OBJECTIVE: To determine if serum levels of S100B are higher in children with CHT and ICI as detected by cranial CT long bone fractures affect the level skeletal injury. METHODS: Children <18 years age who presented to an urban pediatric emergency department or were transferred from a referral hospital within 6 hours after accidental closed head trauma underwent computed tomography enrolled prospectively. Mean for without intracranial injury (ICI) long-bone evaluated through analysis...

BACKGROUND: Emergency physicians (EPs) often care for patients with acute small bowel obstruction.While some require exploratory laparotomy, others are managed successfully supportive care.We aimed to determine features that predict the need operative management in emergency department (ED) obstruction (SBO). METHODS:We performed a retrospective chart review of 370 consecutive admitted large urban academic teaching hospital diagnosis SBO over two-year period.We evaluated demographic...

BACKGROUND: Emergency physicians frequently encounter patients with acute small bowel obstructions (SBO).Although computed tomography (CT) imaging is the current gold standard in assessment of suspected SBO emergency department, a few studies have examined use ultrasound as an alternative technique. METHODS:We evaluated accuracy performed ED by variety providers (physicians various levels training, physician assistants) compared to CT 47 SBOs. RESULTS:Our data demonstrated sensitivity 93.8%...

Diverticular disease accounts for approximately 312 000 hospital admissions in the United States annually, and costs nearly 2.6 billion dollars.[1,2] Approximately 20% of Americans with diverticular will experience at least one episode acute diverticulitis, necessitating a visit to their physician’s office or emergency department (ED) treatment.[3] As risk developing diverticulitis rises age (nearly 50% people aged over 60 years have colonic diverticula), incidence is rising as elderly...

Crohn's disease is a chronic inflammatory bowel that also associated with extra-intestinal complications, such as arthritis, erythema nodosum, deep venous thrombosis, and uveitis.Involvement of the vulva, however, rare fi nding in female patients disease.We present case vulvar discuss process treatment options for affected patients.

Perineal and rectal pain are common presentations in the emergency department (ED). In majority of cases, clinical examination is sufficient to detect local anorectal pathologies. However, perianal abscesses fistulas often primary concerns prompting diagnostic imaging ED. Currently, computed tomography preferred modality. Recently, transperineal ultrasound has emerged as an optimal modality for diagnosis perineal abscesses. We present a case which point-of-care accurately detected...

Hand hygiene has always been an area of emphasis within the hospital setting, never more so than during coronavirus disease 2019 (COVID-19) pandemic. The consumption alcohol-containing hand sanitizer products, whether intentional or accidental, often garners attention, particularly since these products may contain methanol. This report describes a case surreptitious theft and ingestion emergency department's (ED) ethanol-based by patient who presented to ED clinically intoxicated with high...

Emergency physicians can use point-of-care ultrasound to diagnose inguinal hernias as well their potential complications, including small bowel obstruction, incarceration, and even strangulation. We provide an overview of the sonographic appearance hernias, diagnostic criteria serious complications. In this case report, findings included a non-reducible hernia associated with significant dilation in multiple loops without signs intestinal ischemia or necrosis.

Background and objective Accurate identification categorization of injuries from medical records can be challenging, yet it is important for injury epidemiology prevention efforts. Coding systems such as the International Classification Diseases (ICD) have well-known limitations. Utilizing computer-based techniques natural language processing (NLP) help augment diseases in electronic health records. We used a Python program to search text identify cases scooter that presented our emergency...

Abstract Background Despite the utilization of point‐of‐care ultrasound (POCUS) by trauma surgeons, formal POCUS requirements do not exist for general surgery residents. We sought to evaluate resident comfort with performing and interpreting Extended‐Focused Assessment Sonography in Trauma (E‐FAST) scans after a brief educational session. Methods A pre‐survey, sent PGY‐2 ‐3 surgical residents before their rotation, evaluated eight components E‐FAST. Residents were then required watch 15‐min...

Introduction Acute COVID-19 patients can suffer from chronic symptoms known as post-acute sequelae of SARS-CoV-2 infection (PASC). Point-of-care ultrasound (POCUS) is established in acute COVID, but its utility PASC unclear. We sought to determine the incidence cardiac and pulmonary abnormalities with POCUS a recovery clinic. Methods This prospective cohort study included adults (>18 years old) presenting cardiopulmonary A lung standard bedside echocardiogram were performed by...

Gastric outlet obstruction (GOO) is a rare diagnosis that can be challenging to make as its symptoms, which include abdominal distention, nausea, and persistent vomiting, often overlap with many other acute pathologies. Point-of-care ultrasound (POCUS) help the clinician identify gastric in patients who present emergency department (ED). Sonographic identifiers markedly dilated stomach filled both hyper- hypoechoic contents may extend into lower abdomen pelvic views.