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Intravenous Magnesium Sulfate for Acute Asthma Exacerbations - FPIN's Clinical ...

Jan 15, 2019 - Patients presenting to the emergency department with an acute asthma exacerbation that has not responded to first-line therapy (bronchodilators and corticosteroids) can be treated effectively with intravenous magnesium sulfate.

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2019/0115/p127.html

Oncologic Emergencies: Recognition and Initial Management - American Family Physician

Jun 1, 2018 - Most oncologic emergencies can be classified as metabolic, hematologic, structural, or treatment related. Tumor lysis syndrome is a metabolic emergency that presents as severe electrolyte abnormalities. Stabilization is focused on vigorous rehydration, maintaining urine output, and ...

American Family Physician : Article

https://www.aafp.org/afp/2018/0601/p741.html

Primary Closure of Animal Bites - FPIN's Help Desk Answers - American Family Physician

May 1, 2018 - Dog bites can have a primary closure at the time of injury. Primary closure of dog bites does not increase the rate of wound infections compared with nonclosure.

American Family Physician : FPIN's Help Desk Answers

https://www.aafp.org/afp/2018/0501/od2.html

Hyperosmolar Hyperglycemic State - American Family Physician

Dec 1, 2017 - Hyperosmolar hyperglycemic state is a life-threatening emergency manifested by marked elevation of blood glucose and hyperosmolarity with little or no ketosis. Although there are multiple precipitating causes, underlying infections are the most common. Other causes include certain ...

American Family Physician : Article

https://www.aafp.org/afp/2017/1201/p729.html

No Added Benefit with Higher Doses of Ketorolac for Treatment of Acute Pain in the ...

Aug 15, 2017 - A 10-mg dose of ketorolac is as effective as higher doses for the short-term treatment of acute pain for patients in the emergency department.

American Family Physician : POEMs

https://www.aafp.org/afp/2017/0815/p262.html

Laceration Repair: A Practical Approach - American Family Physician

May 15, 2017 - The goals of laceration repair are to achieve hemostasis and optimal cosmetic results without increasing the risk of infection. Many aspects of laceration repair have not changed over the years, but there is evidence to support some updates to standard management. Studies have been ...

American Family Physician : Article

https://www.aafp.org/afp/2017/0515/p628.html

Severe Asymptomatic Hypertension: Evaluation and Treatment - American Family Physician

Apr 15, 2017 - Hypertension affects one-third of Americans and is a significant modifiable risk factor for cardiovascular disease, stroke, renal disease, and death. Severe asymptomatic hypertension is defined as severely elevated blood pressure (180 mm Hg or more systolic, or 110 mm Hg or more ...

American Family Physician : Article

https://www.aafp.org/afp/2017/0415/p492.html

Acute Coronary Syndrome: Current Treatment - American Family Physician

Feb 15, 2017 - Acute coronary syndrome continues to be a significant cause of morbidity and mortality in the United States. Family physicians need to identify and mitigate risk factors early, as well as recognize and respond to acute coronary syndrome events quickly in any clinical setting. Diagnosis ...

American Family Physician : Article

https://www.aafp.org/afp/2017/0215/p232.html

Alpha-adrenergic Agonists for the Management of Opioid Withdrawal - Medicine by the ...

Jan 1, 2017 - Alpha-adrenergic agonists were more efficacious than placebo in the management of opioid withdrawal, but are best reserved as an alternative to methadone.

American Family Physician : Medicine by the Numbers

https://www.aafp.org/afp/2017/0101/od1.html

AHA Updates Guidelines for CPR and Emergency Cardiovascular Care - Practice Guidelines ...

May 1, 2016 - This summary practice guideline from the American Heart Association focuses on adult and child basic life support and CPR quality, as well as alternative CPR techniques.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2016/0501/p791.html

Tap Water vs. Sterile Saline for Wound Irrigation - Medicine by the Numbers - American ...

Aug 1, 2015 - Studies show that there was no significant difference and none were harmed by using tap water. Find out more.

American Family Physician : Medicine by the Numbers

https://www.aafp.org/afp/2015/0801/od1.html

Dog and Cat Bites - American Family Physician

Aug 15, 2014 - Animal bites account for 1% of all emergency department visits in the United States and more than $50 million in health care costs per year. Most animal bites are from a dog, usually one known to the victim. Most dog bite victims are children. Bite wounds should be cleaned, copiously ...

American Family Physician : Article

https://www.aafp.org/afp/2014/0815/p239.html

Treatment of Jellyfish Envenomation - FPIN's Clinical Inquiries - American Family ...

