The American journal of emergency medicine
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Heterogeneity is observed in the care of patients with chest pain. We investigate the association of physician specialty and diagnostic testing among patients admitted for suspected acute coronary syndrome (ACS). ⋯ Invasive angiography was more frequent among patients admitted by interventional cardiologists compared to other physicians.
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Case Reports
Cholinergic crisis in Lycoris radiata poisoning: A case of delayed onset and prolonged symptoms.
Lycoris radiata, commonly known to contain alkaloids such as lycorine and galanthamine, is toxic and is easily accessible in East Asian countries, including Japan. Lycorine is a central nervous system and gastrointestinal irritant, whereas galanthamine, a carbamate, exhibits reversible acetylcholinesterase inhibition. Symptoms of Lycoris radiata poisoning are generally acute and resolve quickly. ⋯ The patient disclosed ingestion of Lycoris radiata, and an analysis of her garden plants revealed lycorine and galanthamine, confirming the diagnosis. Acute Lycoris radiata poisoning can result in a severe clinical course. Furthermore, the onset of a cholinergic toxidrome may be delayed following ingestion, and the toxidrome may persist for a prolonged period.
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Healthcare discharge instructions are important for patients who are discharged from the emergency department (ED). ⋯ Patient who received SMS-based health discharge instructions improved knowledge, care confidence, and satisfaction after ED visits. Future research should explore the application of the system across a broader range of emergency medical conditions.