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The emergency management of mediastinal masses

Don't Forget the Bubbles

You contact ICU, anaesthetics, ENT, and oncology with a plan to attempt more definitive imaging in the prone position (which Ginny tells you is much comfier) What’s the evidence for our emergent management? Arguably, more robust research is neither feasible nor ethical to conduct in such a rare and time-critical emergency.

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Choosing Wisely – Investigations for seizures that have returned to baseline

Don't Forget the Bubbles

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. The role of brain computed tomography in evaluating children with new onset of seizures in the emergency department. 2021;26(1):50-57 NICE.

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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. Karliner L, Jacobs E, et al. My patient is Deaf.

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How To Manage Tracheo-Innominate Fistula

ACEP Now

1 percent of tracheostomies. 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. More recently management has involved endovascular stenting of the innominate artery. 2005;128: 3906-9. 2021;4(30):1-4. J Vasc Surg. 2014;59:1163-7.

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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

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]. Mansuria S.M,

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