Tag Archives: emergency medicine
The trigeminocardiac reflex pathway diagram. 1) Trigeminal ganglion via sensory fibers of trigeminal nerve. 2) Sensory nucleus of trigeminal nerve. 3) Internuncial fibers. 4) Motor nucleus of the vagus nerve. 5) Efferent vagal nerve to the heart and stomach.

Trigeminocardiac Reflex as the Presentation of Maxillary Sinus Adenocarcinoma

A 54-year-old man with history of tobacco use presented to the Emergency Department with a few-hour history of dizziness and 2-month history of intermittent right jaw pain. His blood pressure was 68/48 mm Hg, heart rate was 55 beats per minute, and oxygen saturation was 85% on room air. Physical examination was notable for a […]

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ecg monitor with doctor's hand

Long-Term Prognosis of Low-Risk Women Presenting to the Emergency Department with Chest Pain

  Prognosis of low-risk women presenting to the emergency department (ED) with chest pain has not been clarified. We assessed early and long-term outcomes of such patients and determined the need for predischarge testing. Methods Retrospective assessment of consecutive low-risk women presenting to the ED with chest pain evaluated in a chest pain unit (CPU). […]

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Cardiology Consultation in the Emergency Department

Re-hospitalization after discharge for acute decompensated heart failure is a common problem. Low-socioeconomic urban patients suffer high rates of re-hospitalization and often over-utilize the emergency department (ED) for their care. We hypothesized that early consultation with a cardiologist in the ED can reduce re-hospitalization and health care costs for low-socioeconomic urban patients with acute decompensated […]

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airplane on a runway

Prevention of Medical Events During Air Travel: A Narrative Review

Prior to traveling, and when seeking medical pretravel advice, patients consult their personal physicians. Inflight medical issues are estimated to occur up to 350 times per day worldwide (1/14,000-40,000 passengers). Specific characteristics of the air cabin environment are associated with hypoxia and the expansion of trapped gases into body cavities, which can lead to harm. […]

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Phenibut

Phenibut: Buyer Beware

Phenibut, the Appearance of Another Potentially Dangerous Product in the United States Since the advent of the Internet, many quasi-legal substances with significant toxicity and abuse potential have found their way into the hands of consumers across the US. In recent years, multiple reports of abuse and withdrawal syndromes related to Internet-purchased synthetic cannabinoids and […]

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Hurricane Sandy (Image Credit: Wikimedia Commons)

Hospital Care During & After Hurricane Sandy

Medical Residency Training and Hospital Care During and After a Natural Disaster: Hurricane Sandy and Its Effects During natural disasters, resident physicians in teaching hospitals play an integral role in ensuring continuous patient care. The challenges that a residency program experiences as a referral hospital after such calamities have not been documented in the past. However, there […]

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