Emergency medicine clinics of North America
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Evaluation of the burned patient in the emergency department and fluid resuscitation of burned patients are discussed in detail.
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Certain practices and procedures that take place in the emergency department may complicate the subsequent investigation of a death. Recognizing that the emergency physician has a duty to care for the living patient that cannot be compromised, the author focuses on the areas in which emergency department practices may be modified to better meet the need for an accurate and informed determination of the cause of death.
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The employment of a ventilator adds flexibility to the treatment of hypoventilation and hypoxia in the emergency department. Understanding the advantages of spontaneous respiration, the effects of positive pressure ventilation and the use of CMV, IMV, and PEEP allows for optimal care for emergency respiratory problems.
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Pulmonary parenchymal damage is a frequent consequence of major trauma to the chest. Among the injuries considered in this article are traumatic pulmonary pseudocysts, pulmonary hematomas, major pulmonary lacerations, pulmonary contusions, and penetrating pulmonary parenchymal injuries. Also discussed is emergency resuscitation of patients with pulmonary parenchymal injuries.
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Patients with significant respiratory disease are evaluated daily by emergency physicians. Understanding the principles of respiratory physiology and pathophysiology provides the basis for the diagnosis and management of patients with respiratory disease.