The Trauma Pro

OCTOBER 29, 2024

CT scans are commonly used to aid the workup of patients with blunt trauma. They are occasionally useful in penetrating trauma, specifically when penetration into a body cavity is uncertain, and the patient has no hard signs that would send him or her immediately to the operating room. Is there any role for CT in operative penetrating trauma, after the patient has already been to the OR?

Operations 221

Operations Fractures Radiology Radiology 221

EMDocs

OCTOBER 29, 2024

Authors: Rachel Bridwell, MD (EM Attending Physician; Tacoma, WA), Katey DG Osborne, MD (EM Attending Physician; Tacoma, WA) // Reviewed by: Alex Koyfman, MD (@EMHighAK, EM Attending Physician, UTSW / Parkland Memorial Hospital) and Brit Long, MD (@long_brit, EM Attending Physician, San Antonio, TX) Welcome to emDOCs revamp! This series provides evidence-based updates to previous posts so you can stay current with what you need to know.

Shock 87

Shock EMS Sepsis Resuscitation 87

ACEP Now

OCTOBER 29, 2024

On a busy day shift in the emergency department, our seasoned triage nurse comes to me after I finish caring for a hallway patient, “Hey, can you come see this guy in the triage room? His vitals are fine…”. Seemingly unsure, she pauses, “I’m getting an interpreter, and I think he has belly pain, but something just doesn’t seem right.” Coming into triage, I see a young man—Georgian-speaking—bracing himself with a hand against the wall and holding his lower abdomen.

Emergency Department 59

Emergency Department Mass Casualty Incidents Documentation/Coding Sepsis 59

Emergency Live

OCTOBER 29, 2024

An algorithm was found that can detect the characteristics of the brain of autistic people Artificial intelligence revolutionizes the understanding of autism. Scientists have been able to develop an algorithm that can “read” MRI images and identify the distinctive brain features of people with autism spectrum disorder (ASD). The research This discovery, published in Science […] The post AI reveals the secrets of the autistic brain appeared first on Emergency Live.

Research 52

Research 52

ACEP Now

OCTOBER 29, 2024

Our patient is a 33-year-old male with spastic quadriparesis due to cerebral palsy with chronic indwelling suprapubic catheter (SPC) who presented to the emergency department (ED) due to concern for Foley catheter obstruction. The patients’ mother has attempted to flush the SPC multiple times unsuccessfully at home. The catheter was reportedly due for an exchange the following week.

Ultrasounds 52

Ultrasounds Best Practices Radiology Radiology 52

Emergency Live

OCTOBER 29, 2024

People who spend long hours on their cell phones are more likely to develop heart problems, according to a study In the digital age, our smartphone has become an extension of ourselves, an inseparable companion that accompanies us at every moment of the day. But this intimate relationship could hide risks for our health, especially […] The post Smartphone: a new alarm bell for the heart?

Research 52

Research 52

Mind The Bleep

OCTOBER 29, 2024

Chemical burns are a unique subset of burns that require specialised management due to the nature of the substances involved. Proper initial management is critical to prevent further tissue damage and systemic complications. The majority of acid burns cause coagulative necrosis and cytotoxicity leading to skin and mucosal changes that limit deeper injury.

Burns 52

Burns Fluid Resuscitation PPE Resuscitation 52

Sensible Medicine

OCTOBER 29, 2024

It goes without saying that we at Sensible Medicine pray at the church of Evidence-Based Medicine. Fields of medicine vary in how strong the “best available evidence from systematic research” leg of the three-legged stool is. If you are a cardiologist, you might be able to rely heavily of RCTS. Some other fields, with a weaker evidence base, might have to lean heavier on basic science or clinical experience and “N of 1” trials.

Research 101

Research Evidence-Based Practice Wellness 101

EMergucate

OCTOBER 29, 2024

The following chest x-ray is from an elderly patient with cough & dyspnoea.

Radiology 52

Radiology Radiology EMS 52

ACEP Now

OCTOBER 29, 2024

A 10-year-old male with a past medical history significant for autism spectrum disorder and 15q3 deletion, experienced a cardiac arrest at home. There was no family history of syncope or sudden death. EMS found the patient pulseless and apneic, with an initial rhythm showing ventricular fibrillation (see figure 1). He was defibrillated twice and received two doses of epinephrine, with return of spontaneous circulation.

Pediatrics 52

Pediatrics EKG/ECG Documentation/Coding Hospitals 52