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Diagnostics and Therapeutics: Vascular Access in the Emergency Department

Taming the SRU

However, in at least 10% of patients, blind insertion of a peripheral IV may be unsuccessful for a variety of reasons including obesity, edema, IV drug use, surgical scars, dialysis, burns, and others (1,2). Ultrasound Guided Peripheral IV (USGIV) Access anatomy of arm veins when considering USGIV. Use a long (1.8 inch) catheter (4).

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Hyperacute T waves

Dr. Smith's ECG Blog

49 yo man with 1 week of stuttering chest burning and tightness for 1-2 hours. A bedside ultrasound revealed a possible anterior wall motion abnormality. This is seen commonly, but only recently reported on by de Winter, Verouden, Wilde, and Wellens' in a long letter to the New England Journal (NEJM 359(19):2071-2073; Nov.

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Electrical Injuries: Hertz So Bad

Pediatric Emergency Playbook

Case 1: Toddler with an oral commissure burn An electrical burn to the angle of the mouth cauterizes superficial bleeding vessels, and hours later the wound becomes covered with a white layer of fibrin, surrounded by erythema. Most patients do well, and the burn heals by secondary intention. 2008; 15:988-994. Ericsson KA.

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Diagnostics: Inflammatory Markers

Taming the SRU

However, PCT can be elevated in severe trauma, such as burns or surgery [5,25]. A 2008 review in the International Journal of Medicine on spinal epidural abscess (SEA) agreed that inflammatory markers (specifically ESR and CRP) are generally sensitive in the diagnosis of SEA, but are not specific. 2008 Aug;75(8):557-66.

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Pediatric Pain

Pediatric Emergency Playbook

Ultrasound-guided peripheral nerve blocks are a good pain control adjunct, after initial treatment, and in communication with referring consultants ( Ganesh 2009 , Suresh 2014 ). Topical ethyl chloride vapo-coolant offers transient pain relief due to rapid cooling and may be used just prior to an IV start ( Farion 2008 ).

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ACEP Rejects “Excited Delirium”

ACEP Now

Antoinette Burns was the twelfth victim, a 14-year-old girl without any evidence of cocaine consumption at all. Her primary interests are in ultrasound, machine learning, and health justice. 2008 council resolution 21: excited delirium. References Gehrke D. Missed calls, close calls mar serial killings case. J Forensic Sci.

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Pain Management of Common Chief Complaints in the ED

EMDocs

21 Case: A 40-year-old male presents to the ED with a burning epigastric pain that has been worsening over the past week. Pain can be gnawing, aching, burning, and located in the upper abdomen. Evaluation by ultrasound of traumatic rib fractures missed by radiography. Jan 23 2008;(1):CD000396. 2020;120(10):696-697.