May 15, 2014 - There is limited patient-oriented evidence upon which to base recommendations for treatment of jellyfish envenomation. Patients should be removed from the water, and an attempt should be made to prevent the discharge of adherent nematocysts (i.e., microscopic stinging cells), remove ...

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2014/0515/od1.html

Hypothermia for Neuroprotection in Adults After Cardiopulmonary Resuscitation - ...

Sep 1, 2010 - Compared with standard care, therapeutic hypothermia with conventional cooling methods improves the rate of survival to hospital discharge and neurologic outcome in patients successfully resuscitated after cardiac arrest.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2010/0901/p477.html

Burns (Minor Thermal) - Clinical Evidence Handbook - American Family Physician

Jun 15, 2010 - What are the effects of treatments for minor thermal burns?

American Family Physician : Clinical Evidence Handbook

https://www.aafp.org/afp/2010/0615/p1437.html

Envenomations: An Overview of Clinical Toxinology for the Primary Care Physician - ...

Oct 15, 2009 - About 4,000 to 6,000 venomous snakebites occur each year in the United States. Although these envenomations (also known as envenomings) are rarely fatal, about 70 percent require antivenom therapy. Few evidence-based guidelines are available for the management of envenomation. Antivenom...

American Family Physician : Article

https://www.aafp.org/afp/2009/1015/p793.html

Essentials of Skin Laceration Repair - American Family Physician

Oct 15, 2008 - Skin laceration repair is an important skill in family medicine. Sutures, tissue adhesives, staples, and skin-closure tapes are options in the outpatient setting. Physicians should be familiar with various suturing techniques, including simple, running, and half-buried mattress (corner)...

American Family Physician : Article

https://www.aafp.org/afp/2008/1015/p945.html

Does Limiting Interruptions During Cardiac Resuscitation Improve Outcomes - AFP Journal...

Oct 1, 2008 - Does the ACLS recommendation to limit interruptions during cardiac resuscitation improve outcomes for patients with cardiac arrest? It is a reasonable recommendation, but success rates in this study may be too good to believe.

American Family Physician : AFP Journal Club

https://www.aafp.org/afp/2008/1001/p804.html

ACEP Policy on N-acetylcysteine for Acetaminophen Overdose - Practice Guidelines - ...

May 15, 2008 - A subcommittee of the American College of Emergency Physicians (ACEP) has released a policy regarding indications for N-acetylcysteine in patients with acetaminophen overdose who can be risk stratified by the Rumack-Matthew nomogram, and for those who cannot.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2008/0515/p1464.html

ACEP policy on HBO2 for acute CO poisoning - Practice Guidelines - American Family ...

Mar 15, 2008 - The American College of Emergency Physicians (ACEP) has reviewed literature to determine whether adults presenting to the emergency department with acute symptomatic carbon monoxide (CO) poisoning should be treated with hyperbaric oxygen (HBO2) therapy, and whether clinical or ...

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2008/0315/p863.html

AAP Releases Guidelines on Treatment of Anaphylaxis - Practice Guidelines - American ...

Oct 15, 2007 - The American Academy of Pediatrics (AAP) has released guidelines on the treatment of anaphylaxis. Epinephrine is an effective treatment option for anaphylaxis if it is injected into the lateral leg immediately.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2007/1015/p1230.html

Management of Foreign Bodies in the Skin - American Family Physician

Sep 1, 2007 - Although puncture wounds are common, retained foreign bodies are not. Wounds with a foreign body sensation should be evaluated. The presence of wood or vegetative material, graphite or other pigmenting materials, and pain is an indication for foreign body removal. Radiography may be ...

American Family Physician : Article

https://www.aafp.org/afp/2007/0901/p683.html

Treatment of Oncologic Emergencies - American Family Physician

Dec 1, 2006 - Most oncologic emergencies can be classified as metabolic, hematologic, structural, or side effects from chemotherapy agents. Tumor lysis syndrome is a metabolic emergency that presents as severe electrolyte abnormalities. The condition is treated with allopurinol or urate oxidase to ...

American Family Physician : Article

https://www.aafp.org/afp/2006/1201/p1873.html

2005 AHA Guidelines for CPR and Emergency Cardiac Care - Practice Guidelines - American...

May 1, 2006 - The American Heart Association (AHA) recently released new guidelines for cardiopulmonary resuscitation (CPR) and emergency cardiac care.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2006/0501/p1644.html

Out-of-Hospital Cardiac Arrest and Use of Automated External Defibrillators - ...

