Recent Features

Comparing Approaches to ACL Tears

Comparing Approaches to ACL Tears | Opinion Article

Value-based medicine has gained more attention in recent years, leading many providers and healthcare systems to focus on the cost effectiveness of services they offer. This focus is important in orthopedic surgery, where procedures like anterior cruciate ligament (ACL) reconstruction have high costs but can also potentially improve quality of life and functional ability.…

Resistance Exercise for Knee OA

Resistance Exercise for Knee OA | Feature

Resistance exercise appears to be an important component of a comprehensive regimen for treating patients with knee osteoarthritis (OA). Developing effective resistance exercise programs can help offset the physical and psychological limitations associated with knee OA.

The Cardiology Workforce Supply

The Cardiology Workforce Supply | Opinion Article

Previous workforce esti-mates implied that inadequate numbers of cardiologists were being trained to meet the needs of an expanding and older population of Americans. “There has been deep concern that a projected shortage in the cardiologist workforce could impact the care of patients with heart disease,” explains Patrick T.…

ICD Use in the Under-Represented

ICD Use in the Under-Represented | Feature

Experts have released a consensus statement on the use of implantable cardioverter defibrillators (ICDs) in patients who are not included or not well represented in clinical trials. The statement provides direction on ICD therapy for patient populations that are not specifically included in existing guidelines.

Including Gender in EM Research

Including Gender in EM Research | Opinion Article

Emerging data have demonstrated the value of gender-specific approaches in evaluating and managing health conditions, but it is unknown if emergency medicine (EM) has embraced the concept of ensuring that women are included in clinical research and that health outcomes are analyzed by gender.…

Neck Manipulation & Stroke Risk

Neck Manipulation & Stroke Risk | Feature

A scientific statement from the American Heart Association has found that manipulating the neck may lead to cervical dissection, a type of arterial tear that can lead to stroke. Healthcare providers are urged to inform patients of this association before they undergo neck manipulation.

Making the Case for Meningococcal Disease Prevention

Making the Case for Meningococcal Disease Prevention | Opinion Article

While relatively rare, meningococcal disease is a serious cause of morbidity and mortality, even when it is managed with state-of-the-art therapy. Meningococcal disease is often hard to diagnose in its early stages because it typically presents with only fever and malaise.…

Recommendations for Transcatheter Valve Programs

Recommendations for Transcatheter Valve Programs | Feature

A consensus document offers guidance on developing and maintaining a transcatheter mitral valve therapy program. It is intended to help providers and institutions establish the core competencies and technical skills that are needed to adequately perform these procedures.

Diagnosing Stroke in the ED

Diagnosing Stroke in the ED | Feature

Studies suggest that there are missed opportunities to diagnose cerebrovascular causes for stroke symptoms. “While traditional stroke symptoms are rarely missed,” says David E. Newman-Toker, MD, PhD, “clinicians can sometimes overlook or discount non-specific symptoms, such as dizziness or headache.”

Quantifying Misdiagnoses

In the journal Diagnosis, Dr.…

CPR Knowledge & Performance in the ED

CPR Knowledge & Performance in the ED | Feature

Among medical students and ED personnel with current CPR certification, there appears to be a need for improvement in the performance of some important technical aspects of CPR. More frequent reinforcement of CPR guidelines may be needed to ensure consistent, effective performance.

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