• Filter By:
• Specialty
• Source
• Condition
• Cancer
• Infectious Disease
• Drug
• Training
• Management
• Procedure
• Therapy
• Vaccine
• Nutrition
• Country

Patient Care Falters as COVID-19 Devastates L.A. County (CA) Hospitals
Soumya Karlamangla, Rong-Gong Lin II, Luke Money Los Angeles Times (MCT) Los Angeles County’s healthcare system was buckling Wednesday under the unprecedented surge of COVID-19 patients, with bodies piling up at morgues and medical professionals resorting to increasingly desperate measures as they brace for conditions to worsen in the coming weeks. With hospitals overwhelmed by patients and no outlet valve available, doctors, nurses and paramedics are being forced to make wrenching choices about who gets care and at what level. “No one would believe this is in the United States,” ...
Source: JEMS Patient Care - December 31, 2020 Category: Emergency Medicine Authors: JEMS Staff Tags: Coronavirus News News Feed California EMS Hospital Paramedic Source Type: news

Delayed vertebral artery dissection after mild trauma in a motor vehicle collision
We present the case of a 42-year-old patient who presented to the emergency department with diaphoresis and a complaint of neck pain one month after a low speed motor vehicle collision. The patient was transferred to a stroke center where cerebral angiography showed severe vertebral artery stenosis with likelihood of dissection after a noncontrast CT was negative for hemorrhage.
Source: The American Journal of Emergency Medicine - November 16, 2020 Category: Emergency Medicine Authors: Gregory Kacprzynski, Joshua Bucher, Gregory Nicholas Kacprzynski, Joshua Bucher Source Type: research

Neurologic Emergencies
I ’ll bet that if you ask most emergency physicians about which organ system’s emergencies cause them the most angst, it would be the neurologic system. Neurologic emergencies are the epitome of the proverbial “needle in a haystack.” For example, the overwhelming majority of cases of headache, back pain, weakness, and dizziness turn out to be a haystack of benign causes. Our job in the emergency department is to find those rare needles...the subarachnoid hemorrhage, the spinal infection, the stroke, or the vertebral dissection.
Source: Emergency Medicine Clinics of North America - November 4, 2020 Category: Emergency Medicine Authors: Amal Mattu Tags: Foreword Source Type: research

2020 International Consensus on First Aid Science With Treatment Recommendations
This is the summary publication of the International Liaison Committee on Resuscitation ’s 2020 International Consensus on First Aid Science With Treatment Recommendations. It addresses the most recent published evidence reviewed by the First Aid Task Force science experts. This summary addresses the topics of first aid methods of glucose administration for hypoglycemia; techniques f or cooling of exertional hyperthermia and heatstroke; recognition of acute stroke; the use of supplementary oxygen in acute stroke; early or first aid use of aspirin for chest pain; control of life-threatening bleeding through the use of tou...
Source: Resuscitation - October 21, 2020 Category: Emergency Medicine Authors: Eunice M. Singletary, David Zideman, Jason C. Bendall, David Berry, Vere Borra, Jestin N. Carlson, Pascal Cassan, Wei-Tien Chang, Nathan Charlton, Therese Dj ärv, Matthew J. Douma, Jonathan L. Epstein, Natalie A. Hood, David Markenson, Daniel Meyran, Aar Tags: Circulation Source Type: research

Lung apical findings in coronavirus disease (COVID-19) infection on neck and cervical spine CT
ConclusionLung apical findings on cervical spine or neck CTs consistent with COVID-19 infection are common and may be encountered on neuroimaging performed for non-respiratory indications. For these patients, the emergency radiologist may be the first physician to suspect underlying COVID-19 infection.
Source: Emergency Radiology - July 20, 2020 Category: Emergency Medicine Source Type: research

Diagnosis and management of acute aortic syndromes in the emergency department
AbstractAcute aortic syndromes (AASs) are deadly cardiovascular emergencies involving the thoracic aorta. AASs are relatively rare conditions, have unspecific signs and symptoms (including truncal pain, syncope, neurologic deficit and limb ischemia) and require contrast-enhanced tomography angiography (CTA) of the chest and abdomen for conclusive diagnosis and subsequent therapeutic planning. In the Emergency Department (ED), most patients with potential signs/symptoms of AASs are finally found affected by other alternative diagnoses. Hence, misdiagnosis and delayed diagnosis of AASs are major concerns. In critically ill p...
Source: Internal and Emergency Medicine - April 30, 2020 Category: Emergency Medicine Source Type: research

Timeliness of Care for High Acuity Conditions at Hospital-Affiliated Freestanding Emergency Departments.
CONCLUSIONS: FREDs provided more timely care than HEDs for visits with asthma exacerbation and less timely care for acute chest pain, stroke, and sepsis, although absolute differences were small. Even though STEMI patients at FREDs required transfer for catheterization, they tended to receive care in line with national guidelines. PMID: 32352204 [PubMed - as supplied by publisher]
Source: Accident and Emergency Nursing - April 29, 2020 Category: Emergency Medicine Authors: Baehr A, Ledbetter C, Bookman KJ, Wang Y, Ginde AA, Wiler JL Tags: Acad Emerg Med Source Type: research

High-Risk Chief Complaints III
A careful history and thorough physical examination are necessary in patients presenting with acute neurologic dysfunction. Patients presenting with headache should be screened for red-flag criteria that suggest a dangerous secondary cause warranting imaging and further diagnostic workup. Dizziness is a vague complaint; focusing on timing, triggers, and examination findings can help reduce diagnostic error. Most patients presenting with back pain do not require emergent imaging, but those with new neurologic deficits or signs/symptoms concerning for acute infection or cord compression warrant MRI. Delay to diagnosis and tr...
Source: Emergency Medicine Clinics of North America - April 24, 2020 Category: Emergency Medicine Authors: Danielle E. Smith, Matthew S. Siket Source Type: research

Evaluation of Nonfatal Strangulation in Alert Adults
ConclusionAlert, strangled patients had a low rate of injuries. All patients with neck injuries had concerning findings besides neck pain; specifically, GCS score less than 15 or dysphagia. Our findings suggest, but do not prove, that a selective imaging strategy is safe in alert patients after strangulation findings besides neck pain.
Source: Annals of Emergency Medicine - October 5, 2019 Category: Emergency Medicine Source Type: research

Improving the Care of Individuals With Sickle Cell Disease in the Emergency Department Using a Quality Improvement Framework: The Emergency Department Sickle Cell Assessment of Needs and Strengths (ED-SCANS)
Sickle cell disease (SCD) is a severe chronic disease that leads to premature mortality caused by serious complications of the disease such as acute chest syndrome, stroke, and sepsis. Patients presenting to the emergency department (ED) with pain due to vaso-occlusive crisis (VOC) are at a higher risk for complications, making it imperative that emergency nurses, nurse practitioners, and physicians are knowledgeable about SCD and understand the other associated complications besides VOC. Because of the complexity of disease and misperceptions about SCD among ED nurses, physicians, and nurse practitioners, a quality improv...
Source: Advanced Emergency Nursing Journal - July 1, 2019 Category: Emergency Medicine Tags: PROCEDURAL COLUMN Source Type: research

Pages: 1  2  3  4  5  6  7