Pediatric Sepsis Can Rapid Genomic Diagnostics Save Lives Abstract Background:Pediatric sepsis continues to be a major contributor to morbidity and mortality worldwide. Depending on severity, host factors, and timeliness of intervention, reported case-fatality rates range from 10 to 40 percent. Early recognition and rapid initiation of
Author: Nancy Ogbonna
Psychedelics for Acute Suicidality: Could the ED Become the Frontline?
Psychedelics for Acute Suicidality Could the ED Become the Frontline Abstract This paper examines the emerging role of psychedelic medications as potential therapeutic agents for acute suicidal ideation and behavior in emergency department settings. Suicide rates have risen steadily over the past decade, and current acute-care interventions such as pharmacotherapy,
Pulse Pressure Variation: The Missing Key to Fluid Responsiveness in ED
Pulse Pressure Variation - The Missing Key to Fluid Responsiveness in ED Introduction Pulse pressure variation remains a critical but underutilized method for assessing fluid responsiveness in emergency and critical care settings. Despite the widespread use of fluid bolus administration in shock and circulatory failure, approximately half
Screen Time, Social Media, and Teen Mental Health: What Can Family Physicians Do?
Screen Time, Social Media, and Teen Mental Health - What Can Family Physicians Do Abstract Adolescent mental health has become a critical focus in both clinical practice and public health discussions. The rising prevalence of anxiety, depression, sleep disturbances, attention difficulties, and self-harm behaviors among teenagers has intensified concern
Should Family Physicians Routinely Screen for Depression and Anxiety?
Should Family Physicians Routinely Screen for Depression and Anxiety Abstract This paper evaluates whether family physicians should implement routine screening for depression and anxiety among all adult patients, including those who do not present with explicit mental health complaints. Depression and anxiety remain among the most prevalent non-communicable conditions
Why Standard Blood Pressure Targets After Surgery May Be Harming Your Patients
Why Standard Blood Pressure Targets After Surgery May Be Harming Your Patients Introduction Low blood pressure after surgery remains a frequent and clinically significant complication, affecting millions of patients worldwide each year. Global surgical volume in 2012 was estimated at 312.9 million operations. Within this population,
Asthma vs. COPD in Primary Care: Are We Missing Asthma-COPD Overlap?
Asthma vs. COPD in Primary Care Are We Missing Asthma-COPD Overlap Abstract Primary care physicians often encounter considerable difficulty when distinguishing between asthma and chronic obstructive pulmonary disease (COPD). Both conditions share overlapping respiratory symptoms such as cough, wheeze, and breathlessness, which can obscure diagnostic clarity and lead to
High-Sensitivity Troponin Testing: The End of Unnecessary Chest Pain Admissions?
High-Sensitivity Troponin Testing: The End of Unnecessary Chest Pain Admissions? Introduction The introduction of high-sensitivity cardiac troponin (hs-cTn) assays has fundamentally transformed the evaluation and management of patients presenting with chest pain in the emergency department (ED). Troponin testing has long been a cornerstone of acute
Inpatient vs Outpatient Emergency Treatment for Pulmonary Embolism: A Doctor’s Guide
Inpatient vs Outpatient Emergency Treatment for Pulmonary Embolism A Doctor’s Guide Introduction Pulmonary embolism (PE) remains a major global health concern, affecting an estimated 200,000 to 500,000 individuals each year in the United States. The reported incidence ranges from 39 to 115 cases per 100,000 population,
Lung Cancer Screening in Primary Care: Why Uptake Remains Low
Lung Cancer Screening in Primary Care Why Uptake Remains Low Abstract Lung cancer screening has demonstrated substantial potential in reducing disease-specific mortality by enabling early detection of malignancies at a treatable stage. Low-dose computed tomography (LDCT), in particular, has been shown to markedly lower mortality among high-risk
