J Emerg Med
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Multiple sclerosis (MS) is a rare but serious condition associated with significant morbidity. ⋯ An understanding of MS can assist emergency clinicians in better diagnosing and managing this neurologically devastating disease.
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Transvenous pacemaker placement is an integral component of therapy for severe dysrhythmias and a core skill in emergency medicine. ⋯ An understanding of transvenous pacemaker placement is essential for emergency clinicians.
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Orthopedic injuries are commonly managed in the emergency department (ED) setting. Fractures and dislocations may require reduction for proper management. There are a variety of analgesic and sedative strategies to provide patient comfort during reduction. ⋯ Knowledge of analgesic techniques for orthopedic procedures can assist clinicians in optimizing patient care.
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Firearm injury poses a significant public health burden in the United States. ⋯ We found a significant volume of literature about the medical costs of firearm injury, which identified a highly heterogeneous cost burden. A significant amount of cost burden occurs after the index hospitalization, which is the only cost reported in most studies. Limitations of this study include reporting bias that favors hospitalized patients as well as a large focus on hospital charges as measurements of cost identified in the literature.
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The detrimental effects of hyperoxia exposure have been well-described in patients admitted to intensive care units. However, data evaluating the effects of short-term, early hyperoxia exposure in patients intubated in the prehospital setting or emergency department (ED) have not been systematically reviewed. ⋯ There is a paucity of data that examined the effects of severe hyperoxia exposure in the acute, post-intubation phase of the prehospital and ED settings. Further research with standardized definitions is needed to provide more detailed guidance regarding early oxygen titration in intubated patients.