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.
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.