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Emergency Medicine Pitfalls

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41. Urologic Imaging Without X-rays: Ultrasound, MRI, and Nuclear Medicine (Treatment)

Urologic Imaging Without X-rays: Ultrasound, MRI, and Nuclear Medicine (Treatment) Urologic Imaging Without X-rays - Ultrasonography, MRI, and Nuclear Medicine: Urologic Ultrasound, Prostascintigraphy, Magnetic Resonance Imaging Edition: No Results No Results Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit. https://profreg.medscape.com/px/getpracticeprofile.do?method (...) =getProfessionalProfile&urlCache=aHR0cHM6Ly9lbWVkaWNpbmUubWVkc2NhcGUuY29tL2FydGljbGUvNDU1NTUzLW92ZXJ2aWV3 processing > Urologic Imaging Without X-rays - Ultrasonography, MRI, and Nuclear Medicine Updated: May 24, 2018 Author: Andrew C Peterson, MD, FACS; Chief Editor: Bradley Fields Schwartz, DO, FACS Share Email Print Feedback Close Sections Sections Urologic Imaging Without X-rays - Ultrasonography, MRI, and Nuclear Medicine Urologic Ultrasound Ultrasonography was initially developed as a military tool

2014 eMedicine.com

42. Urologic Imaging Without X-rays: Ultrasound, MRI, and Nuclear Medicine (Follow-up)

Urologic Imaging Without X-rays: Ultrasound, MRI, and Nuclear Medicine (Follow-up) Urologic Imaging Without X-rays - Ultrasonography, MRI, and Nuclear Medicine: Urologic Ultrasound, Prostascintigraphy, Magnetic Resonance Imaging Edition: No Results No Results Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit. https://profreg.medscape.com/px/getpracticeprofile.do?method (...) =getProfessionalProfile&urlCache=aHR0cHM6Ly9lbWVkaWNpbmUubWVkc2NhcGUuY29tL2FydGljbGUvNDU1NTUzLW92ZXJ2aWV3 processing > Urologic Imaging Without X-rays - Ultrasonography, MRI, and Nuclear Medicine Updated: May 24, 2018 Author: Andrew C Peterson, MD, FACS; Chief Editor: Bradley Fields Schwartz, DO, FACS Share Email Print Feedback Close Sections Sections Urologic Imaging Without X-rays - Ultrasonography, MRI, and Nuclear Medicine Urologic Ultrasound Ultrasonography was initially developed as a military tool

2014 eMedicine.com

43. Seizures in the Emergency Department (Overview)

in the emergency department (ED), 3 basic pitfalls must be avoided. The first is failure to recognize seizure activity. Nonconvulsive seizure is a rare presentation of altered mental status (AMS) but should always be on the differential of the comatose patient. Electroencephalography (EEG) is the diagnostic modality of choice for identifying these patients. The second is failure to control seizure activity aggressively. Neurologic dysfunction is theorized to occur after 20 minutes of continuous seizure (...) . . Treatment of convulsive status epilepticus. Recommendations of the Epilepsy Foundation of America's Working Group on Status Epilepticus. JAMA . 1993 Aug 18. 270(7):854-9. . Shearer P, Park D. Seizures and Status Epilepticus: Diagnosis and Management in the Emergency Department. Emergency Medicine Practice . August 2006. 8(8).: Holsti M, Dudley N, Schunk J, Adelgais K, Greenberg R, Olsen C, et al. Intranasal midazolam vs rectal diazepam for the home treatment of acute seizures in pediatric patients

2014 eMedicine.com

44. Emergency Neuroradiology (Follow-up)

. AJR Am J Roentgenol . 1996 Mar. 166(3):675-81. . Libman RB, Wirkowski E, Alvir J, Rao TH. Conditions that mimic stroke in the emergency department. Implications for acute stroke trials. Arch Neurol . 1995 Nov. 52(11):1119-22. . Mullins ME. Modern emergent stroke imaging: pearls, protocols, and pitfalls. Radiol Clin North Am . 2006 Jan. 44(1):41-62, vii-viii. . Ogawa T, Inugami A, Fujita H, et al. MR diagnosis of subacute and chronic subarachnoid hemorrhage: comparison with CT. AJR Am J Roentgenol (...) Residency Director, Section of Emergency Medicine, Ben Taub General Hospital; Assistant Professor, Director of Simulation Program, Office of Undergraduate Medical Education, Baylor College of Medicine M Tyson Pillow, MD, MEd is a member of the following medical societies: , , , , , , Disclosure: Nothing to disclose. Coauthor(s) Robert A Mulliken, MD Medical Director, Adult Emergency Department, University of Chicago and the University of Chicago Hospitals Robert A Mulliken, MD is a member

