Emergency medicine clinics of North America

Publications in this journal

• Article: Dental and related infections.

  Alan Hodgdon
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  ABSTRACT: Emergency physicians should be comfortable treating most dental and related infections. In this article, we outline recommended techniques to perform a dental examination, explore common pathologies, recommend pain and antibiotic management strategies and review common pitfalls. How to avoid overprescribing opioid analgesics is discussed in depth, along with recent studies to support this strategy.
  Emergency medicine clinics of North America 05/2013; 31(2):465-80.
• Article: Management of facial fractures.

  Kim A Boswell
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  ABSTRACT: This article presents up-to-date information for the emergency medicine community on several patterns of facial fractures and their associated injuries. The article contains information about the anatomic structure and pathologic injuries that occur in the setting of facial trauma and guides the emergency medicine community in the thorough physical and diagnostic evaluation, emergent treatment, and proper surgical or outpatient treatment.
  Emergency medicine clinics of North America 05/2013; 31(2):539-51.
• Article: Preface.

  Alisa M Gibson, Kip R Benko
  Emergency medicine clinics of North America 05/2013; 31(2):xiii-xiv.
• Article: Evaluation and management of oral lesions in the emergency department.

  Alisa M Gibson, Sarah K Sommerkamp
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  ABSTRACT: This article reviews the emergency diagnosis and treatment of oral lesions. It presents a framework for developing a differential diagnosis based on the color of the lesions, describes emergency department interventions, and identifies pitfalls for the emergency physician.
  Emergency medicine clinics of North America 05/2013; 31(2):455-63.
• Article: Salivary gland emergencies.

  Matthew A Armstrong, Michael A Turturro
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  ABSTRACT: Salivary gland disorders are uncommon in the emergency department setting. Given the vast differential that spans infectious, autoimmune, neoplastic, and metabolic processes, they can pose a diagnostic challenge even to skilled clinicians. There is a paucity of evidence-based data regarding the management of these disorders with frequent incongruence between specific sources. Although by no means exhaustive or absolute, this article reconciles existing literature and serves as a concise and informative guide to salivary gland disorders encountered by the emergency care practitioner.
  Emergency medicine clinics of North America 05/2013; 31(2):481-99.
• Article: Head, eyes, ears, nose, and throat emergencies.

  Amal Mattu
  Emergency medicine clinics of North America 05/2013; 31(2):xi-xii.
• Article: Facial wound management.

  Frank Sabatino, Joshua B Moskovitz
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  ABSTRACT: This article presents an overview of facial wound management, beginning with a brief review of basic anatomy of the head and face as it relates to wound care. Basic wound management is discussed, and techniques for repairing specific cosmetically high-risk areas of the face, particularly the eyes, lips, and ears, are reviewed. Also described are the proper techniques for the management of an auricular hematoma.
  Emergency medicine clinics of North America 05/2013; 31(2):529-38.
• Article: Earache.

  Keith Conover
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  ABSTRACT: Earache, a common emergency department presentation, may be caused by a variety of conditions, some distant from the ear. This article discusses the diagnosis and treatment of acute otitis media, otitis media with effusion, otitis externa, otitis media with ruptured tympanic membrane or tympanostomy tubes, malignant otitis externa, mastoiditis and petrositis, traumatic ruptured tympanic membrane, cerumen impactions, and foreign bodies in the ears.
  Emergency medicine clinics of North America 05/2013; 31(2):413-42.
• Article: Epistaxis: an overview.

  Zachary A Kasperek, Gary F Pollock
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  ABSTRACT: This article provides a review of epistaxis for the emergency clinician. The anatomy, incidence, etiology, diagnosis, and management of posterior and anterior epistaxis are discussed.
  Emergency medicine clinics of North America 05/2013; 31(2):443-54.
• Article: Mandible fractures and dental trauma.

  John M Murray
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  ABSTRACT: Appropriate and timely management of traumatic injury to the teeth and their supporting structures plays an important role in determining long-term outcome. This article reviews the relevant anatomy and describes the initial diagnosis and treatment approach to dentoalveolar traumatic injury and fractures of the mandible. Procedures for initial stabilization and appropriate referral are also discussed.
  Emergency medicine clinics of North America 05/2013; 31(2):553-73.
• Article: Ocular trauma and other catastrophes.

  Victoria M Romaniuk
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  ABSTRACT: Trauma is one of the leading causes of monocular blindness worldwide. Recognizing, evaluating, and managing vision-threatening injuries, such as globe rupture, retrobulbar hemorrhage, intraocular foreign bodies, and hyphemas, are paramount for emergency physicians to reduce the risk of vision loss and other complications. Other emergent ocular complaints, such as acute-angle closure glaucoma, and retinal detachment also require temporizing emergency management that can reduce complications while awaiting definitive specialty care. Understanding these conditions and evidence-based management will enable the emergency physician to provide the most up-to-date standard of care.
  Emergency medicine clinics of North America 05/2013; 31(2):399-411.
• Article: Ocular inflammation and infection.

  Jonathon P Deibel, Kathleen Cowling
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  ABSTRACT: Ocular inflammation and infection may involve any part of the eye and surrounding tissue. A complete examination, including visual acuity, extraocular movements, pupillary response, slit lamp examination, and fluorescein staining, is often required to establish the diagnosis. Pain relief may be achieved with oral analgesics and cycloplegics. In most cases, prompt follow-up is required.
  Emergency medicine clinics of North America 05/2013; 31(2):387-97.
• Article: Emergency evaluation and management of the sore throat.

