Remove 2007 Remove Operations Remove Ultrasounds
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Ultrasound of the Month: No Definitive Yolk Sac, No Definitive IUP!

Taming the SRU

A bedside ultrasound is completed to assess the location of the pregnancy. A radiology performed ultrasound is ordered and has similar findings– Impression: no definitive IUP with a small amount of free fluid within physiologic limits. At this point, the patient is taken to the operating room for a diagnostic laparoscopy.

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REBEL Core Cast 116.0 – Achilles Tendon Rupture

RebelEM

Schedule follow up with orthopedics within 1 week for discussion of operative management vs early rehab protocols. Partial rupture of the proximal Achilles tendon: a differential diagnostic problem in ultrasound imaging. 2007; 31:279-284. Br J Sports Med. 2005; 39(11): 838-42. PMID: 16244194 Margetic P et al. Coll Antropol.

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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, B.

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Hysterectomy Complications

EMDocs

Operative complications requiring surgical intervention or hospitalization occur in about 3-6% of all hysterectomies (5). difficile infection, and post-operative hemorrhage. Abscess and Infected Hematoma : This condition is typically delayed, occurring most commonly 10-14 days post-operatively.

OB/GYN 93
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Large bowel obstruction: ED presentation, evaluation, and management

EMDocs

7 While post-operative adhesive disease is also a risk factor, it is far less commonly implicated in LBO compared to SBO. 3 Point of care ultrasound (POCUS) can be highly sensitive for free fluid and pneumoperitoneum when used by a trained physician in the appropriate patient population. 2007 Jan 21;13(3):432-7.

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emDOCs Podcast – Episode 80: Traumatic Arthrotomy

EMDocs

Common operator errors Failing to enter joint capsule before injecting STS. Can Ultrasound Identify Traumatic Knee Arthrotomy in a Cadaveric Model? 2007 Aug;21(7):442-3. When in the joint, you’ll obtain synovial fluid. Inject lidocaine first, then slowly start injecting STS looking at the wound for saline coming out.

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MI in Children

Pediatric Emergency Playbook

Fontan Operation and the Single Ventricle. 2007; 2:2-11. Cardiovasculr Ultrasound. 2007; 5(3):172-176. 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! Congenit Heart Dis.