2014 eMedicine Emergency Medicine

45. Emergency Neuroradiology (Treatment)

. AJR Am J Roentgenol . 1996 Mar. 166(3):675-81. . Libman RB, Wirkowski E, Alvir J, Rao TH. Conditions that mimic stroke in the emergency department. Implications for acute stroke trials. Arch Neurol . 1995 Nov. 52(11):1119-22. . Mullins ME. Modern emergent stroke imaging: pearls, protocols, and pitfalls. Radiol Clin North Am . 2006 Jan. 44(1):41-62, vii-viii. . Ogawa T, Inugami A, Fujita H, et al. MR diagnosis of subacute and chronic subarachnoid hemorrhage: comparison with CT. AJR Am J Roentgenol (...) Residency Director, Section of Emergency Medicine, Ben Taub General Hospital; Assistant Professor, Director of Simulation Program, Office of Undergraduate Medical Education, Baylor College of Medicine M Tyson Pillow, MD, MEd is a member of the following medical societies: , , , , , , Disclosure: Nothing to disclose. Coauthor(s) Robert A Mulliken, MD Medical Director, Adult Emergency Department, University of Chicago and the University of Chicago Hospitals Robert A Mulliken, MD is a member

2014 eMedicine Emergency Medicine

46. Emergency Neuroradiology (Diagnosis)

. AJR Am J Roentgenol . 1996 Mar. 166(3):675-81. . Libman RB, Wirkowski E, Alvir J, Rao TH. Conditions that mimic stroke in the emergency department. Implications for acute stroke trials. Arch Neurol . 1995 Nov. 52(11):1119-22. . Mullins ME. Modern emergent stroke imaging: pearls, protocols, and pitfalls. Radiol Clin North Am . 2006 Jan. 44(1):41-62, vii-viii. . Ogawa T, Inugami A, Fujita H, et al. MR diagnosis of subacute and chronic subarachnoid hemorrhage: comparison with CT. AJR Am J Roentgenol (...) Residency Director, Section of Emergency Medicine, Ben Taub General Hospital; Assistant Professor, Director of Simulation Program, Office of Undergraduate Medical Education, Baylor College of Medicine M Tyson Pillow, MD, MEd is a member of the following medical societies: , , , , , , Disclosure: Nothing to disclose. Coauthor(s) Robert A Mulliken, MD Medical Director, Adult Emergency Department, University of Chicago and the University of Chicago Hospitals Robert A Mulliken, MD is a member

2014 eMedicine Emergency Medicine

47. Emergency Neuroradiology (Overview)

. AJR Am J Roentgenol . 1996 Mar. 166(3):675-81. . Libman RB, Wirkowski E, Alvir J, Rao TH. Conditions that mimic stroke in the emergency department. Implications for acute stroke trials. Arch Neurol . 1995 Nov. 52(11):1119-22. . Mullins ME. Modern emergent stroke imaging: pearls, protocols, and pitfalls. Radiol Clin North Am . 2006 Jan. 44(1):41-62, vii-viii. . Ogawa T, Inugami A, Fujita H, et al. MR diagnosis of subacute and chronic subarachnoid hemorrhage: comparison with CT. AJR Am J Roentgenol (...) Residency Director, Section of Emergency Medicine, Ben Taub General Hospital; Assistant Professor, Director of Simulation Program, Office of Undergraduate Medical Education, Baylor College of Medicine M Tyson Pillow, MD, MEd is a member of the following medical societies: , , , , , , Disclosure: Nothing to disclose. Coauthor(s) Robert A Mulliken, MD Medical Director, Adult Emergency Department, University of Chicago and the University of Chicago Hospitals Robert A Mulliken, MD is a member

