Your browser doesn't support javascript.
Mostrar: 20 | 50 | 100
Resultados 1 - 20 de 35
Filtrar
Más filtros










Base de datos
Intervalo de año de publicación
5.
Emerg Med Pract ; 21(11): e1-e2, 2019 Nov 01.
Artículo en Inglés | MEDLINE | ID: mdl-31675198
12.
Emerg Med Pract ; 21(Suppl 4): 1-2, 2019 Apr 01.
Artículo en Inglés | MEDLINE | ID: mdl-30943364

RESUMEN

Sexually transmitted diseases are a growing threat to public health, but are often underrecognized, due to the often nonspecific (or absent) signs and symptoms, the myriad diseases, and the possibility of co-infection. Emergency clinicians play a critical role in improving healthcare outcomes for both patients and their partners. Optimizing the history and physical examination, ordering appropriate testing, and prescribing antimicrobial therapies, when required, will improve outcomes for men, women, and pregnant women and their babies. This issue reviews the latest evidence in the diagnosis and treatment of sexually transmitted diseases, focusing on efficient and safe strategies to optimize outcomes. [Points & Pearls is a digest of Emergency Medicine Practice.]


Asunto(s)
Servicio de Urgencia en Hospital , Enfermedades de Transmisión Sexual/diagnóstico , Enfermedades de Transmisión Sexual/tratamiento farmacológico , Diagnóstico Diferencial , Femenino , Humanos , Masculino , Embarazo
13.
Emerg Med Pract ; 21(Suppl 3): 1-2, 2019 Mar 01.
Artículo en Inglés | MEDLINE | ID: mdl-30821949

RESUMEN

Blunt cardiac injury describes a range of cardiac injury patterns resulting from blunt force trauma to the chest. Due to the multitude of potential anatomical injuries blunt force trauma can cause, the clinical manifestations may range from simple ectopic beats to fulminant cardiac failure and death. Because there is no definitive, gold-standard diagnostic test for cardiac injury, the emergency clinician must utilize an enhanced index of suspicion in the clinical setting combined with an evidence-based diagnostic testing approach in order to arrive at the diagnosis. This review focuses on the clinical cues, diagnostic testing, and clinical manifestations of blunt cardiac injury as well as best-practice management strategies. [Points & Pearls is a digest of Emergency Medicine Practice.]


Asunto(s)
Servicio de Urgencia en Hospital , Contusiones Miocárdicas/diagnóstico , Contusiones Miocárdicas/terapia , Diagnóstico Diferencial , Humanos
14.
Emerg Med Pract ; 21(Suppl 2): 1-2, 2019 Feb 01.
Artículo en Inglés | MEDLINE | ID: mdl-30707533

RESUMEN

Headache is the fourth most common reason for emergency department encounters, accounting for 3% of all visits in the United States. Though troublesome, 90% are relatively benign primary headaches --migraine, tension, and cluster headaches. The other 10% are secondary headaches, caused by separate underlying processes, with vascular, infectious, or traumatic etiologies, and they are potentially life-threatening. This issue details the important pathophysiologic features of the most common types of life-threatening headaches, the key historical and physical examination information emergency clinicians must obtain, the red flags that cannot be missed, and the current evidence for best-practice testing, imaging, treatment, and disposition. [Points & Pearls is a digest of Emergency Medicine Practice.]


Asunto(s)
Trastornos de Cefalalgia/terapia , Adulto , Encefalopatías/diagnóstico , Enfermedad Crítica , Diagnóstico Diferencial , Diagnóstico por Imagen/métodos , Servicio de Urgencia en Hospital , Tratamiento de Urgencia/métodos , Femenino , Trastornos de Cefalalgia/diagnóstico , Trastornos de Cefalalgia/etiología , Humanos , Masculino , Persona de Mediana Edad , Examen Neurológico/métodos , Examen Físico/métodos , Preeclampsia/diagnóstico , Preeclampsia/terapia , Embarazo , Punción Espinal/métodos
15.
J Surg Res ; 244: 604-611, 2019 12.
Artículo en Inglés | MEDLINE | ID: mdl-29397949

RESUMEN

BACKGROUND: Breast cancer-related lymphedema (BCRL) is one of the most significant survivorship issues in breast cancer management. Presently, there is no cure for BCRL. The single greatest risk factor for developing BCRL is an axillary lymph node dissection (ALND). Lymphatic Microsurgical Preventative Healing Approach (LYMPHA) is a surgical procedure to reduce the risk of lymphedema in patients undergoing an ALND. We present our single institution results after offering LYMPHA in the context of an established lymphedema surveillance program. MATERIALS AND METHODS: A retrospective review of our lymphedema surveillance program at the University of Florida was performed over a 2-year period (March 2014-March 2016). LYMPHA was offered to patients undergoing ALND beginning in March 2015. Patients who developed lymphedema were compared with those who did not. Demographics and potential risk factors for development of lymphedema such as age, body mass index, clinical stage, radiotherapy, and chemotherapy were reviewed. RESULTS: Eighty-seven patients participated in the surveillance program over the study period with an average age of 60 y (range 32-83) and body mass index of 30 kg/m2 (range 17-46). The single most significant risk factor for the development for lymphedema was an ALND (P < 0.001). One of 67 patients undergoing a sentinel lymph node biopsy developed lymphedema (1.5%). Four of 10 patients who underwent an ALND alone developed lymphedema (40%). One of 8 patients in the ALND + LYMPHA group developed transient lymphedema (12.5%). CONCLUSIONS: Offering LYMPHA with ALND decreased our institutional rate of lymphedema from 40% to 12.5%. Long-term follow-up and randomized control trials are necessary to further elucidate the promise of this surgical technique to reduce the incidence of BCRL.


