The American journal of emergency medicine
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Monkeypox is an emerging viral disease that has been declared a global health emergency. While this disease has been present for over 50 years, the recent surge in cases and expanding knowledge of this has prompted a need for a focused review for practicing clinicians. ⋯ An understanding of the presentation, evaluation, and management of monkeypox is essential for emergency clinicians to ensure appropriate diagnosis and treatment of this emerging disease.
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The first objective of this systematic review was to investigate the effectiveness of ketamine compared to opioid analgesics for pain management in children aged two months to 18 years who have acute pain in the emergency department. The second objective was to compare the adverse events and side effects associated with ketamine with those associated with opioids used for pain management. ⋯ In this systematic review, the Joanna Briggs Institute standards [14] have been followed. is advisable for the Emergency Department health professionals to determine the appropriate dose for ketamine based on the child's characteristics, such as weight, age, and disease condition.
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The first objective of this systematic review was to investigate the effectiveness of ketamine compared to opioid analgesics for pain management in children aged two months to 18 years who have acute pain in the emergency department. The second objective was to compare the adverse events and side effects associated with ketamine with those associated with opioids used for pain management. ⋯ In this systematic review, the Joanna Briggs Institute standards [14] have been followed. is advisable for the Emergency Department health professionals to determine the appropriate dose for ketamine based on the child's characteristics, such as weight, age, and disease condition.
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Review
Cardiac contusions in the acute care setting: Historical background, evaluation and management.
Albeit described since 1763, cardiac contusions is still an under-recognised clinical condition in the acute care setting. This evidence-based review aims to provide an overview of the topic by focusing on etiopathogenesis, classification and clinical presentation of patients with cardiac contusions, as well as on the diagnostic work-up and therapy options available for this subset population in the acute care setting. ⋯ The management of patients with suspected cardiac contusion remains a challenge in clinical practice. For this kind of patients a comprehensive diagnostic approach and a prompt emergency response are required, taking into consideration the degree of severity and clinical impairment of associated traumatic injuries.
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Serotonin syndrome is a rare, frequently misdiagnosed, serious condition with high morbidity. ⋯ An understanding of serotonin syndrome can assist emergency clinicians in diagnosing and managing this disease.