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Sickle Cell Disease Module

Don't Forget the Bubbles

The Kilifi algorithm includes five clinical situations that are common sickle cell presentations – clinical jaundice, severe anaemia, bone and joint infections, and stroke. Afro-Caribbean patients should be screened for sickle cell before anaesthesia for possible pre-operative transfusion. How is sickle cell disease diagnosed?

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Diagnostics: Inflammatory Markers

Taming the SRU

This finding was not significantly different among operators with different levels of experience, or between adults and children. 2003 Jun;111(12):1805-12. 2003 Jul;112(2):299. 2003 Jun;111(12):1805-12. 2003 Jul;112(2):299. Serological reactions in pneumonia with non-protein somatic fraction of pneumococcus.

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Pediatric Pain

Pediatric Emergency Playbook

Children have long suffered from an under-treatment of their pain, due both to our incomplete acknowledgement of their pain and our fear of treatment ( Howard 2003 ). Neonatal observational scales have been validated in the intensive care and post-operative settings; ED-specific quantitative scales are lacking. Horeczko T, Mahmoud MA.

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Testicular torsion

Don't Forget the Bubbles

. “Time is brain” urges us to think about thrombolysis or clot retrieval in acute strokes. One systematic review of 1283 patients showed that if you got to the operating room within 6 hours, you had a 97% chance of saving the testicle. Urgent senior review, decision making and operation 31.3% Mellick, L.B.,

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MI in Children

Pediatric Emergency Playbook

The previously well child now decompensated: undiagnosed thrombophilia Asymptomatic patent foramen ovale (PFO) is the cause of some cases of cryptogenic vascular disease, such as stroke and MI. Fontan Operation and the Single Ventricle. 2003; 18(2):150-151. However, the presence of PFO alone does not connote higher risk.

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Health to The Chief!

Advanced Emergency Nursing from AENJ

Woodrow Wilson Wilson suffered several strokes, and was isolated in the White House by his second wife, Edith, who allowed only herself and his physician to see him. He survived only four months into his fourth term, dying of a massive hemorrhagic stroke in Warm Springs, Georgia, where he would vacation and do physical therapy.

Stroke 40
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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

to 1.45) for fatal or nonfatal stroke. Of the 67 patients who underwent targeted tests, suspected diagnoses were confirmed in 49 (73%) patients: aortic stenosis (n = 8, 1%), pulmonary embolism (n = 8, 1%), seizures/stroke (n = 30, 5%), and other diseases (n = 3). Academic Emergency Medicine, 2003 Volume 10, Number 5 539-540.