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Large bowel obstruction: ED presentation, evaluation, and management

EMDocs

and is poorly tolerated by patients with obstruction, it should not be a routine part of the ED evaluation for LBO unless it is critical for another diagnosis on the differential. Published 2018 Aug 13. He describes the pain as a gradually worsening pressure-like discomfort distributed across his entire abdomen. Published 2021 Apr 22.

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Unstable Pelvic Trauma Patient: ED Presentations, Evaluation, and Management

EMDocs

C, respiratory rate 20 breaths per minute, and oxygen saturation 95% on room air. The nuances of fracture patterns and delineating mechanically unstable pelvic fractures from stable ones is less important to the ED. 12 An AP x-ray of the pelvis should be obtained in the ED for unstable patients.

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SGEM#205: Twist & Shout – Testicular Torsion

The Skeptics' Guide to EM

[display_podcast] Date: January 31st, 2018 Reference: Frohlich LC, et al. display_podcast] Date: January 31st, 2018 Reference: Frohlich LC, et al. Might his examination be enough to convince the urologists to take him straight to the operating room without a preceding diagnostic ultrasound? AEM Dec 2017. AEM Dec 2017.

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Case Report: a High-Voltage Victim

ACEP Now

A 44 year-old male with unknown past medical history came by emergency medical services (EMS) to the emergency department (ED) for an electrical injury and fall from a high voltage electrical pole. In the operating room, there was minimal urinary output and the bladder pressures were 35 mmHg under sedation and analgesia.

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Brazilian Butt Lift Procedure Can Result in Emergency Department Visits

ACEP Now

A search for Brazilian Butt Lift (BBL) on any social media platform will yield thousands of before-and-after images, faja sales, operating room videos, recovery tips, and patients praising their plastic surgeon. Or Helly Larson describing the first week after her Miami BBL as “absolute hell” to a Vox reporter.

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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. Hospitals, 2018.

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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% Indian Journal of Urology: IJU: Journal of the Urological Society of India , 38 (2), p.135.