Acute dyspnea is a common Emergency Department complaint; in 2003 this chief complaint comprised about 3.5% of more than 115 million emergency department visits nationwide. A subset of these patients will present in respiratory distress, which is associated with increased morbidity and mortality. Often it can be hard to determine the exact etiology of the shortness of breath in a timely fashion,
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Journal Review
Non-Invasive Positive Pressure Ventilation for Pre-Hospital Respiratory Distress
Core
Shoulder Dystocia
Impaction of the fetal anterior shoulder behind the maternal pubic symphysis. This disorder prevents progression of delivery.
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Peritonsillar Abscess
The suppurative end-point of bacterial infection that results in the development of pus between the palatine tonsil and its capsule.
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Cardiogenic Shock
Tissue hypoperfusion that is primarily attributable to damage to the heart.
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Journal Review
Biphasic Reactions in Emergency Department Patients with Allergic Reactions or Anaphylaxis
Background: Anaphylaxis is a condition that represents the best of Emergency Medicine: rapid onset of life-threatening symptoms that can be reversed with expeditious interventions. It is defined as the presence of any of the following:
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Infections in Pregnancy
There are a number of life-threatening, infectious complications of pregnancy including chorioamnionitis and septic abortion.
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Journal Review
Effect of Oximetry on Hospitalization in Bronchiolitis
Bronchiolitis is the leading cause of hospitalizations among infants in the United States. Hospitalizations for this disease have increased and it has been hypothesized that reliance on oximetry values may be at least partly responsible for the increase. There is no absolute consensus on whether supplemental oxygen is required in patients with saturations between 90-95%.
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