Articles: emergency-department.
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Pediatric emergency care · Sep 2013
Case ReportsStepping outside the box: an adolescent with a new-onset seizure.
First-time seizures are frightening to children and their families, but the practice parameter recommends minimal evaluation in the emergency department (ED) for the child who presents in a neurologically normal state. We report a 12-year-old girl with seizure whose evaluation in the ED included a computed tomographic scan, largely because of parental anxiety. Computed tomography demonstrated a cerebral cavernous hemangioma or cavernoma. Because of the high recurrence risk of seizures with cavernomas, she was discharged from the ED with a prescription for an antiepileptic drug.
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Clin Neurol Neurosurg · Sep 2013
The value of the use of plasma B-type natriuretic peptide among acute ischemic stroke patients in a Chinese emergency department.
To determine the value of the use of plasma B-type natriuretic peptide (BNP) among acute ischemic stroke patients in a Chinese emergency department (ED). ⋯ Plasma BNP level is significantly higher in CE patients than in other TOAST subtypes, and by using Biosite Triage(®)BNP POCT platform, emergency physicians should strongly consider CE subtype with the plasma BNP level of over 66.50 pg/ml. However, the single BNP biomarker panel cannot be used to confidently rule out or identify stroke subtypes as a diagnosis and must be taken in context with clinical assessment and judgment before making management decisions in the ED.
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Ann Fr Anesth Reanim · Sep 2013
[Evaluation of stress among emergency staff: Survey in a Tunisian emergency department.]
The objectives of this work were to make an inventory of the stress level, to detect various stressors and to describe the working conditions as perceived by staff to pinpoint the factors that might be changed. ⋯ This study could be used to show the importance of preventing this emotional exhaustion in order to improve the quality of health care providers but also the care given in this service.
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Pediatric emergency care · Sep 2013
Case ReportsSodium Channel Blockade With QRS Widening After an Escitalopram Overdose.
Escitalopram is rarely associated with prolongation of the QTc interval; however, there are no reported cases of QRS complex widening associated with escitalopram overdose. We report a case of a patient who presented with both QRS complex widening and QTc interval prolongation after an escitalopram overdose. ⋯ Both QRS complex widening and QTc interval prolongation should be monitored in cases of escitalopram and citalopram overdoses.
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Information needs of clinicians and non-clinicians in the Emergency Department: a qualitative study.
Identifying the information needs of Emergency Department (ED) staff and sources of information that they use can help to improve efficiency and effectiveness in the ED. As Emergency Medicine has unique characteristics, information needs of the Emergency Department (ED) staff might be different from other settings. However, few studies have investigated the information needs of ED staff and the sources of information that they use. ⋯ The variety of information used in the ED shows task complexity in this department which might not be simply addressed by technology. Further research is needed to identify how computerised information systems can be improved to meet users' information needs in the ED.