Mar 15, 2006 - Advertisement << Previous article Next article >> Mar 15, 2006 Issue Editorials Out-of-Hospital Cardiac Arrest and Use of Automated External Defibrillators DEBORAH K. WITT, M.D., and CHRISTOPHER V. CHAMBERS, M.D.,Thomas Jefferson University Jefferson, Medical College, Philadelphia,...

American Family Physician : Editorials

https://www.aafp.org/afp/2006/0315/p977.html

AAP Recommendations for Treating Children After a Disaster - Practice Guidelines - ...

Jan 15, 2006 - The American Academy of Pediatrics (AAP) has released a clinical report recommending a course of action in treating children who have experienced or witnessed a disaster. After a disaster, children may experience a range of symptoms, from mild stress reactions to more severe cases of ...

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2006/0115/p344.html

Acute Treatment of Hyperkalemia - Cochrane for Clinicians - American Family Physician

Nov 1, 2005 - According to disease-oriented evidence, insulin and intravenous glucose, inhaled albuterol (Ventolin), and dialysis are the best treatment options; the first two may be given in combination. Bicarbonate or resins are not recommended for routine use, particularly without one of the more ...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2005/1101/p1703.html

AHA Advisory Statement on Public Access Defibrillator - Practice Guidelines - American ...

Nov 1, 2005 - The American Heart Association (AHA) has released an advisory statement to highlight the findings of the Public Access Defibrillation Trial, which studied the effects of lay rescuer automated external defibrillators (public access defibrillation).

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2005/1101/p1913.html

Management of Heatstroke and Heat Exhaustion - American Family Physician

Jun 1, 2005 - Heat exhaustion and heatstroke are part of a continuum of heat-related illness. Both are common and preventable conditions affecting diverse patients. Recent research has identified a cascade of inflammatory pathologic events that begins with mild heat exhaustion and, if uninterrupted, ...

American Family Physician : Article

https://www.aafp.org/afp/2005/0601/p2133.html

Pain and Anxiety Treatment in Children During Emergencies - Practice Guidelines - ...

Feb 15, 2005 - Advertisement << Previous article Next article >> Feb 15, 2005 Issue Practice Guideline Briefs CARRIE MORANTZ BRIAN TORREY Am Fam Physician. 2005 Feb 15;71(4):810. Pain and Anxiety Treatment in Children During Emergencies The Committee on Pediatric Emergency Medicine and the Section...

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2005/0215/p810.html

Management of Epistaxis - American Family Physician

Jan 15, 2005 - Family physicians frequently encounter patients with epistaxis (nasal bleeding). In rare cases, this condition may lead to massive bleeding and even death. Although epistaxis can have an anterior or posterior source, it most often originates in the anterior nasal cavity. A directed ...

American Family Physician : Article

https://www.aafp.org/afp/2005/0115/p305.html

Procedural Sedation in the Acute Care Setting - American Family Physician

Jan 1, 2005 - Many patients require sedation during diagnostic or therapeutic procedures. Ideally, procedural sedation minimizes the patient's awareness and discomfort while maintaining the patient's safety. Appropriate monitoring by trained personnel is the key to successful procedural sedation. ...

American Family Physician : Article

https://www.aafp.org/afp/2005/0101/p85.html

Management of Corneal Abrasions - American Family Physician

Jul 1, 2004 - Corneal abrasions result from cutting, scratching, or abrading the thin, protective, clear coat of the exposed anterior portion of the ocular epithelium. These injuries cause pain, tearing, photophobia, foreign body sensation, and a gritty feeling. Symptoms can be worsened by exposure ...

American Family Physician : Article

https://www.aafp.org/afp/2004/0701/p123.html

Poisoning, Envenomation, and Trauma from Marine Creatures - American Family Physician

Feb 15, 2004 - In the course of their clinical work or during leisure activity, family physicians occasionally may encounter patients with injuries from marine creatures. Poisoning, envenomation, and direct trauma are all possible in the marine environment. Ciguatera poisoning can result from ...

American Family Physician : Article

https://www.aafp.org/afp/2004/0215/p885.html

AAP Releases Policy Statement on Poison Treatment in the Home - Practice Guidelines - ...

Feb 1, 2004 - The American Academy of Pediatrics (AAP) has released a statement about poisoning in the home. According to the American Association of Poison Control Centers (AAPCC), approximately 1.2 million children younger than six years ingest a poisonous substance each year.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2004/0201/p741.html

Splinter Removal - American Family Physician

Jun 15, 2003 - Splinter injuries are common, but larger and deeper splinters are often difficult and painful to remove at home. These splinters often present as a foreign body embedded in the superficial or subcutaneous soft tissues. Whenever possible, reactive objects like wood, thorns, spines, and ...

