Emergency Medicine Alert articles from November 2001

Emergency Medicine Alert archives from November 2001

Non-operative management for abdominal gunshot wounds? (Abstract & Commentary).
November 1, 2001... Source: Velmahos GC, et al. Selective nonoperative management of 1856 patients with abdominal gunshot wounds: Should routine laparotomy still be the standard of care? Ann Surg 2001;234:396. THE AUTHORS PERFORMED A RETROSPECTIVE CHART REVIEW...

Trichomoniasis in pregnancy: to treat or not to treat? (Abstract & Commentary).
November 1, 2001... Source: Klebanoff MA, et al. Failure of metronidazole to prevent preterm delivery among pregnant women with asymptomatic trichomonas vaginalis infection. N Engl J Med 2001; 345:487-493. THIS LARGE, RANDOMIZED, DOUBLE-BLINDED TRIAL of...

Pneumococcal infection and antibiotic therapy. (Abstract & Commentary).
November 1, 2001... Source: Schrag S, et al. Effect of short-course, high-dose amoxicillin therapy on resistant pneumococcal carriage. JAMA 2001;286:49-56. Streptococcus pneumoniae BACTERIA COMMONLY colonize the nasopharynx of asymptomatic children. However,...

Pharmacologic treatment of hypertensive emergencies. (Special Feature).
November 1, 2001... HYPERTENSIVE EMERGENCIES GENERALLY ARE defined as situations that require immediate blood pressure reduction to prevent or limit damage to target organs. (1) The decision to treat an elevated blood pressure as a hypertensive emergency is...

CME questions.(continuing medical education questions)
November 1, 2001... 37. In patients with gunshot wounds to the abdomen: a. CT scan routinely should precede operative management. b. nonoperative management appears safe in patients who present with peritoneal signs, as long as broad-spectrum...

How many PACs? (ECG Review).(premature arterial contractions)
November 1, 2001... Clinical Scenario: The rhythm strip shows premature atrial contractions (PACs). How many PACs are seen on this tracing? Interpretation: This is a tricky tracing to interpret. The starting point (and perhaps the most difficult part of the...