Emergency Medicine

Diffusing Tension: Documentation in the emergency department

2011-07-10T03:05:00.000-07:00

Accident and emergency is one of the more popular specialties with junior doctors because of its relevance to so many career paths. At the same time doctors working in accident and emergency are among the most commonly sued, but cases of negligence are rare. Mistakes are made in accident and emergency department because relatively inexperienced doctors are expected to diagnose and treat numerous

Refusal of Rapid HIV Testing in an Emergency Department

2011-06-02T01:51:00.000-07:00

Factors Associated with Refusal of Rapid HIV Testing in an Emergency DepartmentMary L. Pisculli; William M. Reichmann; Elena Losina; Laurel A. Donnell-Fink; Christian Arbelaez; Jeffrey N. Katz; Rochelle P. WalenskyAuthors and Disclosures Posted: 05/20/2011; AIDS and Behavior. 2011;15(4):734-742. © 2011 SpringerAbstractHIV screening studies in the emergency department (ED) have demonstrated rates

Emergency Medicine Links

2011-05-18T02:17:00.001-07:00

Searches eMedicine Emergency Medicine Textbook Search access to a carefully edited and constantly updated multimedia textbook of emergency medicine. The resource offers disease synopses that present clinical and physical findings, etiology, pathophysiology, symptoms, differential diagnosis and treatment options. Users can search associated specialty online textbooks from the eMedicine

Emergency Departments Should Be Aware of Sexually Transmitted Infection Risk in Patients: One-Quarter of Symptomatic Adolescent Females Tested Positive for an STI

2011-04-30T21:25:00.000-07:00

ScienceDaily (Apr. 30, 2011) — All adolescent females who show up in the emergency department (ED) complaining primarily of lower abdominal pain and/or urinary or genital symptoms should be tested for sexually transmitted infections (STIs), according to the authors of a study presented on April 30 at the Pediatric Academic Societies (PAS) annual meeting in Denver.See Also:Health & MedicineSTD

Ethical Issues: " the duties of clinical care"

2011-04-30T21:19:00.000-07:00

Clinical Choices created by advances in medical technology are essentially ethically rather than scientific.Doctors like to think of themselves as men and women of science: Assess the symptoms, order the tests, make a diagnosis, and administer the treatment. The modern world is making that model more complicated. Political debates about abortion and assisted suicide and technological advances

Ethical Decision in Emergency Medicine

2011-04-30T20:09:00.000-07:00

A 32 year old woman was admitted to the Trauma Intensive Care Unit following a motor vehicle accident; she had multiple injuries and fractures, with several complications which continued to develop over the first couple of weeks. The patient rapidly developed Adult Respiratory Distress Syndrome, was on a ventilator, and was continuously sedated. Shortly after the patient's admission, her parents

Opoid Use in Non Malignant Pain and Mortality

2011-04-23T06:34:00.000-07:00

Higher Opioid Dose for Nonmalignant Pain Linked to MortalityLaurie Barclay, MD $(document).ready(function() {adexGet('/ratetopcontent?contentId=741325','adexratethiscontainertop','autoloadwait1',undefined,handleFetchRatingTop);}); Print

Emergency Medicine : Know your drugs

2011-04-23T05:50:00.000-07:00

ADENOSINEA 67-year-old man who has suffered a previous stroke is admitted with collapse. His drug history includes the use of dipyridamole. On examination he has a regular pulse of 150 bpm. You elect to try intravenous adenosine to slow his heart down. Which of the following best fits the characteristics of adenosine? 1. Its half-life is decreased by dipyridamole 2. It may be used

Emergency Medicine:Basic Medico-legal Consideration(PART-2)

2011-04-09T21:15:00.000-07:00

General Responsibility of the Emergency Care Physician Working as an emergency care physician, we are not operating any different realm, rather it is imperative to work along the general medical practice principle conscientiously. Responsibilities of the emergency care physician lies in following broad categories. 1) Assessment and initial Managment The major responsibilities of the physician

Algorithm for treatment of acute pain in children in A&E

2011-02-21T07:48:00.000-08:00

Emergency Medicine : Basics to Pain Managment

2011-02-21T07:11:00.000-08:00

Overcoming Pain KNOW ABOUT THE PAIN Pain assessment Physiology of pain transmission (nociception) Pharmacologic approaches Use of analgesics, multimodal-balanced analgesia Management of side effects and complications Use and interpretation of monitoring modalities Use of analgesic devices and catheters Nonpharmacologic approaches Role of pain management in multimodal, comprehensive

Emergency Medicine: Barriers to Effective Pain Management

2011-02-21T06:43:00.000-08:00

Entrenched beliefs and practices that interfere with optimal pain treatment abound and often are attributed to the following three origins: the patient, the health-care team, and the health-care system. Among the most common obstacles to overcome are a failure to assess and acknowledge the existence of pain, outdated prescribing habits, inadequate quality improvement monitoring, and a lack of

Emergency Medicine:Basic Medico-legal Consideration( PARt I)

2011-02-09T21:25:00.000-08:00

The medical and legal aspect of emergency care is unique and quite complicated. Emergency Physician should be knowledgeable and competent enough to use their skills in a consistent manner with the highest possible ethical standards of the medical practice. Concern for the injured or dying person should be upmost in their thinking. They should act to preserve life and prevent death.

