Employ a Trauma-Informed Approach to Care
A 28-year-old female is brought to the emergency department (ED) by police after a sexual assault. She…
About Ralph J. Riviello, MD, MS, FACEP
Ralph J. Riviello, MD, MS, FACEP, is professor of emergency medicine at Drexel Emergency Medicine in Philadelphia. He is board certified in emergency medicine and has a master of science in forensic medicine from Philadelphia College of Osteopathic Medicine.
Posts by Ralph J. Riviello, MD, MS, FACEP
When the Patient History Does Not Fit
It is 0715 hours, and you have just come onto shift when EMS calls that they are…
Child Abuse Cases in the Emergency Department
Case 1: A 5-year-old male is brought to the emergency department (ED) by his father and stepmother…
Tips for Diagnosing Factitious Disorder Imposed on Another
A 9-month-old male presents to emergency department (ED) with his mother for seizure. The child was diagnosed…
Scan for These Potential Signs of Non-Accidental Trauma
A 14-month-old male presents with fussiness. Per his mother, he seems to have some discomfort in his…
Case Report: Intimate Partner Sexual Assault?
Case A 24-year-old female presents to the emergency department (ED) claiming to be sexually assaulted by her…
How To Identify and Work With Neglected Children in the ED
Case A four-year-old male is brought via EMS for diabetic ketoacidosis (DKA). The EMS technician expresses frustration…
How EM Physicians Should Manage Their Legal and Medical Duties
A 16-year-old female presents to the emergency department (ED) after being sexually assaulted by two males at…
Forensic Evaluation of Motor Vehicle Accidents
Case A 35-year-old male is brought to the emergency department (ED) following a single-motor-vehicle collision in which…
Ping Ping Ping Goes the Bullet—or Should It?
Note: This article is our CME Now offering for the February 2023 issue. After you read it, visit ACEP’s Online…