Recent Features

Managing Migraine in the ED

Managing Migraine in the ED | Feature

Research has shown that management of migraine in the ED setting is suboptimal. Imaging practices and treatments vary widely, but coordinated efforts may help optimize outcomes for these patients.

Post-Op Pain in Pediatric Urology

Post-Op Pain in Pediatric Urology | Opinion Article

Management of pain is a critical aspect of postoperative care in pediatric urology. Currently, clinicians who aim to control postoperative pain in children use a combination of both opioids and anti-inflammatory drugs. Regional anesthesia with a caudal block is another effective pain management technique that is used in pediatric urology, but these blocks only last 6 to 8 hours unless an indwelling caudal catheter is used.…

An Update on Managing IBS & CIC

An Update on Managing IBS & CIC | Feature

The American College of Gastroenterology has released an updated monograph on the management of IBS and chronic idiopathic constipation. The monograph also uses recent scientific evidence to shed light on traditional interventions.

Heart Disease, Sex Differences, & Mental Stress

Heart Disease, Sex Differences, & Mental Stress | Opinion Article

Clinical research has demonstrated that there is a relationship between mental stress and cardiovascular diseases, including ischemic heart disease (IHD). Studies indicate that emotional stress is associated with IHD and has been linked to clinical events, but few investigations have explored sex-specific differences in the psychobiological responses to mental stress.…

Examining the Timing of ED Return Visits

Examining the Timing of ED Return Visits | Opinion Article

In 2012, CMS implemented reimbursement penalties for hospitals with excessive inpatient readmissions for patients with several diagnoses. As a result, many interventions have been developed in an effort to reduce inpatient readmissions. Though there are currently no similar penalties for recurrent ED visits, there has been increasing attention on tracking and reducing 72-hour ED returns.…

POLST & Emergency Medicine: Considering the Issues

POLST & Emergency Medicine: Considering the Issues | Feature

Physician Orders for Life-Sustaining Treatment (POLST) is increasingly being used to communicate end-of-life care preferences for the seriously ill and frail. Although designed to be as clear as possible, there may be unexpected challenges in interpreting and using POLST in the ED.

Guidelines for Managing ACL Injuries

Guidelines for Managing ACL Injuries | Opinion Article

Anterior cruciate ligament (ACL) tears are among the most common injuries that occur in athletes participating in high-demand sports. Research has shown that people who suffer these injuries are at higher risk for developing arthritis later in life, and women are more likely to suffer an ACL injury with certain sports when compared with men.…

Bariatric Surgery: Looking at Long-Term Follow-Up

Bariatric Surgery: Looking at Long-Term Follow-Up | Opinion Article

Many published studies on bariatric surgery are retrospective, short-term analyses with insufficient follow-up. “Obesity is a chronic illness that is linked to important comorbidities,” says Nancy Puzziferri, MD, MS. “Obesity treatments need to be assessed in long-term studies, particularly for invasive procedures like bariatric surgery.”

There is plenty of short-term evidence about the benefits and risks of bariatric surgery for up to 1 year after the procedure, but few data are available about long-term outcomes.…

Guidelines for Methadone Safety

Guidelines for Methadone Safety | Feature

The American Pain Society has released guidelines on methadone safety, providing recommendations developed by a multidisciplinary expert panel. Clinical skills and knowledge on the safe use of methadone are imperative to mitigating potential risks.

Echocardiography Use in Pediatric Heart Patients

Echocardiography Use in Pediatric Heart Patients | Opinion Article

With the rapid advance-ment of cardiovascular imaging technologies, it is important for physicians to understand how best to incorporate these options into clinical care and how to choose between imaging modalities. Recently, the American College of Cardiology, the Society for Cardiovascular Angiography and Interventions, and other expert societies released the first appropriate use criteria (AUC) for suspected heart disease in pediatric patients.…

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