  Angela R Cirilli
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  ABSTRACT: Although sore throat is a very common complaint in the emergency department and is often associated with benign conditions, such as pharyngitis, it can be the early onset of something much more serious and even life threatening. A thorough history and examination are vital to the correct diagnosis but a high index of suspicion must be maintained to diagnose less common but serious pathology, such as epiglottitis and retropharyngeal abscess. Airway management is paramount to survival, and aggressive means should be taken early when epiglottitis is considered.
  Emergency medicine clinics of North America 05/2013; 31(2):501-15.
• Article: Regional nerve blocks of the face.

  Joshua B Moskovitz, Frank Sabatino
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  ABSTRACT: Regional nerve blocks of the face are important skills every emergency physician ought to know. Facial anesthesia improves cosmetic outcomes, reduces pain, and improves patient satisfaction. Understanding the anatomy of the head and face is essential to the application of regional anesthesia, and this anatomy will be reviewed in depth. By completion of this article, physicians should appreciate the basics of the various nerve blocks of the head and face to repair any laceration.
  Emergency medicine clinics of North America 05/2013; 31(2):517-27.
• Article: Ultrasound-guided procedures in the emergency department-diagnostic and therapeutic asset.

  Alfredo Tirado, Teresa Wu, Vicki E Noble, Calvin Huang, Resa E Lewiss, Jennifer A Martin, Michael C Murphy, Adam Sivitz
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  ABSTRACT: Bedside ultrasound is an extremely valuable and rapidly accessible diagnostic and therapeutic modality in potentially life- and limb-threatening situations in the emergency department. In this report, the authors discuss the role of ultrasound in quick assessment of pathologic conditions and its use to aid in diagnostic and therapeutic interventions.
  Emergency medicine clinics of North America 02/2013; 31(1):117-49.
• Article: Critical ENT Skills and Procedures in the Emergency Department.

  Jorge L Falcon-Chevere, Laureano Giraldez, Jose O Rivera-Rivera, Tito Suero-Salvador
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  ABSTRACT: Injuries and illness to the ears, nose, and throat are frequently seen in the emergency department. The emergency medicine physician must be proficient in recognizing these injuries and their associated complications and be able to provide appropriate management. This article discusses the most common otorrhinolaringologic procedures in which emergency physicians must be proficient for rapid intervention to preserve function and avoid complications. A description of each procedure is discussed, as well as the indications, contraindications, equipment, technique and potential complications.
  Emergency medicine clinics of North America 02/2013; 31(1):29-58.
• Article: Critical obstetric and gynecologic procedures in the emergency department.

  Joanna Mercado, Isabel Brea, Brian Mendez, Hilsa Quinones, David Rodriguez
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  ABSTRACT: Obstetric and gynecologic emergencies are common reasons for emergency department visits. Therefore, emergency physicians must be proficient in the management and treatment of these emergencies. This article reviews critical procedures and provides an overview of each procedure and the indications, contraindications, technique, and potential complications.
  Emergency medicine clinics of North America 02/2013; 31(1):207-36.
• Article: Ultrasound-guided procedures in the emergency department-needle guidance and localization.

  Alfredo Tirado, Arun Nagdev, Charlotte Henningsen, Pav Breckon, Kris Chiles
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  ABSTRACT: Ultrasound has rapidly become an essential tool in the emergency department, specifically in procedural guidance. Its use has been demonstrated to improve the success rate of procedures, while decreasing complications. In this article, we explore some of these specific procedures involving needle guidance and structure localization with ultrasound.
  Emergency medicine clinics of North America 02/2013; 31(1):87-115.
• Article: Critical skills and procedures in emergency medicine: vascular access skills and procedures.

  Gemma C Lewis, Stephanie A Crapo, Jefferson G Williams
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  ABSTRACT: The venous and/or arterial vasculature may be accessed for fluid resuscitation, testing and monitoring, administration of blood product or medication, or procedural reasons, such as the implantation of cardiac pacemaker wires. Accessing the vascular system is a common and often critically important step in emergency patient care. This article reviews methods for peripheral, central venous, and arterial access and discusses adjunct skills for vascular access such as the use of ultrasound guidance, and other forms of vascular access such as intraosseus and umbilical cannulation, and peripheral venous cut-down. Mastery of these skills is critical for the emergency medicine provider.
  Emergency medicine clinics of North America 02/2013; 31(1):59-86.
• Article: Critical urologic skills and procedures in the emergency department.

  Maria R Ramos-Fernandez, Roberto Medero-Colon, Lorraine Mendez-Carreno
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  ABSTRACT: The evaluation and management of genitourinary emergencies is a fundamental component of the training and practice of emergency physicians. Urologic procedures are common in the emergency room. Emergency physicians play a vital role in the initial evaluation and treatment because delays in management can lead to permanent damage. This article discusses the most common urologic procedures in which emergency physicians must be proficient for rapid intervention to preserve function and avoid complications. An overview of each procedure is discussed as well as indications, contraindications, equipment, technique, and potential complications.
  Emergency medicine clinics of North America 02/2013; 31(1):237-60.