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American Family Physician June 1, 2002 Randell K. Wexler	Evaluation and Treatment of Heat-Related Illnesses Although athletes are commonly thought to be most at risk for heat illnesses, children and the elderly are particularly vulnerable. It is important to be vigilant for heat illnesses because they occur insidiously but progress rapidly.
American Family Physician April 1, 2002 Gregory Juckett	Venomous Snakebites in the United States: Management Review and Update Venomous snakebites, although uncommon, are a potentially deadly emergency in the United States. Patients with snakebites should undergo a comprehensive work-up to look for possible hematologic, neurologic, renal, and cardiovascular abnormalities...
American Family Physician June 1, 2005 James L. Glazer	Management of Heatstroke and Heat Exhaustion Heat exhaustion and heatstroke are part of a continuum of heat-related illness. Both are common and preventable conditions affecting diverse patients.
American Journal of Nursing January 2012 Robert Allan Davis	The Big Chill: Accidental Hypothermia A potential cause of such emergent issues as cardiac arrhythmias, hypotension, and fluid and electrolyte shifts, accidental hypothermia can be deadly, is common among trauma patients, and is often difficult to recognize.
Nursing November 2009 Laskowski-Jones & Jones	Winter emergencies: Managing ski and snowboard injuries This article provides an overview of ski- and snowboard-related trauma, describes injury management considerations in the field, and offers advice for snow sport injury prevention and safety.
Nursing September 2011 Jacqueline Harden	Take a cool look at therapeutic hypothermia Therapeutic hypothermia may help prevent or minimize neurologic impairment in certain patients after cardiac arrest. This article takes a look at when TH is used and how to care for patients who are undergoing this intervention.
American Family Physician December 15, 2004 McCullough & Arora	Diagnosis and Treatment of Hypothermia Although hypothermia is most common in patients who are exposed to a cold environment, it can develop secondary to toxin exposure, metabolic derangements, infections, and dysfunction of the central nervous and endocrine systems.
Nursing October 2010 Jeff Strickler	Traumatic hypovolemic shock: Halt the downward spiral This article discusses the causes, treatments, and nursing care for patients with traumatic hypovolemic shock.
Nursing August 2010 Tracy E. Green	Pediatric burns: Initial response, lasting effects Pediatric burns are the third leading cause of injury-related deaths of children age 9 and younger.
American Journal of Nursing November 2011 Christine L. Cutugno	The 'Graying' of Trauma Care: Addressing Traumatic Injury in Older Adults Evidence-based strategies for managing trauma and its complications in this population.
American Family Physician October 1, 2003 Angela W. Tang	A Practical Guide to Anaphylaxis Anaphylaxis is a life-threatening reaction with respiratory, cardiovascular, cutaneous, or gastrointestinal manifestations resulting from exposure to an offending agent, usually a food, insect sting, medication, or physical factor.
Nursing January 2010 Susan Simmons	Guillain-Barre syndrome: A nursing nightmare that usually ends well GBS is the leading cause of acute flaccid paralysis; its most common presentation is characterized by ascending, symmetric paralysis that usually affects the cranial nerves and the autonomic nervous system.
Nursing October 2009 John J. Gallagher	Taking aim at ARDS Among many complications that threaten a critically ill patient is a potentially fatal syndrome of lung inflammation and injury: acute respiratory distress syndrome.
Nursing November 2011 Jeanne Held-Warmkessel	Taming Three High-Risk Chemotherapy Complications A review of three common chemotherapy-associated complications that can be serious enough to require hospitalization: febrile neutropenia, chemotherapy-related nephrotoxicity, and chemotherapy-related enterotoxicity.
Nursing April 2010 Michelle D. Smeltzer	Making a point about open fractures This article describes fractures, explains the difference between open and closed fractures, and tells how to care for a patient who's had an open fracture.
Nursing March 2009 Mary G. McKinley	Recognizing and Responding to Acute Liver Failure By quickly recognizing the signs and symptoms of acute liver failure, you can help your patient improve his odds of surviving this often-deadly condition.
