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  • Book
    Harrison J. Alter, Preeti Dalawari, Kelly M. Doran, Maria C. Raven, editors.
    Summary: Social Emergency Medicine incorporates consideration of patients social needs and larger structural context into the practice of emergency care and related research. In doing so, the field explores the interplay of social forces and the emergency care system as they influence the well-being of individual patients and the broader community. Social Emergency Medicine recognizes that in many cases typical fixes such as prescriptions and follow-up visits are not enough; the need for housing, a safe neighborhood in which to exercise or socialize, or access to healthy food must be identified and addressed before patients health can be restored. While interest in the subject is growing rapidly, the field of Social Emergency Medicine to date has lacked a foundational text a gap this book seeks to fill. This book includes foundational chapters on the salience of racism, gender and gender identity, immigration, language and literacy, and neighborhood to emergency care. It provides readers with knowledge and resources to assess and assist emergency department patients administrators, and other professionals who recognize that high-quality emergency care extends beyond the ambulance bay.

    Contents:
    1. History of Social Emergency Medicine
    2. Public Health, Population Health, and Health Disparities
    3. Race and Racism
    4. Gender and Sexual Identity
    5. Immigration
    6. Language and Literacy
    7. Access to Care
    8. Frequent Emergency Department Use: A Social Emergency Medicine Perspective
    9. Substance Use: A Social Emergency Medicine Perspective
    10. Education and Employment
    11. Financial Insecurity
    12. Food Insecurity
    13. Homelessness
    14. Housing Instability and Quality
    15. Transportation
    16. Legal Needs
    17. Neighborhoods and the Built Environment
    18. Violence
    19. Firearm Injury
    20. Incarceration
    21. Human Trafficking.
    Digital Access Springer 2021
  • Article
    Wilder BJ, Willmore LJ, Bruni J, Villarreal HJ.
    Neurology. 1978 Sep;28(9 Pt 1):892-6.
    The interaction of valproic acid and other antiepileptic drugs was studied in 25 patients for 5 to 9 months. Clinical evaluations, seizure records, and antiepileptic drug levels were followed regularly. Eleven of the 13 patients required a reduced phenobarbital dose when concurrently treated with valproic acid. This reduction was prompted by sedation. An average dose reduction of 46 percent resulted in an average serum phenobarbital decrease of 15 percent. Ten of 15 patients had decreased phenytoin concentrations during concurrent administration with valproic acid. No definitive conclusion was reached about other antiepileptic drugs. Decreased phenobarbital excretion because of urine acidification and displacement of phenytoin from protein binding sites may account for the observations. Careful monitoring of anticonvulsant levels is required in anticipation of the documented interactions.
    Digital Access Access Options