Although screening CXRs and trauma pan-scans are common-place, let’s take a minute to review current literature to aid in our decision-making regarding the use of imaging in the evaluation of blunt thoracic injury.
Welcome to EM@3AM: Let's review a cause of significant morbidity and mortality in sickle cell patients.
The pediatric and gravid populations have special needs regarding imaging for abdominal pain. This article reviews the more common causes of abdominal pain in children and pregnant women and how to approach imaging in these populations.
Cholangitis should be considered in patients with undifferentiated sepsis. Ruling in or out the diagnosis of cholangitis is no longer based on clinical exam alone. The addition of imaging and bloodwork to the clinical exam are much more reliable. Resuscitation, antibiotics and consultation for early biliary decompression are the mainstays of cholangitis treatment.
Often, the dreaded complications that we are taught to look for don’t present to us in the Emergency Department, but develop and evolve during the hospitalization that began with the patient seeing us in the ED. Our skill can help the child in distress, but our vigilance can detect the evolving A...
Leg pain...anticoagulation...Hb drop... A rare but dangerous diagnosis you do not want to miss
"Weinstock describes gastroenteritis bluntly as 'the refuge of the intellectually destitute'"From the case records of Janus General Hospital, we bring you the first in our series of bouncebacks. Tommy Swanson, MD describes the initial and subsequent visits of a 61 year old female with abdominal discomfort.
An 82-year-old female presents to the ED after falling down a flight of stairs. Patient reports falling onto her chest. She endorses right sided chest pain that began immediately after falling but denies any shortness of breath. Vital signs: HR 90 bpm, BP 148/100, RR of 20, T of 98.8F, and SPO2 of...
