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Ultrasound of the Month: Gallbladder Perforation

Taming the SRU

A bedside right upper quadrant ultrasound was performed, and the images are below. Patients should be resuscitated as deemed appropriate. Ultrasound is the gold standard for diagnosing cholelithiasis because it is more sensitive for detecting gallstones. 2006 Dec 28;12(48):7832-6. Gallbladder visualized in long axis.

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Episode 28: LOST

PHEM Cast

It might be better to consider traumatic cardiac arrest as a completely different disease eg LOST: Low Output State due to Trauma The 2015 European Resuscitation Council and UK Resuscitation Council Algorithms for Traumatic Cardiac Arrest: To read the whole ERC guideline on special circumstances cardiac arrest including trauma, click here.

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POCUS findings of hemodynamically unstable PE with cardiac arrest

EMDocs

Point-of-Care-Ultrasound (POCUS) is a bedside modality that can assist Emergency Physicians (EPs) in differentiating PE from other causes of cardiac arrest. Multiorgan POCUS The diagnostic power of POCUS often resides in combining multiple ultrasound exams. Introduction to Bedside Ultrasound, iBook Ch 2, Basic Cardiac, Pg 27.

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The Pediatric Surgical Abdomen

Pediatric Emergency Playbook

2006; 26:1485-1500. Pediatr Rev. 1988; 9(7):219-226. Malrotation with Midgut Volvulus Applegate KE. Intestinal Malrotation in Children: A Problem-Solving Approach to the Upper Gastrointestinal Series. Radiographics. Kapfer SA, Rappold JF. Intestinal Malrotation – Not Just the Pediatric Surgeon’s Problem. J Am Coll Surg. 2004; 199(4):628-635.

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More than the rule of 2s: All about Meckel Diverticulum

PEMBlog

Ultrasound and CT may not differentiate it from normal bowel. 2006 Oct;99(10):501-5. The feeding artery of the Meckel diverticulum is an anomalous superior mesenteric artery branch. It has a long and non-branching course and ends toward the right lower quadrant. Meckel diverticulum. Meckel’s diverticulum: a systematic review.

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Milestones of Modern Progress in Emergency Care

Advanced Emergency Nursing from AENJ

The latter 1950s and 1960s, quested for nerve gas defense studying expired air resuscitation and modern resuscitology; developing intensive care units. To me, it harkens a new scientific renaissance of resuscitation science, emergency care, and creating systems for care. 1950s & 1960s Resuscitation Research. EDNA->ENA.

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The Undifferentiated Sick Infant

Pediatric Emergency Playbook

Was there any prenatal care or ultrasound done? 2006; 53:69-84. Part 15: Neonatal Resuscitation: 2010 American Heart Association Guidelines. Do a total body check. Heart disease or Hypovolemia - is there a history of congenital heart disease? Look for clitoromegaly in girls, or hyperpigmented scrotum in boys. McGowan et al.