Remove 2003 Remove Shock Remove Ultrasounds
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The Pediatric Surgical Abdomen

Pediatric Emergency Playbook

Pediatr Surg Int 2003; 19:439. Pediatr Surg Int 2003; 19:247. Hypertrophic pyloric stenosis: tips and tricks for ultrasound diagnosis. J Ultrasound. Khan AR, Vujanic GM, Huddart S. The constipated child: how likely is Hirschsprung's disease? Singh SJ, Croaker GD, Manglick P, et al. Pyloric Stenosis Aspelund G, Langer JC.

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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%. 2003 Jun;111(12):1805-12. 2003 Jul;112(2):299. 2003 Jun;111(12):1805-12.

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Diffuse Subendocardial Ischemia on the ECG. Left main? 3-vessel disease? No!

Dr. Smith's ECG Blog

Smith comment: This patient did not have a bedside ultrasound. Had one been done, it would have shown a feature that is apparent on this ultrasound (however, this patient's LV function would not be as good as in this clip): This is recorded with the LV on the right. In fact, bedside ultrasound might even find severe aortic stenosis.

EKG/ECG 40
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What is strange about this paroxysmal atrial fibrillation in an otherwise healthy patient? And what happened after giving ibutilide?

Dr. Smith's ECG Blog

Her bedside cardiac ultrasound was normal We decided to cardiovert her since the time of onset was very recent. We designed a step-up protocol in which shocks at 50, 100, 200, 300, and 360 J were used for transthoracic cardioversion. But when you see this, you should suspect that the AV node is not well.

EKG/ECG 52
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MI in Children

Pediatric Emergency Playbook

The infant in shock after a ‘cold’: myocarditis Beware of the poor feeding, tachycardic, ill appearing infant who “has a cold” because everyone else around him has a ‘cold’. Cardiovasculr Ultrasound. 2003; 18(2):150-151. That may very well be true, but any virus can be invasive with myocardial involvement. Circulation.

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EM@3AM: Erysipelas

EMDocs

A lower extremity radiograph does not reveal any gas formation and an ultrasound of the lower extremity is negative for DVT or cobblestoning, WBC is within normal limits and there are mild elevations in ESR and CRP. No fungal infections are identified on the feet. Given the patient’s comorbidities laboratory and imaging studies are ordered.

EMS 84
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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 ). Unexplained tachycardia may be the early signs of shock. Ultrasound guidance for pediatric peripheral nerve blockade. 2003 Nov 12;290(18):2464-9.