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Item Clinical and Research Considerations for Patients with Hypertensive Acute Heart Failure(Elsevier, 2016-08) Collins, Sean P.; Levy, Phillip D.; Martindale, Jennifer L.; Dunlap, Mark E.; Storrow, Alan B.; Pang, Peter S.; Sawyer, Douglas B.; Fermann, Gregory J.; Lenihan, Daniel J.; Peacock, W. Frank; Albert, Nancy M.; Hollander, Judd E.; Lindenfeld, JoAnn M.; Teerlink, John R.; Felker, G. Michael; Fonarow, Gregg C.; Butler, Javed; Department of Emergency Medicine, IU School of MedicineManagement approaches for patients in the emergency department (ED) who present with acute heart failure (AHF) have largely focused on intravenous diuretics. Yet, the primary pathophysiologic derangement underlying AHF in many patients is not solely volume overload. Patients with hypertensive AHF (H-AHF) represent a clinical phenotype with distinct pathophysiologic mechanisms that result in elevated ventricular filling pressures. To optimize treatment response and minimize adverse events in this subgroup, we propose that clinical management be tailored to a conceptual model of disease based on these mechanisms. This consensus statement reviews the relevant pathophysiology, clinical characteristics, approach to therapy, and considerations for clinical trials in ED patients with H-AHF.Item Daily Situational Brief, January 15, 2015(MESH Coalition, 1/15/2015) MESH CoalitionItem Daily Situational Brief, January 26, 2015(MESH Coalition, 1/26/2015) MESH CoalitionItem Daily Situational Brief, June 22, 2011(MESH Coalition, 6/22/2011) MESH CoalitionItem The Post-9/11 State of Emergency: Reality versus Rhetoric(Philosophy Documentation Center, Charlottesville, VA, 2004) Byrne, Edmund F.After the 9/11 attacks the US Administration went beyond emergency response towards imperialism, but cloaked its agenda in the rhetoric of fighting "terrorists" and "terrorism". After distinguishing between emergency thinking and emergency planning, I question the Administration's "war on terrorism" rhetoric in three stages. First, upon examining the post-9/11 antiterrorism discourse I find that it splits into two agendas: domestic, protect our infrastructure; and foreign, select military targets. Second, I review (legitimate) approaches to emergency planning already in place. Third, after reviewing what philosophers have said about emergencies, I recommend they turn their attention to the biases inherent in and misleading uses of antiterrorism terminology.Item Surgical Emergencies in the Pregnant Patient(Elsevier, 2019-09) Selzer, Don J.; Stefanidis, Dimitrios; Surgery, School of MedicineOne in 500 to 700 pregnancies in the United States are complicated by an abdominal emergency necessitating surgery. Addressing these emergencies during pregnancy presents several decision making challenges and commonly calls into question the appropriate approach for evaluation and definitive care. Ultimately, surgical intervention can be performed safely during pregnancy independent of trimester and offers definitive therapy and a quicker recovery when performed laparoscopically.