ACEP Now
DECEMBER 7, 2024
Approximately 60,000 to 100,000 patients die from pulmonary embolism (PE) each year in the United States, and PE is the third leading cause of cardiovascular mortality. 1 A wide spectrum of severity exists in PE presentations, ranging from mild shortness of breath to cardiac arrest. A PE is classified into one of three categories: low risk, submassive, and massive.
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ACEP Now
DECEMBER 7, 2024
A 28-year-old female is brought to the emergency department (ED) by police after a sexual assault. She is visibly anxious and tearful. The police officer is waiting for the sexual assault evidence kit. What is the trauma-informed approach to care for this patient? Introduction The Substance Abuse and Mental Health Services Administration (SAMHSA) defines trauma as an event, series of events, or set of circumstances that is experienced by an individual as physically or emotionally harmful or life
ACEP Now
DECEMBER 7, 2024
As emergency departments (EDs) have become the focus of bottlenecks in the entire health care systemfrom insufficient inpatient beds leading to hospital boarding to dwindling access to primary carea siege atmosphere has developed. Although EDs offer around-the-clock access to highly trained physicians and a full suite of imaging and laboratory services, their very success has led to tremendous overcrowding and enormous strains on staff.
ACEP Now
DECEMBER 7, 2024
The use of thrombolytics for acute ischemic stroke may be one of the most controversial topics in emergency medicine during the last several decades. This debate recurs in multiple forums including many previous pieces in ACEP Now. 1 The reason is understandablethrombolytics in stroke is a high-risk, higher-reward treatment. If the potential for harm were absent, or if the benefit of thrombolytics was only marginal, there would be no controversy.
Maria Yang, MD
DECEMBER 7, 2024
The eighth instance of the word mental in Project 2025 is on page 648 in the section about the Veterans Health Administration: Examine the surpluses or deficits in mental health professionals throughout the enterprise, recognizing that the department needs a blend of social workers, therapists, psychologists, and psychiatrists with a focus on attracting high-quality talent.
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