A case: syncope

2010-12-27T13:21:00.001-08:00

Syncope and Palpitation: A Case A 37-year-old woman with a history of anxiety disorder presents to the emergency department (ED) with concern for panic attack. She describes a sensation of chest-pounding palpitations, racing heart rate, severe dyspnea, and lightheadedness. She is beginning to feel some chest heaviness. She has a several-year history of these intermittent symptoms, which

Syncope and Palpitation: Managment of WPW syndrome with Atrial fibrillation

2010-12-22T19:48:00.000-08:00

The diagnosis of Wolff-Parkinson-White (WPW) syndrome with atrial fibrillation was made on the basis of the patient's history in conjunction with the classic ECG findings in both figures. The history of previously undiagnosed paroxysms of palpitations, lightheadedness, and shortness of breath is common in cases of supraventricular tachycardia. The subtle findings on the baseline ECG are often

Syncope and Palpitation: A Case

2010-12-22T19:45:00.000-08:00

A 37-year-old woman with a history of anxiety disorder presents to the emergency department (ED) with concern for panic attack. She describes a sensation of chest-pounding palpitations, racing heart rate, severe dyspnea, and lightheadedness. She is beginning to feel some chest heaviness. She has a several-year history of these intermittent symptoms, which she ascribes to her "panic attacks."

Emergency Medicine: Syncope Diagnostic Flow Chart

2010-12-15T19:18:00.000-08:00

Emergency Medicine: Syncope History taking Pointer

2010-12-15T19:16:00.000-08:00

Table 2 History taking pointers in syncope Features from historySuggested diagnosis The “5Ps” Precipitants: Warm or crowded environments, pain, emotional distress, fear, exercise, dehydration (as a result of drugs or illness), specific activities (coughing, laughing, micturition, eating) Vasovagal syncope, orthostatic hypotension, situational syncope Head movements, tight collars,

case of the week:Acute Onset of Headache and Blurred Vision in a 16-Year-Old Girl

2010-12-04T05:21:00.000-08:00

A 16-year-old girl presents to the emergency department with an acute-onset severe headache as well as nausea, vomiting, and intermittent diplopia. She feels dizzy while walking and cannot walk independently. She also complains of blurred vision. This is her first physician's visit for the headaches, which have been episodic during the past 2 weeks. The headaches involve her entire head. They are

Emergency Medicine: Syncope Rule

2010-12-01T08:13:00.000-08:00

Am J Emerg Med. 2010 May;28(4):432-9. Epub 2010 Jan 28.San Francisco Syncope Rule, Osservatorio Epidemiologico sulla Sincope nel Lazio risk score, and clinical judgment in the assessment of short-term outcome of syncope.Dipaola F, Costantino G, Perego F, Borella M, Galli A, Cantoni G, Barbic F, Casella F, Duca PG, Furlan R; STePS investigators.Unità Sincopi, Medicina Interna II, Ospedale L. Sacco

Emergency Medicine:Accuracy and quality of clinical decision rules for syncope in the emergency department

2010-12-01T08:11:00.000-08:00

Ann Emerg Med. 2010 Oct;56(4):362-373.e1.Accuracy and quality of clinical decision rules for syncope in the emergency department: a systematic review and meta-analysis.Serrano LA, Hess EP, Bellolio MF, Murad MH, Montori VM, Erwin PJ, Decker WW.Department of Emergency Medicine, Mayo Clinic College of Medicine, Rochester, MN, USA. serrano.luis@mayo.eduAbstractSTUDY OBJECTIVE: We assess the

Emergency Medicine : Predictors of 30-Day Serious Events in Older Patients with Syncope

2010-12-01T08:05:00.000-08:00

Study objectiveWe identify predictors of 30-day serious events after syncope in older adults. MethodsWe reviewed the medical records of older adults (age ≥60 years) who presented with syncope or near syncope to one of 3 emergency departments (EDs) between 2002 and 2005. Our primary outcome was occurrence of a predefined serious event within 30 days after ED evaluation. We used multivariable

Emergency Medicine: Syncope

2010-11-28T21:29:00.000-08:00

Collapse query cause: the management of adult syncope in the emergency departmentM J Reed, A Gray + Author AffiliationsEmergency Department, Royal Infirmary of Edinburgh, 51 Little France Crescent, Edinburgh, EH16 4SA Correspondence to:  Dr M J Reed  Emergency Department, Royal Infirmary of Edinburgh, 51 Little France Crescent, Edinburgh EH16 4SA, UK; mattreed1@hotmail.com Accepted 13 March 2006

Emergency Medicine: Inpatient Managment of Syncope

2010-11-28T21:14:00.001-08:00

Emerg Med J 2010;27:870-872 doi:10.1136/emj.2010.092924

Emergency Medicine : Chest pain CACS

2010-11-28T19:40:00.000-08:00

Coronary Artery Calcium Score to Identify Patients with Chest Pain Who Can Be DischargedOnly 0.3% of chest pain patients with coronary artery calcium scores of 0 experienced acute coronary syndromes during follow-up. To evaluate whether the coronary artery calcium score (CACS) can help identify patients with chest pain who can be safely discharged without further testing, researchers