2014 eMedicine Emergency Medicine

48. Autonomy vs paternalism in the emergency department: the potential deleterious impact of patient satisfaction surveys. (PubMed)

Autonomy vs paternalism in the emergency department: the potential deleterious impact of patient satisfaction surveys. Patient satisfaction surveys, such as Press Ganey, are flawed metrics for the emergency department setting and also in broader pain medicine. National experts discuss the pitfalls of applying such measures in pain care, and the potential unintended negative consequences to patients and providers alike. Evaluators, administrators, and payers are challenged to understand

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2013 Pain Medicine

49. Real-time and Label-free Bio-sensing of Molecular Interactions by Surface Plasmon Resonance: A Laboratory Medicine Perspective (PubMed)

of clinical applications, the development of more accessible platforms may see surface plasmon resonance (SPR) emerge as one of the most powerful optical detection platforms for the real-time monitoring of biomolecular interactions in a label-free environment.In this review, we provide an overview of SPR principles and current and future capabilities in a diagnostic context, including its application for monitoring a wide range of molecular markers of disease. The advantages and pitfalls of using SPR (...) technique, technological advances may see SPR quickly emerge as a highly powerful technology, enabling rapid and routine analysis of molecular interactions for a diverse range of targets, including those with clinical applicability. As the technology produces data quickly, in real-time and in a label-free environment, it may well have a significant presence in future developments in lab-on-a-chip technologies including point-of-care devices and personalised medicine.

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2012 The Clinical Biochemist Reviews

50. Simulation Center Accreditation and Programmatic Benchmarks: A Review for Emergency Medicine. (PubMed)

Simulation Center Accreditation and Programmatic Benchmarks: A Review for Emergency Medicine. Simulation-based education has grown significantly over the past 10 years. As a result, more professional organizations are developing or implementing accreditation processes to help define minimum standards and best practices in simulation-based training. However, the benefits and potential pitfalls of sponsoring and implementing such programs have yet to be fully evaluated across specialties (...) . The board of directors of the Society for Academic Emergency Medicine (SAEM) requested an evaluation of the potential to create an emergency medicine (EM)-based Simulation Consultation and Accreditation Service. In response to this request, the Simulation Accreditation and Consultation Work Group, a subgroup of the Committee on Technology in Medical Education (now Simulation Academy), was created. The work group was charged with: 1) reviewing current benchmarks and standards set by existing simulation

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2010 Academic Emergency Medicine

51. Potential and limitations of e-learning in emergency medicine. (PubMed)

Potential and limitations of e-learning in emergency medicine. This paper describes the potential benefits, pitfalls and barriers to adopting e-learning in emergency medicine. While the benefits relating to access, engagement and quality assurance are clear, caution is urged in embracing e-learning for e-learning's sake. It is argued that, if educational strategies are to change, this must be to the benefit of learners and not just for the convenience of access or record keeping. A variety of e

2010 Emergency Medicine Journal

52. Membrane vesicles, current state-of-the-art: emerging role of extracellular vesicles (PubMed)

, classification of membrane vesicles, protocols of their isolation and detection, molecular details of vesicular release, clearance and biological functions are still under intense investigation. Here, we give a comprehensive overview of extracellular vesicles. After discussing the technical pitfalls and potential artifacts of the rapidly emerging field, we compare results from meta-analyses of published proteomic studies on membrane vesicles. We also summarize clinical implications of membrane vesicles (...) Membrane vesicles, current state-of-the-art: emerging role of extracellular vesicles Release of membrane vesicles, a process conserved in both prokaryotes and eukaryotes, represents an evolutionary link, and suggests essential functions of a dynamic extracellular vesicular compartment (including exosomes, microparticles or microvesicles and apoptotic bodies). Compelling evidence supports the significance of this compartment in a broad range of physiological and pathological processes. However

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2011 Cellular and Molecular Life Sciences

