Remove 2007 Remove Emergency Department Remove Ultrasounds
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Putting Clinical Gestalt to Work in the Emergency Department

ACEP Now

On a busy day shift in the emergency department, our seasoned triage nurse comes to me after I finish caring for a hallway patient, “Hey, can you come see this guy in the triage room? This is the essence of emergency medicine. A testicular ultrasound confirmed restored blood flow. His vitals are fine…”. 1999;21(10):974.

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Ultrasound of the Month: No Definitive Yolk Sac, No Definitive IUP!

Taming the SRU

THE CASE A female in her early 20s, G4P2012, presents to the emergency department (ED) with a 5 day history of left lower quadrant abdominal pain which has been worsening since onset. A bedside ultrasound is completed to assess the location of the pregnancy. She reports that her previous ectopic pregnancy was treated medically.

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PEM POCUS Series: Pediatric Renal and Bladder Ultrasound

ALiEM

Given her pain with a history of intermittent hematuria and dysuria, you perform a renal and bladder point of care ultrasound (POCUS) examination. Pre-warmed ultrasound gel is helpful when available. Then test your skills on the ALiEMU course page to receive your PEM POCUS badge worth 2 hours of ALiEMU course credit.

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Paediatric Appendicitis

Don't Forget the Bubbles

7-year-old Tilly is brought to your emergency department at 11 p.m. Abdominal pain in children is common, accounting for over 1 in 20 attendances to paediatric emergency departments [1]. Clinical scoring tools have improved diagnostic performance in assessing suspected appendicitis in the emergency department.

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Paediatric Neck Lumps

Don't Forget the Bubbles

Neck lumps are a common presenting complaint to the paediatric emergency department with many aetiologies, sometimes resulting in a diagnostic conundrum. These may require surgical drainage following confirmation on ultrasound scan. Thorough history taking and detailed examination can aid in diagnosis. DOI: 10.1016/j.joms.2006.11.039

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How to Manage Elderly Patient Pain without Opioids

ACEP Now

A 77-year-old man presented to the emergency department (ED) with hip pain following a fall. In the January issue of Annals of Emergency Medicine , Merz-Herrara, et al., published a study, “Safety and Pain Reduction in Emergency Practitioner Ultrasound-Guided Nerve Blocks: A One-Year Retrospective Study.”

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EM@3AM: Brainstem Strokes

EMDocs

Semin Ultrasound CT MR. 2013 Apr;34(2):131-41. Magnetic resonance imaging and computed tomography in emergency assessment of patients with suspected acute stroke: a prospective comparison. 2007 Jan 27;369(9558):293-8. Ann Emerg Med. Erratum in: Ann Emerg Med. doi: 10.1053/j.sult.2013.01.004. 2013.01.004.

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