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When the Patient History Does Not Fit

ACEP Now

On physical exam, you notice what appears to be a blister from a burn on her right palm (see photo on cover). When you are done, you tell the mother what you found and ask her if there is any way the child could have been burned. Case Resolution Given the location of the burn, pediatric burn surgery was consulted.

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ACEP Rejects “Excited Delirium”

ACEP Now

Forensic pathologist Dr. Charles Wetli of the University of Miami had conducted autopsies that he said, “conclusively showed that they have not been murdered.” Antoinette Burns was the twelfth victim, a 14-year-old girl without any evidence of cocaine consumption at all. Ann Emerg Med. J Forensic Sci. Forensic Sci Int.