Nursing April 2010 Powers & Burchell	Sepsis alert: Avoiding the shock Early recognition of sepsis and early goal-directed therapy can sometimes halt the progression of sepsis to severe sepsis and septic shock. Rapid response and aggressive care can improve patient outcomes in a critical situation.
Nursing September 2010 Donna Nayduch	Back to basics: Identifying and managing acute spinal cord injury Spinal cord injuries involve damage to the neurons of the spinal cord. They're often devastating because they're associated with life-threatening complications and loss of functional independence.
Nursing August 2010 Bartley & Shiflett	Handle older trauma patients with care Your comprehensive understanding of how age-related changes can affect outcomes during and after trauma will help your patients recover to the fullest extent possible.
Nursing March 2011 Ali & Gray-Vickrey	Limiting the Damage From Acute Kidney Injury This article will discuss your role in early detection and management of AKI with an emphasis on care for older adults.
Nursing September 1, 2007 Mary Unruh Fagley	Taking Charge of Seizure Activity Learn what happens during a seizure when the brain's electric signals go awry and how you can help someone plagued by the disturbing effects.
American Family Physician February 15, 2004	Poisoning, Envenomation, and Trauma from Marine Creatures Family physicians occasionally may encounter patients with injuries from marine creatures. Poisoning, envenomation, and direct trauma are all possible in the marine environment.
American Journal of Nursing July 2008 Kiekkas et al.	Physical Antipyresis in Critically Ill Adults Nurses use a variety of methods to cool critically ill patients, even though there are no guidelines for the treatment of temperature elevation in this population.
Nursing April 2012 Elliott et al.	Managing alcohol withdrawal in hospitalized patients A focused nursing assessment is critical in identifying the potential for alcohol withdrawal symptoms in all hospitalized patients. This article discusses how to assess patients at risk and how to use these assessment findings as a basis for nursing interventions.
Nursing March 2010 Peg Gray-Vickrey	Gathering pearls of knowledge for assessing older adults If you attended nursing school more than 10 years ago, you may have received limited education about gerontological nursing. But as baby boomers age, this is becoming an increasingly important area of nursing practice.
American Family Physician June 15, 2003 David B. K. Golden	Stinging Insect Allergy Insect stings usually cause transient local inflammation and occasional toxic reactions. However, allergic hypersensitivity can result in more severe local reactions or generalized systemic reactions.
Nursing March 2011 Mink & Miller	Stroke, Part 2: Respond aggressively to hemorrhagic stroke Patients may arrive at the hospital any time from minutes to days after a hemorrhagic stroke, and nurses need to be prepared for the unique challenges associated with their care.
American Journal of Nursing May 2009 Patricia Connor-Ballard	Understanding and Managing Burn Pain: Part 2 Despite advances in treatment of burn injuries and their consequent pain, wound care is the main source of the pain associated with burn injury.
American Journal of Nursing May 2009 Kristen J. Overbaugh	Acute Coronary Syndrome Coronary artery disease, in which atherosclerotic plaque builds up inside the coronary arteries and restricts the flow of blood (and therefore the delivery of oxygen) to the heart, continues to be the number-one killer of Americans.
American Journal of Nursing January 2010	Life-Support Interventions at the End of Life: Unintended Consequences Nurses need to be knowledgeable life-support interventions at the end of life and able to communicate what they know about those consequences to patients, family members, and others on the health care team, leading to better decision making at this difficult time.
American Journal of Nursing November 2009	Trauma in Pregnancy A description of the mechanisms of traumatic injury during pregnancy includes a discussion of the normal changes of pregnancy and their implications in the care of pregnant trauma patients, and offers strategies for assessment and treatment.
American Journal of Nursing June 2007 Baugh et al.	Wounds in Surgical Patients Who Are Obese Surgery, whether bariatric or not, puts this population at risk. Review the basics of prevention and care.
Nursing May 2008 Yantis & Velander	How to Recognize and Respond to Refeeding Syndrome If your patient is malnourished, you need to assess her carefully before she restarts nutrition by any route to avoid potentially lethal consequences.
