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Putting Clinical Gestalt to Work in the Emergency Department

ACEP Now

For example, experienced emergency physicians have great clinical gestalt and accuracy to predict sepsis in critically ill patients at just 15 minutes from patient arrival—more so than scoring tools like the qSOFA, MEWs, and even machine-learning trained artificial intelligence models. A testicular ultrasound confirmed restored blood flow.

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The Pediatric Surgical Abdomen

Pediatric Emergency Playbook

2007; 16:27-33. Hypertrophic pyloric stenosis: tips and tricks for ultrasound diagnosis. J Ultrasound. 2007; 298(4):438-451. The non-diagnostic ultrasound in appendicitis: is a non-visualized appendix the same as a negative study? Ultrasound Evaluation for Appendicitis. J Pediatr Surg 2014; 49:1619.

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EM@3AM: Brainstem Strokes

EMDocs

Cavernous sinus syndrome (B) usually presents with cranial nerve deficits, diplopia, periorbital cellulitis, and facial swelling that may progress to meningitis or sepsis. Semin Ultrasound CT MR. 2013 Apr;34(2):131-41. 2007 Jan 27;369(9558):293-8. anatomic region). Brainstem stroke: anatomy, clinical and radiological findings.

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Necrotising Enterocolitis

Mind The Bleep

Common signs and symptoms include: Abdominal distention with prominent veins and discolouration Umbilical flaring Poor feeding Bilious vomiting Abdominal tenderness Bowel changes, including diarrhoea, blood and mucus Lethargy, apnoea, bradycardia Sepsis Risk factors of low birth rate, prematurity and formula feeding. (1, Updated 2022 Aug 8].

Sepsis 52
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Approach to Shock

Pediatric Emergency Playbook

Cardiogenic Shock: Act Use point-of-care cardiac ultrasound : Good Squeeze? It’s seen easily enough on point of care ultrasound. Tamponade: if any sign of shock, pericardiocentesis, preferentially ultrasound-guided. Children with sepsis come in two varieties: warm shock and cold shock. 2007; 35:64-8. Pediatrics.

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Episode 29 - Assessing Abdominal Pain in Adults: A Rational, Cost-Effective, and Evidence-Based Strategy

EB Medicine

CT is good but you really should learn ultrasound, and lastly, sick patients need prompt consultation and resuscitation, not rapid trips to radiology. Nachi: Diagnosis of appendicitis, in a pregnant patient, ultrasound vs. mri. was sensitive for 28-day mortality in sepsis. Jeff: Indeed. Sounds familiar. Jeff: We sure did!

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Hysterectomy Complications

EMDocs

Diagnosis can be confirmed with ultrasound (for deep vein thrombosis) or CT angiography (CTA) chest (for pulmonary embolism) and patients treated with anticoagulants. This may also predispose a patient to sepsis, peritonitis, or bowel infarction, which need to be recognized quickly. J Minimally invasive gynecology.14 14 (3): 311-7.

OB/GYN 93