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ACEP Rejects “Excited Delirium”

ACEP Now

In 2009, the Excited Delirium Task Force convened by an ACEP Council resolution authored a white paper that endorsed the existence of excited delirium syndrome and made recommendations for identifying and managing it clinically. In a comprehensive review of the history of this term, Bhatia, et al.

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Headlice

Don't Forget the Bubbles

They are about the size of a pinhead, pearly white and take about 7–10 days to mature into adult lice. BAD advises that the comb be immediately cleaned after each pass to remove lice and eggs by wiping on clean white paper or cloth. Clinical trials report cure rates of 38% and 52% at 14/15 days [ Roberts et al.

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Tips for Working With Interpreters in the Emergency Department

ACEP Now

Clinical Case Your next patient is a Spanish-speaking 24-year-old female who begins by telling you that she is embarazada. Census Bureau, 60.6 million Americans (approximately 20.8 1,2 Medical interpreters (as opposed to translators who work with the written word), are essential to bridging the language gap. emergencies, patient’s request).

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Pain Management of Common Chief Complaints in the ED

EMDocs

The pain is worse with deep breaths, coughing, or certain movements, and improves with rest and nonsteroidal anti-inflammatory drugs (NSAIDs). A 45-year-old male presents to the ED after a motor vehicle collision where he was the restrained driver. He reports severe, localized chest pain, worsened by breathing, coughing, and movement.

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