53. Evaluation and Management of Adult Patients Presenting to the Emergency Department With Acute Headache

policies of the American College of Emergency Physiciansand,assuch,arenotsubjecttothesamepeerreviewprocessasarticlesappearingintheprint journal. Policy statements and clinical policies of ACEP do not necessarily re?ect the policies and beliefs of Annals of Emergency Medicine and its editors. 0196-0644/$-see front matter Copyright © 2008 by the American College of Emergency Physicians. doi:10.1016/j.annemergmed.2008.07.001 Volume ??, ??. ? : October ???? Annals of Emergency Medicine 407[Ann Emerg Med (...) -language sources, human studies, adults, and years January 2000 to August 2006. Additional articles were reviewed from the bibliography of articles cited and from published textbooks and review articles. Subcommittee members supplied articles from their own ?les, and more recent articles identi?ed during the expert review process were also included. The reasons for developing clinical policies in emergency medicine and the approaches used in their development have been enumerated. 4 This policy

2008 Congress of Neurological Surgeons

54. Individualised funding interventions to improve health and social care outcomes for people with a disability

allocation system':ab,ti OR 'self-directed assessment':ab,ti OR 'self-directed care':ab,ti OR 'self-directed support':ab,ti OR 'support plan':ab,ti OR 'virtual budget':ab,ti OR 'disability living allowance':ab,ti OR 'self-determin*':ab,ti AND [1985-2015]/py Grey literature An international list of grey literature databases published by the Campbell Collaboration (Hammerstrøm et al., 2009) was consulted in the first instance. A US electronic database, run by The New York Academy of Medicine and dedicated (...) known as the Local Area Coordination charter which facilitated a mechanism for “Direct Consumer Funding” (Carter Anand et al., 2012b). Thus, individualised funding appears to have emerged for the first time, around the mid-eighties. For this reason, the searches of published literature were limited to the period 1985 – quarter 1 of 2016. For example, date filters were applied to the Scopus search results (Appendix 1). Other filters were also applied where necessary to refine the search

2019 Campbell Collaboration

55. Guidelines on Chronic Coronary Syndromes

navigation Article Navigation Article Contents Article Navigation 2019 ESC Guidelines for the diagnosis and management of chronic coronary syndromes: The Task Force for the diagnosis and management of chronic coronary syndromes of the European Society of Cardiology (ESC) Juhani Knuuti Finland Chairperson Corresponding authors: Juhani Knuuti, Department of Clinical Physiology, Nuclear Medicine and PET and Turku PET Centre, Turku University Hospital, Kiinamyllynkatu 4-8, FI-20520 Turku, Finland. Tel: +358 (...) 500 592 998, Email: . William Wijns, The Lambe Institute for Translational Medicine and Curam, National University of Ireland, Galway, University Road, Galway, H91 TK33, Ireland. Tel: +353 91 524411, Email: . Search for other works by this author on: , William Wijns Ireland Chairperson Corresponding authors: Juhani Knuuti, Department of Clinical Physiology, Nuclear Medicine and PET and Turku PET Centre, Turku University Hospital, Kiinamyllynkatu 4-8, FI-20520 Turku, Finland. Tel: +358 500 592 998

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2019 European Society of Cardiology

56. Guidelines on Supraventricular Tachycardia (for the management of patients with)

to comprehensively review the published evidence and to publish Guidelines on the management of patients with SVT, with up-to-date consensus recommendations for clinical practice. This document summarizes current developments in the field, with a focus on advances since the last ESC Guidelines were published, and provides general recommendations for the management of adults with SVT based on the principles of evidence-based medicine. 2.1 Evidence review Members of the Task Force were asked to perform a detailed (...) , and are more likely to have their condition first documented in the emergency department. In a paediatric cohort study of 1 967 911 live births between 2000–08, 2021 patients (51.6% male, overall incidence 1.03/1000) had SVT [Wolff−Parkinson−White (WPW) syndrome accounted for 16.2%]. By the age of 15 years, the annual risk of sudden death was 0.01% per patient-year. In specialized centres, AVNRT is the most frequently treated substrate after AF, followed by atrial flutter and AVRT, in patients referred

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2019 European Society of Cardiology

