Remove 2012 Remove Operations Remove Radiology
article thumbnail

Updated: How To Detect Bucket Handle Injuries With CT

The Trauma Pro

But without a more convincing exam, it is difficult to convince yourself to operate immediately on these patients. If the exam worsens, operate. Radiology 265(3):678–693, 2012. There may be some “dirty mesentery”, which is contused and has a hematoma within it. PMID: 35830194; PMCID: PMC9280606.

article thumbnail

ToxCard: Iron

EMDocs

5 Orogastric lavage may also be considered for GI decontamination but likely to be limited by location, size of tablets, and operator familiarity. Published 2012 Jul 1. 2012 Aug;39(8):719-24. Radiology in the management of acute iron poisoning. 2 L/hr in adults. Arch Pediatr Adolesc Med. 2005 Jun;159(6):557-60.

Insiders

Sign Up for our Newsletter

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.

article thumbnail

EM@3AM: Retroperitoneal Hematoma

EMDocs

In this patient with a penetrating posterior flank injury, trace-free fluid in the pelvis on eFAST, and ongoing signs of hemorrhagic shock despite fluid and blood product administration, transferring to the operating room for exploration is indicated, especially with high probability of zone III injury-related retroperitoneal bleeding.

EMS 93
article thumbnail

Rare earth magnet ingestion

Don't Forget the Bubbles

She spent around five days as an inpatient post-operatively. 2012 Sep 1;55(3):239-42. One magnet was found in the jejunum, and the other was in the ileum. They were stuck to each other with bowel wall in between. There was one perforation, which was repaired. She tolerated eating and drinking normally. Annals of emergency medicine.

article thumbnail

Episode 25: Tension pneumothorax 2

PHEM Cast

Journal of Special Operations Medicine : a Peer Reviewed Journal for SOF Medical Professionals , 13 (4), 53–58. Radiologic evaluation of alternative sites for needle decompression of tension pneumothorax. Radiologic assessment of potential sites for needle decompression of a tension pneumothorax. [link] Harcke, H. Branco, B.

article thumbnail

SGEM#181: Did You Ever Have to Make Up Your Mind, Pan Scan or Leave Other Scans Behind?

The Skeptics' Guide to EM

However, when we assess major trauma that includes chest, abdominal and pelvic trauma, the initial radiologic evaluation is left to the treating physician’s judgement. Many studies (most retrospective) have assessed the use of pan scanning as an initial radiologic evaluation. Reference: Sierink et al.

article thumbnail

REBEL Core Cast 94.0 – SBO

RebelEM

Late findings Fever Abdominal distension (+) LR: 5.64 – 16.8 (-) LR: 0.34 – 0.43 Absent bowel sounds Peritoneal signs (i.e. rebound and guarding) Diagnostics Laboratory Tests Commonly ordered lab tests (i.e. 2.3 – 5.4) (-) LR: 0.18 (0.09 – 0.35) Ultrasound Findings Dilated loops of bowel (diameter > 2.5