La Revue du praticien
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La Revue du praticien · Dec 2001
Biography Historical Article[The hypersomnia of Ambroise Vollard, exceptional art dealer and editor].
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Respiratory distress in childhood is a frequent cause of admission to the emergency department. The initial management requires a rapid clinical evaluation in order to initiate appropriate interventions, which will improve respiratory status, and avoid cardiac arrest and hypoxic encephalopathy. ⋯ The diagnostic of an inhaled foreign body must always be suspected. Prevention is based upon information given to families, as well as the medical community, which often minimises the seriousness of inhalation hazards.
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In patients with acute gastrointestinal bleeding, initial management includes emergency cares to restore or maintain circulatory stability, while the endoscopic examinations often determine the origin of bleeding. The most recent advances in this management concern early administration of proton pump inhibitors in bleeding ulcers, early administration of vasoactive drugs in patients with acute bleeding related to portal hypertension and the development of endoscopic therapy reducing the need for surgery. In all cases, an efficient collaboration between emergency physicians, gastroenterologist and surgeon is needed.
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Acute abdominal pain is frequent and often distressing. This symptom must start a clinical investigation with mostly questioning and abdominal palpation for correct diagnosis and decision making. Half of the patients have either appendicitis or non-specific abdominal pain.