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EM@3AM: Total Hip Arthroplasty Complications

EMDocs

1-3 Despite its commonality it retains a relatively high rate of complications overall and patients frequently present to the ED for evaluation. 10% of patient’s have an ED visit within 30 or 90 days following THA. 4 Pain is the most common reason for presentation in the early post operative period. 2013 Dec;6(4):350-6.

EMS 75
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New Quality Measure Improves Screening for Abdominal Aortic Aneurysm

ACEP Now

3 The majority of those who arrive to the emergency department (ED) live for 2 hours or more, leaving a small window for surgical intervention. Other exceptions are patient refusal, patient death or immediate transfer to the operating room. Bailey & Love’s short practice of surgery, 26th ed. Br J Surg 2012;99:655-665.

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Testicular torsion

Don't Forget the Bubbles

One systematic review of 1283 patients showed that if you got to the operating room within 6 hours, you had a 97% chance of saving the testicle. Clinical predictors for testicular torsion as seen in the pediatric ED. This dropped to 79.3% Barbosa, J.A., Tiseo, B.C., Barayan, G.A., Rosman, B.M., Torricelli, F.C.M., Retik, A.B.