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Diagnostics and Therapeutics: Thoracentesis in the Emergency Department

Taming the SRU

Shortness of breath is one of the most common complaints presenting to emergency departments. A less common but more emergent scenario is the presentation of a patient to the emergency department with a large pleural effusion causing hypoxia and respiratory distress. 2002 Jun 20;346(25):1971-7. N Engl J Med.

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EM@3AM: Stercoral Colitis

EMDocs

Operative management is necessary for signs of peritonitis, evidence of perforation, extensive bowel involvement >40cm, or after failed medical management. 2-4, 6, 8, 9, 12, 13, 14 Operative intervention typically consists of emergency laparotomy with bowel resection, colostomy formation, and Hartmann pouch creation.

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Brazilian Butt Lift Procedure Can Result in Emergency Department Visits

ACEP Now

A search for Brazilian Butt Lift (BBL) on any social media platform will yield thousands of before-and-after images, faja sales, operating room videos, recovery tips, and patients praising their plastic surgeon. 1 The Rise of the Miami BBL An entire industry has emerged around gluteal AFTs in Miami. units per patient.

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Ethical Issues in Interhospital Transfers of Emergency Department Patients

ACEP Now

Emergency departments (EDs) provide the essential service of evaluating patients with unscheduled, acute, undifferentiated, and decompensated conditions. Conclusion/Recommendation ED crowding is a national patient safety issue driven by hospitals routinely operating over capacity. 2002 Jun;94(6):426-9. Click to enlarge.

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Annals of B Pod: Phlegmasia Cerulea Dolens

Taming the SRU

She was concerned that this was not improving and decided to come to the emergency department (ED). Hospital Course The patient was initiated on a therapeutic heparin drip in the emergency department with vascular surgery consultation. 2002 Feb 25;162(4):401-4. She had not had any blood clots previously.

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Case Report: a High-Voltage Victim

ACEP Now

A 44 year-old male with unknown past medical history came by emergency medical services (EMS) to the emergency department (ED) for an electrical injury and fall from a high voltage electrical pole. In the operating room, there was minimal urinary output and the bladder pressures were 35 mmHg under sedation and analgesia.

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Diagnostics: Inflammatory Markers

Taming the SRU

While PCT may be more specific for bacterial infections, it is flawed by still being rather non-specific and is not validated as a stand-alone diagnostic criteria for infection in the setting of the emergency department. Evaluation of fever in the emergency department. 2002 Jan 2;287(1):92-101. ng/mL, 0.25-0.5