Asunto(s)
Linfedema del Cáncer de Mama/epidemiología , Neoplasias de la Mama/terapia , Escisión del Ganglio Linfático/efectos adversos , Vasos Linfáticos/cirugía , Mastectomía/efectos adversos , Adulto , Anciano , Anciano de 80 o más Años , Axila/cirugía , Linfedema del Cáncer de Mama/etiología , Linfedema del Cáncer de Mama/prevención & control , Neoplasias de la Mama/mortalidad , Femenino , Humanos , Incidencia , Escisión del Ganglio Linfático/métodos , Mastectomía/métodos , Persona de Mediana Edad , Estudios Retrospectivos , Factores de Riesgo
16.
Emerg Med Pract ; 21(Suppl 1): 1-2, 2019 Jan 01.
Artículo en Inglés | MEDLINE | ID: mdl-30592592

RESUMEN

Timely management of patients presenting to the ED while in their first trimester of pregnancy can improve outcomes for both the patient and the fetus. Common obstetric problems encountered include vaginal bleeding and miscarriage, ectopic pregnancy and pregnancy of undetermined location, and nausea and vomiting of pregnancy, including hyperemesis gravidarum. Optimal diagnostic approaches and management strategies are covered, including which antiemetics are safe to give in pregnancy. Common nonobstetric problems include asymptomatic bacteriuria, urinary tract infections including pyelonephritis, and acute appendicitis. This article also reviews the various imaging modalities available for pregnant patients and reviews the risks of ionizing radiation as well as various contrast media.[Points & Pearls is a digest of Emergency Medicine Practice.]


Asunto(s)
Complicaciones del Embarazo/diagnóstico , Complicaciones del Embarazo/terapia , Primer Trimestre del Embarazo , Aborto Espontáneo/diagnóstico , Aborto Espontáneo/terapia , Adulto , Apendicitis/diagnóstico , Apendicitis/terapia , Diagnóstico Diferencial , Femenino , Humanos , Hiperemesis Gravídica/diagnóstico , Hiperemesis Gravídica/terapia , Embarazo , Embarazo Ectópico/diagnóstico , Embarazo Ectópico/terapia , Infecciones Urinarias/diagnóstico , Infecciones Urinarias/terapia
17.
18.
Emerg Med Pract ; 20(Suppl 11): 1-2, 2018 Nov 01.
Artículo en Inglés | MEDLINE | ID: mdl-30383348

RESUMEN

Electrical injuries can be caused by exposure to current from low-voltage and high-voltage sources as well as lightning strikes, and the circumstances of the exposure will dictate management strategies. Human tissues have varying resistance characteristics and susceptibility to damage, so injuries may be thermal, electrical, and/or mechanical, potentially causing burns, thrombosis, tetany, falls, and blast injury. This issue reviews the types of trauma seen with electrical injury and how body systems can be affected by occult or delayed effects, and the optimal evidence-based resuscitation and management strategies associated with each. [Points & Pearls is a digest of Emergency Medicine Practice.]


Asunto(s)
Traumatismos por Electricidad/diagnóstico , Traumatismos por Electricidad/terapia , Servicio de Urgencia en Hospital , Diagnóstico Diferencial , Medicina Basada en la Evidencia , Humanos
19.
Emerg Med Pract ; 20(Suppl 10): 1-2, 2018 Oct 01.
Artículo en Inglés | MEDLINE | ID: mdl-30280868

RESUMEN

Sepsis is a common and life-threatening condition that requires early recognition and swift initial management. Diagnosis and treatment of sepsis and septic shock are fundamental for emergency clinicians, and include knowledge of clinical and laboratory indicators of subtle and overt organ dysfunction, infection source control, and protocols for prompt identification of the early signs of septic shock. [Points & Pearls is a digest of Emergency Medicine Practice.]


Asunto(s)
Puntuaciones en la Disfunción de Órganos , Sepsis/diagnóstico , Sepsis/terapia , Choque Séptico/diagnóstico , Choque Séptico/terapia , Diagnóstico Precoz , Mortalidad Hospitalaria , Humanos , Unidades de Cuidados Intensivos , Valor Predictivo de las Pruebas , Sepsis/mortalidad , Choque Séptico/mortalidad , Análisis de Supervivencia
20.
Emerg Med Pract ; 20(19 Suppl): 1-2, 2018 Sep 01.
Artículo en Inglés | MEDLINE | ID: mdl-30179413

RESUMEN

There are approximately 10,000 emergency department visits in the United States for snakebites every year, and one-third of those involve venomous species. Venomous North American indigenous snakes include species from the Crotalinae (pit vipers) and Elapidae (coral snakes) subfamilies. Treatment relies on supportive care, plus antivenom for select cases. While certain principles of management are widely accepted, controversies exist with regard to prehospital use of pressure immobilization, antivenom use, coagulation testing after copperhead envenomation, and fasciotomy. An evidence-based approach to management of North American venomous snakes will be discussed, along with a review of the current controversies. [Points & Pearls is a digest of Emergency Medicine Practice.]


Asunto(s)
Algoritmos , Mordeduras de Serpientes/tratamiento farmacológico , Serpientes/clasificación , Animales , Servicio de Urgencia en Hospital/organización & administración , Humanos , América del Norte , Mordeduras de Serpientes/diagnóstico , Mordeduras de Serpientes/fisiopatología
SELECCIÓN DE REFERENCIAS
DETALLE DE LA BÚSQUEDA