American Family Physician : Article

https://www.aafp.org/afp/2003/0615/p2557.html

The 'Crashing Asthmatic' - American Family Physician

Mar 1, 2003 - Asthma is a common chronic disorder, with a prevalence of 8 to 10 percent in the U.S. population. From 5 to 10 percent of patients have severe disease that does not respond to typical therapeutic interventions. To prevent life-threatening sequelae, it is important to identify patients ...

American Family Physician : Article

https://www.aafp.org/afp/2003/0301/p997.html

Common Dental Emergencies - American Family Physician

Feb 1, 2003 - Dental caries, a bacterial disease of teeth characterized by destruction of enamel and dentine, is often the underlying cause of dental pain. When a carious lesion impinges on the dental pulp, pulpitis follows and, ultimately, necrosis of the pulp occurs. Untreated necrosis may lead to ...

American Family Physician : Article

https://www.aafp.org/afp/2003/0201/p511.html

The Mattress Sutures: Vertical, Horizontal, and Corner Stitch - American Family Physician

Dec 15, 2002 - The interrupted vertical and horizontal mattress suture techniques are two of the most commonly used skin closure methods. These mattress sutures promote wound edge eversion and less prominent scarring. Vertical and horizontal mattress sutures allow for skin edges to be closed under ...

American Family Physician : Article

https://www.aafp.org/afp/2002/1215/p2231.html

Treatment of Ethylene Glycol Poisoning - American Family Physician

Sep 1, 2002 - Ingestion of ethylene glycol may be an important contributor in patients with metabolic acidosis of unknown cause and subsequent renal failure. Expeditious diagnosis and treatment will limit metabolic toxicity and decrease morbidity and mortality. Ethylene glycol poisoning should be ...

American Family Physician : Article

https://www.aafp.org/afp/2002/0901/p807.html

Venomous Snakebites in the United States: Management Review and Update - American ...

Apr 1, 2002 - Venomous snakebites, although uncommon, are a potentially deadly emergency in the United States. Rattlesnakes cause most snakebites and related fatalities. Venomous snakes in the United States can be classified as having hemotoxic or neurotoxic venom. Patients with venomous snakebites ...

American Family Physician : Article

https://www.aafp.org/afp/2002/0401/p1367.html

The V-Y Plasty in the Treatment of Fingertip Amputations - American Family Physician

Aug 1, 2001 - Fingertip amputations are injuries commonly seen by family physicians. The classification of fingertip injuries corresponds with the normal anatomy of the tip of the digit. There are three zones of injury; the V-Y plasty technique is used to repair zone II injuries. The plane of the ...

American Family Physician : Article

https://www.aafp.org/afp/2001/0801/p455.html

Fishhook Removal - American Family Physician

Jun 1, 2001 - Fishing is a common recreational sport. While serious injuries are uncommon, penetrating tissue trauma involving fishhooks frequently occurs. Most of these injuries are minor and can be treated in the office without difficulty. All fishhook injuries require careful evaluation of ...

American Family Physician : Article

https://www.aafp.org/afp/2001/0601/p2231.html

Ambulatory Management of Burns - American Family Physician

Nov 1, 2000 - Burns often happen unexpectedly and have the potential to cause death, lifelong disfigurement and dysfunction. A critical part of burn management is assessing the depth and extent of injury. Burns are now commonly classified as superficial, superficial partial thickness, deep partial ...

American Family Physician : Article

https://www.aafp.org/afp/2000/1101/p2015.html

Using Tissue Adhesive for Wound Repair: A Practical Guide to Dermabond. - American ...

Mar 1, 2000 - Dermabond is a cyanoacrylate tissue adhesive that forms a strong bond across apposed wound edges, allowing normal healing to occur below. It is marketed to replace sutures that are 5-0 or smaller in diameter for incisional or laceration repair. This adhesive has been shown to save time ...

American Family Physician : Article

https://www.aafp.org/afp/2000/0301/p1383.html

Pediatric Advanced Life Support: A Review of the AHA Recommendations - American Family ...

Oct 15, 1999 - The etiologies of respiratory failure, shock, cardiopulmonary arrest and dysrhythmias in children differ from those in adults. In 1988, the American Heart Association implemented the pediatric advanced life support (PALS) program. Major revisions to the program were made in 1994, with ...

American Family Physician : Article

https://www.aafp.org/afp/1999/1015/p1743.html

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