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Diagnostics and Therapeutics: Thoracentesis in the Emergency Department

Taming the SRU

Ultrasound in recent years has become a very helpful tool in diagnosing smaller effusions, and is noted to be almost 100% sensitive for effusions > 100 mL (2). This often is seen in trauma, cancer, post-operatively, and end-stage metabolic conditions with excessive colloid or protein leak.

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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. References Garcia SE. Healing Is No Joke.

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Episode 25: Tension pneumothorax 2

PHEM Cast

Journal of Special Operations Medicine : a Peer Reviewed Journal for SOF Medical Professionals , 13 (4), 53–58. Ultrasound determination of chest wall thickness: implications for needle thoracostomy. Ultrasound in Emergency Medicine. [link] Harcke, H. L., & Mazuchowski, E. Branco, B. Eckstein, M., Martin, M. link] MD, E.

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MI in Children

Pediatric Emergency Playbook

Fontan Operation and the Single Ventricle. 2002; 12:411-413. Cardiovasculr Ultrasound. 2002; 78:27-30. 2002; 17:169-172. Summary Acute MI is a challenging presentation in children: Easily missed: uncommon and atypical Varied etiology Respect vague symptoms with a non-reassuring H&P Try to detect it: CATH IT!

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Diagnostics: Inflammatory Markers

Taming the SRU

Notably, lung ultrasound for the diagnosis of bacterial CAP demonstrated exceptional stand-alone diagnostic accuracy in 33 studies including 4,901 adults and children in the emergency department, with a pooled sensitivity of 92% and specificity of 90%. 2002 Jan 2;287(1):92-101. Arthritis Rheum. 1996 Feb;39(2):304-7. doi: 10.1002/art.1780390220.

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Emergency Department Syncope Workup: After H and P, ECG is the Only Test Required for Every Patient.

Dr. Smith's ECG Blog

Check : [vitals, SOB, Chest Pain, Ultrasound] If the patient has Abdominal Pain, Chest Pain, Dyspnea or Hypoxemia, Headache, Hypotension , then these should be considered the primary chief complaint (not syncope). Aortic Dissection, Valvular (especially Aortic Stenosis), Tamponade. Good History and Physical exam, including a.

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Pediatric Pain

Pediatric Emergency Playbook

Neonatal observational scales have been validated in the intensive care and post-operative settings; ED-specific quantitative scales are lacking. CRIES ( Table 1 ) was validated for post-operative patients; to adapt its use for the ED, the most conservative approach is to substitute “preoperative baseline” with normal range for age.