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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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The Latest in Critical Care, 2/5/24 (Issue #28)

PulmCCM

Ultrasound Is Upvoted The panel weakly suggested bedside ultrasound for patients with fever and an abnormal chest radiograph, but only if an expert is available to interpret the often complex or borderline results. Ultrasound can quickly and more accurately identify significant biliary disease (e.g.,

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

EB Medicine

Nachi: Unfortunately this procedure is associated with a relatively high re-operation rate – one study found 20% of patients required removal or revision. Jeff: Even more shockingly, some series showed a 52% repeat operation rate. These patients often require emergent operative intervention.

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Pediatric Pain

Pediatric Emergency Playbook

Neonatal observational scales have been validated in the intensive care and post-operative settings; ED-specific quantitative scales are lacking. CRIES ( Table 1 ) was validated for post-operative patients; to adapt its use for the ED, the most conservative approach is to substitute “preoperative baseline” with normal range for age.

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Episode 19 - Cannabinoids: Emerging Evidence in Use and Abuse

EB Medicine

It was peer-reviewed by Joseph Habboushe, assistant professor at NYU and Nadia Maria Shaukat, director of the emergency and critical care ultrasound at Coney Island Hospital in Brooklyn, New York. Make sure that the patient knows not to operate vehicles or heavy machinery under the influence of drugs. Counsel them on drug abuse also.

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Case Report: A Male Patient with Iatrogenic Obstruction

ACEP Now

The patient was started on antibiotics covering Klebsiella species (grown from urine culture obtained during the first visit) and the SPC was immediately replaced with confirmation of placement into the bladder with ultrasound. Suprapubic catheter insertion using an ultrasound-guided technique and literature review. Click to enlarge.)

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Acute Scrotum

Mind The Bleep

Initial Management (whilst Urology team are on their way) Bloods FBC, U/Es, CRP, Coagulation screen, Blood glucose levels, Blood cultures IV Antibiotics as per Trust guidelines (may be under section for Necrotising fasciitis) Urethral catheter- this will help with monitoring urine output and help identify the urethra during the operation.