Ahbinav Chandra and colleagues looked at 10,145 patients over two years
who had presented to multiple EDs with the complaint of chest pain.
After a negative work-up (non-diagnostic ECG changes, normal initial
biomarkers, and a non-MI impression) the EP had stratified each patient
as non-cardiac, low risk, high risk, or unstable angina, based solely
on their gut instinct. How right were they?
EM:RAP Blunt Abdominal Trauma in Pediatric Patients with Dr. Sanjay Arora and Dr. Mike Menchine
Pediatric patients are at higher risk for occult injuries such as
duodenal hematomas and pancreatic contusions and have therefore
traditionally been observed. In a prospective study of 1,295 pediatric
patients with blunt abdominal trauma, 1,085 had a normal CT scan.
In general, toxic alcohols can be divided into two groups based on
similarity in symptoms, pathophysiology, and treatment: isopropyl
alcohol and ethanol in one group, methanol and ethylene glycol in the
other. Isopropyl alcohol can be considered a “super alcohol” with more
profound intoxication effects than ethanol and greater propensity for
gastrointestinal bleeding from hemorrhagic gastritis.
At a recent All L.A. Conference, a panel of guest speakers from several
emergency departments throughout Southern California discussed a few
current updates and controversies in the management of trauma patients
There are a multitude of definitions and cut-off values for the varying
degrees of hypothermia. Mild hypothermia (34 - 35C or 93.2 -95F) is
considered the excitation phase wherein shivering occurs and cardiac
output increases. In moderate hypothermia (30 - 34C or 86 – 93.2F) the
adynamic phase, cardiac output begins to drop.