellie Kitamura Source Type: research

Blunt and Penetrating Airway Trauma
Airway injury, be that penetrating or blunt, is a high-stakes high-stress management challenge for any airway manager and their team. Penetrating and blunt airway injury vary in injury patterns requiring prepracticed skills and protocols coordinating care between specialties. Variables including patient cooperation, coexisting injuries, cardiorespiratory stability, care location (remote vs tertiary care center), and anticipated course of airway injury (eg, oxygenating well and comfortable vs increasing subcutaneous emphysema) all play a role in determining airway if and when airway management is required. Direct airway tra...
Source: Emergency Medicine Clinics of North America - January 12, 2023 Category: Emergency Medicine Authors: Laura V. Duggan, Leilani N. Doyle, Jordan S. Zunder, Mary Hanna Source Type: research

Contributors
LEILANI N. DOYLE, MD, MSc (Military and Austere Trauma Sciences), FRCPC, Lieutenant Colonial Canadian Armed Forces, Trauma Team Leader and Assistant Professor, Department of Anesthesiology and Pain Medicine, Civic Hospital, University of Ottawa, Ottawa, Ontario, Canada (Source: Emergency Medicine Clinics of North America)
Source: Emergency Medicine Clinics of North America - January 12, 2023 Category: Emergency Medicine Source Type: research