Archive

Author: Anand Swaminathan

Classic Journal Review – Wells + Dimer to Rule Out PE

EM Journal Update: Safety of Using Wells’ Clinical Model With D-Dimer To Manage Patients In The ED With Suspected Pulmonary Embolism Background: In the US, pulmonary embolism (PE) kills 100,000 people each year and over 360,000 new cases of PE …

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Thoracic and Respiratory

Edoxaban in Cancer-Associated VTE

Background: Venous thromboembolism (VTE) occurs frequently in patient with cancer. Treatment in this group entails a number of challenges including a higher rate of thrombosis recurrence and a higher risk of bleeding. Standard therapy at this time for both symptomatic …

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Hematology and Oncology

Cervical Spine Evaluation and Clearance in the Intoxicated Patient

Background: Alcohol and drug intoxication is common in trauma patients and a significant proportion of cervical spine (c-spine) injuries occur in patients with intoxication. A standard approach to both intoxicated and sober patients with suspected c-spine injury in many trauma centers …

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ToxicologyTrauma

Comparison of IM Midazolam, Olanzapine, Ziprasidone and Haloperidol for Behavioral Control

Background: Emergency providers frequently care for agitated patients ranging from restlessness to verbally and physically aggressive. Agitation is a symptom, not a diagnosis and these patients require careful evaluation to rule in or out serious medical conditions. Unfortunately, the agitation itself …

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Pyschobehavioral

IV and/or Nebulized MgSO4 in Pediatric Asthma Exacerbations?

Background: Acute asthma exacerbations are a common presentation to pediatric emergency departments (EDs). Standard treatment with inhaled beta agonists and corticosteroids are often sufficient in mild asthma but can fall short in the treatment of moderate to severe exacerbations. Magnesium sulfate …

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PediatricsThoracic and Respiratory

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