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Emergency Medicine Reports saves you time keeping up with all the latest advances in a variety of clinical problems and gives you important time-saving techniques that can actually save lives in the ED!

Emergency Medicine Reports Latest Issue
Evaluation and Management of Sudden Vision Loss: Part II Sept. 21, 2014
  • Bedside ultrasound is a useful tool to evaluate many causes of sudden vision loss.
  • Emergent ophthalmologic consultation is recommended for acute vision loss due to optic neuritis, giant cell arteritis, retinal detachment, and central retinal artery occlusion.
  • Many treatments used for these conditions are of debatable overall benefit.
  • Emergency physicians should follow the protocols and recommendations of their consultant.

EM Pearls & Pitfalls

A free resource with brief clinical tips, case studies, and illustrations to help you hone your knowledge and technique.
Trauma Reports Latest Issue

Read the latest issue of this bimonthly, 12-page clinical monograph focusing on emergency care of adult and pediatric patients with moderate and severe traumatic injuries. Each issue gives you a practical, problem-solving, comprehensive review of a common clinical entity, packed with updated techniques you can apply immediately.

Crush Injuries Sept. 1, 2014
  • In the United States, alcohol intoxication associated with prolonged muscle compression and/or seizures is the most common cause of traumatic rhabdomyolysis.
  • Discolored urine (pink, red, brown, or even black) can be an early sign of rhabdomyolysis. Later signs include malaise, fever, tachycardia, nausea, and vomiting.
  • Aoki et al analyzed predictors for developing crush syndrome in victims of the Kobe earthquake and found that tachycardia greater than 120 beats/min, delayed rescue greater than 3 hours, and abnormal urine color were most predictive.
  • Indications for dialysis include: hyperkalemia resistant to medical therapy, metabolic acidosis resistant to medical therapy, uremia and its complications (i.e., pericarditis), or volume overload.
  • Creatine kinase (CK) level is the most sensitive marker for rhabdomyolysis, and it is also a predictor for the development of renal failure.
  • Oda et al found that 84% of patients with a peak CK greater than 75,000 were very likely to develop acute renal failure and require hemodialysis.
  • In crush victims with acute closed compartment syndrome, fasciotomy should not be routine, and providers should be aware of the risk of infection.