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The emergency management of mediastinal masses

Don't Forget the Bubbles

Management must be multidisciplinary involving anaesthetics, paediatric retrieval service/paediatric intensive care, ENT and oncology teams (as well as the cardiothoracic surgery team – not always available). Five-year-old Ginny presents to the Emergency Department with a syncopal episode. 2014;9(9):S102-S109.

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Choosing Wisely – Investigations for seizures that have returned to baseline

Don't Forget the Bubbles

The parents of 18-month-old Susie brought her to the Emergency Department after she had a seizure at home. When considering tumours, 37 observation studies involving 2661 children found that 3% (95% CI 1-7%) had tumours. Reaffirmed October 17, 2020 Jaffe M, Bar-Joseph G, Tirosh E. 2021;26(1):50-57 NICE. Pediatrics.

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Improving Care for Patients with a Non-English Language Preference (NELP)

EMDocs

1 However, we recognize that many patients prefer to speak a language other than English regardless of their English proficiency, and this does not indicate a deficiency. 9 Less likely to be satisfied with their care and have a lower understanding of their discharge instructions. Annals of Emergency Medicine. 45:446-458.

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How To Manage Tracheo-Innominate Fistula

ACEP Now

A 24-year-old male with history of quadriplegia and traumatic brain injury presents to the emergency department with hemorrhage in his oral cavity and blood from his tracheostomy tube. 1 percent of tracheostomies. More recently management has involved endovascular stenting of the innominate artery. 2005;128: 3906-9.

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Platelet-Lymphocyte Ratio and Neutrophil-Lymphocyte Ratio: Updates in Prognosticating Fournier Gangrene in the Emergency Department

AAEM RSA

1 His description of cases of life-threatening infections in the perineal, genital or perianal regions were thought to be idiopathic in previously healthy men. 3-5 Fournier gangrene is a type of necrotizing soft tissue infection, which can be categorized into four types based on the infectious organism involved and other features (Table 1).

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Ovarian Torsion: Don’t get your knickers in a twist!

Don't Forget the Bubbles

We dont often cover gynaecological presentations in the emergency department and most chronic gynaecological problems go through the primary care referral pathway. See figure 1. The ovary has dual blood supply from the ovarian artery, a branch of the abdominal aorta and the uterine artery [1]. Mansuria S.M, Donnellan N.M

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