57. Supporting Rapid Learning and Improvement Across Ontario’s Health System

Unit, which has enabled the local implementation of the pan-Canadian strategy in Ontario by funding patient- oriented research and building capacity among patients, providers, policymakers and researchers to support the conduct and use of patient-oriented research.(5) Yet, Ontario’s health system still faces complex challenges, such as reducing emergency-room wait times, ending ‘hallway medicine,’ improving support for people with mental health and substance-use problems, and providing optimal care (...) across Ontario’s health system. Following this, we discuss three elements of a potentially comprehensive approach for addressing these challenges (including what is known from the best available research evidence about these elements), as well as key implementation considerations associated with each element. Definition of a rapid-learning health system The concept of a ‘learning healthcare system’ was originally developed by the U.S. Institute of Medicine (IoM). It was defined as a system in which

2019 McMaster Health Forum

58. Diagnosis and Management of Acute Pulmonary Embolism

V. Konstantinides, Center for Thrombosis and Hemostasis, Johannes Gutenberg University Mainz, Building 403, Langenbeckstr. 1, 55131 Mainz, Germany. Tel: +49 613 117 6255, Fax: +49 613 117 3456, Email: ; and Department of Cardiology, Democritus University of Thrace, 68100 Alexandroupolis, Greece. Email: . Guy Meyer, Respiratory Medicine Department, Hôpital Européen Georges Pompidou, 20 Rue Leblanc, 75015 Paris, France. Tel: +33 156 093 461, Fax: +33 156 093 255, Email: ; and Université Paris (...) Descartes, 15 rue de l'école de médecine 75006 Paris, France. Search for other works by this author on: , Guy Meyer Co-Chairperson France Corresponding authors: Stavros V. Konstantinides, Center for Thrombosis and Hemostasis, Johannes Gutenberg University Mainz, Building 403, Langenbeckstr. 1, 55131 Mainz, Germany. Tel: +49 613 117 6255, Fax: +49 613 117 3456, Email: ; and Department of Cardiology, Democritus University of Thrace, 68100 Alexandroupolis, Greece. Email: . Guy Meyer, Respiratory Medicine

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2019 European Society of Cardiology

59. Assessment of elevated creatinine

equations have been used for children, younger adults, middle-aged adults, and older adults. The FAS equation is based on normalised serum creatinine (SCr/Q), where Q is the median SCr from healthy populations to account for age and sex. FAS eGFR is presented as: eGFR = 107.3/SCr/Q for people aged ≥2 years and <40 years eGFR = (107.3/SCr/Q) x 0.988 (age-40) for people aged >40 years. Pitfalls in the use of eGFR values eGFR overestimates GFR in low GFR states (due to increased tubular secretion (...) disease states: for example, an increase of only urea levels and a combination of increased urea and creatinine levels, but not isolated elevated creatinine, were independent risk factors of death from acute coronary syndromes. Saygitov RT, Glezer MG, Semakina SV. Blood urea nitrogen and creatinine levels at admission for mortality risk assessment in patients with acute coronary syndromes. Emerg Med J. 2010 Feb;27(2):105-9. http://www.ncbi.nlm.nih.gov/pubmed/20156860?tool=bestpractice.com While

2018 BMJ Best Practice

60. Assessment of elevated creatinine

equations have been used for children, younger adults, middle-aged adults, and older adults. The FAS equation is based on normalised serum creatinine (SCr/Q), where Q is the median SCr from healthy populations to account for age and sex. FAS eGFR is presented as: eGFR = 107.3/SCr/Q for people aged ≥2 years and <40 years eGFR = (107.3/SCr/Q) x 0.988 (age-40) for people aged >40 years. Pitfalls in the use of eGFR values eGFR overestimates GFR in low GFR states (due to increased tubular secretion (...) disease states: for example, an increase of only urea levels and a combination of increased urea and creatinine levels, but not isolated elevated creatinine, were independent risk factors of death from acute coronary syndromes. Saygitov RT, Glezer MG, Semakina SV. Blood urea nitrogen and creatinine levels at admission for mortality risk assessment in patients with acute coronary syndromes. Emerg Med J. 2010 Feb;27(2):105-9. http://www.ncbi.nlm.nih.gov/pubmed/20156860?tool=bestpractice.com While

2018 BMJ Best Practice

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