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Traumatic Hemothorax

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Evaluation and management of patients presenting with traumatic hemothorax.
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Journal Review

Cyanoacrylate to Secure Peripheral IVs

Filed Under: Tags: , March 17th, 2016 Leave a Comment

Peripheral venous cannulation is the most frequently performed procedure in the Emergency Department (ED). The vast majority of patients admitted to the hospital will leave the ED with an intravenous catheter (IV). While these devices typically have a “life-span” of 72 hours from placement, they often fail prematurely as a result of infection, phlebitis, occlusion or dislodgement.
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Hypercalcemia

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Hypercalcemia is commonly seen in the ED in the setting of malignancy and hyperparathyroidism. Know the steps in emergency management.
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Journal Review

Predictors of Failed Outpatient Cellulitis Treatment

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Despite several expert panel recommendations and cellulitis treatment guidelines, there are currently no clinical decision rules to assist clinicians in decideding which Emergency Department (ED) patients should be treated with oral antibiotics and which patients require IV therapy at first presentation of cellulitis amenable to outpatient treatment.

Cellulitis is an acute or subacute infection of the dermis and subcutaneous tissue of presumed bacterial etiology charactrerized by warmth,
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Elbow Dislocation

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A review of the ED management of elbow dislocations.
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Cases

March 2016

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“a piece of turkey stuck in my throat”
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Journal Review

Spectrophotometry or Visual Inspection for Xanthochromia

Filed Under: Tags: , , , , March 3rd, 2016 Leave a Comment

Although non-contrast head CT (NCHCT) has near perfect sensitivity (98-100%) in detecting aneurysmal subarachnoid hemorrhage (SAH) when performed within 6 hours of headache onset, sensitivity declines after 6 hours. As a result of declining sensitivity, lumbar puncture (LP) continues to be part of the workup in suspected SAH. An LP gives providers the ability to perform CSF analysis for red blood cells and detect xanthochromia by visual inspection or spectrophotometry.
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Radial Head Fracture

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Radial head fractures are common injuries that are frequently missed. This post reviews the exam, X-ray findings and management.
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