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(American Journal of Emergency Medicine[TA])
10,954 results
  • Swollen and bloodshot eye following headache. [Journal Article]
  • AJAm J Emerg Med 2018 Nov 07
  • Hsu CC, Tsai SH, … Chen SJ
  • A ruptured cavernous carotid aneurysm (CCA) with carotid cavernous fistula can appear as a benign headache but progress to a swollen and bloodshot eye overnight. A 66-year-old woman visited emergency...
  • Physiological effects of a spit sock. [Journal Article]
  • AJAm J Emerg Med 2018 Oct 03
  • Lutz M, Sloane CM, … Vilke GM
  • CONCLUSIONS: In healthy subjects there were no clinically significant changes in the physiologic parameters of breathing while wearing a spit sock.
  • Acute liver failure: A review for emergency physicians. [Review]
  • AJAm J Emerg Med 2018 Oct 22
  • Montrief T, Koyfman A, Long B
  • CONCLUSIONS: While ALF remains a rare clinical presentation, surveillance data suggest an overall incidence between 1 and 6 cases per million people every year, accounting for 6% of liver-related deaths and 7% of orthotopic liver transplants (OLT) in the U.S. The definition of ALF includes neurologic dysfunction, an international normalized ratio ≥ 1.5, no prior evidence of liver disease, and a disease course of ≤26 weeks, and can be further divided into hyperacute, acute, and subacute presentations. There are many underlying etiologies, including acetaminophen toxicity, drug induced liver injury, and hepatitis. Emergency physicians will be faced with several complications, including encephalopathy, coagulopathy, infectious processes, renal injury, and hemodynamic instability. Critical patients should be evaluated in the resuscitation bay, and consultation with the transplant team for appropriate patients improves patient outcomes. This review provides several guiding principles for management of acute complications. Using a pathophysiological-guided approach to the management of ALF associated complications is essential to optimizing patient care.ALF remains a rare clinical presentation, but has significant morbidity and mortality. Physicians must rapidly diagnose these patients while evaluating for other diseases and complications. Early consultation with a transplantation center is imperative, as is identifying the underlying etiology and initiating symptomatic care.
  • Acute ischemic stroke in a trauma cohort: Incidence and diagnostic challenges. [Journal Article]
  • AJAm J Emerg Med 2018 Nov 03
  • Yeboah K, Bodhit A, … Kumar A
  • CONCLUSIONS: Acute ischemic stroke in trauma patients was a frequent diagnosis albeit with delay. Routine craniocervical vascular imaging at the time of presentation could potentially facilitate early diagnosis. A prospective study with routine craniocervical vascular imaging in trauma patients will be needed to further explore this hypothesis.
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