Nursing February 2009 Daniel A. Hussar	New Drugs 09: Part 1 Learn about 10 new drugs, including nebivolol HCl, the newest beta-adrenergic blocking agent for hypertension.
American Family Physician June 15, 2005 Zoltan, Taylor & Achar	Health Issues for Surfers Millions of surfers worldwide are prone to a unique constellation of acute and chronic conditions. Family physicians in coastal areas should be prepared to treat patients with surfing injuries and to counsel surfers about the risks of sun exposure.
Outside October 2001 Peter Stark	The Sting of the Assassin In an exclusive excerpt from his new book, Last Breath: Cautionary Tales from the Limits of Human Endurance, Peter Stark combines true life science with chilling scenarios of fatal hazards in the wild� -- including deadly stings, drowning, falling, and heatstroke...
Nursing May 2008 Dawn M. Christensen	Extreme Heart Makeover: Understanding Mechanical Circulatory Support Learn about ventricular assist devices and total artificial hearts and how they affect patient care.
Nursing September 2009 AnneMarie Palatnik	Too fast, too slow, too ugly: Dysrhythmias that every nurse should recognize Learn how to recognize an abnormal cardiac rhythm and intervene appropriately.
AskMen.com Jacob Franek	Summer Health Care Guide Before you dive headfirst into all those fun activities that summer has to offer, remember that summer brings more with it than just the sun. Thankfully, you can avoid many of these seasonal hazards by following this summer health care guide.
American Family Physician November 1, 2003 Zoorob & Campbell	Acute Dyspnea in the Office Shortness of breath, or dyspnea, is a common problem in the outpatient primary care setting. Establishing a diagnosis can be challenging because dyspnea appears in multiple diagnostic categories. Underlying disorders range from the relatively simple to the more serious.
AboutSafety December 18, 2000	Heat In The Industrial Workplace Changes in both climatic conditions and industrial workplace practices have come to create greater heat- and fatigue-related problems than ever before.
American Family Physician July 15, 2000 Mitchell S. King	Preoperative Evaluation The purpose of a preoperative evaluation is not to "clear" patients for elective surgery, but rather to evaluate and, if necessary, implement measures to prepare higher risk patients for surgery...
American Journal of Nursing June 2009 Prahlow et al.	Case Study: Asphyxia Caused by Inspissated Oral and Nasopharyngeal Secretions This case serves to remind clinicians that a failure to provide good oral care and adequate hydration is not only poor practice but can result in death.
American Family Physician October 1, 2000 Richard J. Ackermann	End-of-life Care Withholding or withdrawing life-sustaining therapies is ethical and medically appropriate in some circumstances. This article summarizes the American Medical Association's Education for Physicians on End-of-life Care curriculum module on withholding or withdrawing therapy...
Nursing March 2009 Kate J. Morse	Focusing on the Surgical Patient with Cardiac Problems Learn about the latest guidelines for assessing cardiac risk and protecting his heart during noncardiac surgery.
American Family Physician July 15, 2000 Mark A. Van Kooy	Postobstructive Pulmonary Edema Pulmonary edema is a potentially life-threatening complication of acute airway obstruction. It develops rapidly, without warning, in persons who are otherwise well. Two forms of postobstructive pulmonary edema (POPE) have been identified...
Nursing Management March 2011 Sibbald et al.	Tip the SCALE toward quality end-of-life skin care An expert panel was established to formulate a consensus statement on Skin Changes At Life's End (SCALE).
Nursing Management December 2010 Raso & Gulinello	Creating Cultures of Safety: Risk Management Challenges and Strategies The role of the nurse manager in directing patient care and influencing change from a risk perspective is paramount to success.
American Family Physician October 1, 2006 Kavan et al.	A Practical Guide to Crisis Management Physicians often are required to assist patients in crisis. An estimated 4% of visits to primary care physicians involve psychiatric or social crises.
American Family Physician July 15, 2002 John W. Thompson, Jr.	A Pregnant Woman Victimized by Physical Abuse Domestic violence in the United States is a problem of enormous proportions and represents a significant health concern. Here's how a physician can respond.