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Contrast Media Shortage of 2022 – Lessons Learned

EMDocs

2 In response to the constrained availability of contrast media, emergency medicine (EM) and radiology departments were compelled to enact modifications in their imaging techniques. In most cases, the radiology team functioned as the main decision-maker playing a key role in drafting institutional protocols. 11 Table 1.

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Approach to Hernias in the ED

Taming the SRU

This revealed that ultrasound can improve the ability to reduce an incarcerated inguinal hernia and may decrease the rate of emergency surgery. (1) 1) Table 1 - Study Protocol Table 2 - Results Conclusion Hernias are often encountered in the emergency department as an acute or non-acute finding. 4, 1 July 2009, p. 7638, 31 Jan.

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Common traumatic pathologies 

Mind The Bleep

The “teardrop sign” is a radiological sign of inferior orbital wall fractures in which intraorbital fat +/- inferior rectus muscle herniates through the fracture. Figure 2 – Teardrop sign (Cobb et al 2008) Key aspects of management: CT scan Specialist input may include surgery, steroids, antibiotics, nasal decongestants and ice packs.

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EM@3AM: Brainstem Strokes

EMDocs

Brainstem stroke: anatomy, clinical and radiological findings. Available from: [link] American College of Emergency Physicians Clinical Policies Subcommittee (Writing Committee) on Use of Intravenous tPA for Ischemic Stroke:; Brown MD, Burton JH, Nazarian DJ, Promes SB. Ann Emerg Med. Erratum in: Ann Emerg Med.

Stroke 111
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Episode 30 - Emergency Department Management of Patients With Complications of Bariatric Surgery

EB Medicine

This month, we are sticking in the abdomen for another round of evidence-based medicine, focusing on Emergency Department Management of Patients With Complications of Bariatric Surgery. From the 80’s to 2008, the worldwide prevalence of obesity nearly doubled! I hope everybody enjoyed a fantastic conference. million adults!!

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Hip Pain in Pediatrics

Northwestern EM Blog

Written by: Tommy Ng, MD (NUEM ‘24) Edited by: Patricia Bigach, MD (NUEM ‘22) Expert review by : Terese Whipple, MD '20 So your kid won’t walk One of the most common complaints in a pediatric Emergency Department is a child refusing or inability to ambulate. 2008 Jul;90(7):940-5. Acta Orthop. 2017;88(1):96-100. 90B7.20691.

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Ovarian Torsion: Don’t get your knickers in a twist!

Don't Forget the Bubbles

We dont often cover gynaecological presentations in the emergency department and most chronic gynaecological problems go through the primary care referral pathway. However, CT scans remain largely more obtainable in a time critical case, in an emergency department setting. Pediatr Emerg Care, 1;38(6):e1332-e1335.