Remove E-9-1-1 Remove Emergency Management Remove OR
article thumbnail

The emergency management of mediastinal masses

Don't Forget the Bubbles

One final option is emergent transfer, prior to intubation, to a centre that has ECMO on standby. Children who have a malignant tumour may require chemotherapy or radiotherapy, though, significant destruction of tumour cells may cause tumour lysis syndrome and complicate diagnosis – this management should be guided by the oncology team.

article thumbnail

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. Her parents ask you whether any blood tests or brain scans are needed What do the guidelines say?

E-9-1-1 131
professionals

Sign Up for our Newsletter

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.

article thumbnail

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. 11 Unlikely to receive language assistance.

article thumbnail

How To Manage Tracheo-Innominate Fistula

ACEP Now

1 percent of tracheostomies. 7,8 The significance of this is clear: bronchoscopy or angiography may not suffice to make the diagnosis in the emergency setting. 9 There may be no time in which to perform a CT scan, and as noted above, CTA and laryngoscopy may show no remarkable findings of fistula.

E-9-1-1 52
article thumbnail

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).

article thumbnail

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

Don't Forget the Bubbles

See figure 1. The ovary has dual blood supply from the ovarian artery, a branch of the abdominal aorta and the uterine artery [1]. Figure 1: Female reproductive system with focus on the ligaments supporting the ovaries. Ovarian torsion angles less than 360 degrees are unlikely to develop necrosis [9].

E-9-1-1 76