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ToxCard: Radiation-Induced Skin Injury

EMDocs

Research indicates that timely intervention can significantly reduce morbidity associated with radiation skin injuries. The severity is influenced by radiation dose, exposure duration, and individual patient factors including age and skin type. Immediate symptoms can often mask more severe underlying damage, requiring vigilance in assessment.

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Ultrasound of the Month: No Definitive Yolk Sac, No Definitive IUP!

Taming the SRU

A radiology performed ultrasound is ordered and has similar findings– Impression: no definitive IUP with a small amount of free fluid within physiologic limits. Best Practice & Research Clinical Obstetrics & Gynaecology, Volume 23, Issue 4, 2009. Am J Emerg Med. 2021 Nov;49:226-232. doi: 10.1016/j.ajem.2021.05.071.

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Paediatric Appendicitis

Don't Forget the Bubbles

Clinical scoring tools for appendicitis The recently published Best Practice Pathway Guidance by NHS England recommends using clinical risk scores to assess all children with suspected appendicitis. RIFT Study Group on behalf of the West Midlands Research Collaborative. Remember to test for urine b-HCG in female patients.

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emDOCs Podcast – Episode 88: ED Evaluation of Diverticulitis

EMDocs

World Society of Emergency Surgery guidelines (2020) “What is the best way to make a diagnosis of ALCD? In patients with suspected ALCD, we suggest a complete assessment of the patients using clinical history, signs, laboratorial inflammation markers, and radiological findings (weak recommendation based on very low-quality evidence, 2D).” “In

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You don’t need X-Rays in a child with bronchiolitis, croup, asthma, or first time wheezing

PEMBlog

Research suggests most CXRs are performed because ED clinicians (and many parents) are concerned for the possibility of missing pneumonia or another diagnosis requiring specific management.