Abdominal CT is the most common initial imaging test ordered for suspected nephrolithiasis in the Emergency Department. This is largely due to its high sensitivity for the diagnosis of kidney stones and ability to assess for other high-risk diagnosis. However, CT scan results in exposure to ionizing radiation with related long-term cancer risk and a high rate of incidental findings.
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Journal Review
Ultrasonography vs CT in Renal Colic
Core
Chief Complaint – Chest Pain
Chest pain is one of the most common chief complaints in the ED. Its causes range from the benign to the life-threatening.
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Journal Review
Non-Invasive Positive Pressure Ventilation for Pre-Hospital Respiratory Distress
Acute dyspnea is a common Emergency Department complaint; in 2003 this chief complaint comprised about 3.5% of more than 115 million emergency department visits nationwide. A subset of these patients will present in respiratory distress, which is associated with increased morbidity and mortality. Often it can be hard to determine the exact etiology of the shortness of breath in a timely fashion,
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Shoulder Dystocia
Impaction of the fetal anterior shoulder behind the maternal pubic symphysis. This disorder prevents progression of delivery.
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Peritonsillar Abscess
The suppurative end-point of bacterial infection that results in the development of pus between the palatine tonsil and its capsule.
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Cardiogenic Shock
Tissue hypoperfusion that is primarily attributable to damage to the heart.
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Journal Review
Biphasic Reactions in Emergency Department Patients with Allergic Reactions or Anaphylaxis
Background: Anaphylaxis is a condition that represents the best of Emergency Medicine: rapid onset of life-threatening symptoms that can be reversed with expeditious interventions. It is defined as the presence of any of the following:
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