Aug 05 2021
POCUS for Intussusception
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Ultrasound is a valuable tool to evaluate for intussusception by trained emergency physicians.
May 07 2021
CT and Cancer Risk
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CT abdomen and pelvis is associated with a higher incidence of hematologic malignancies over a two year span, especially in younger patients.
Apr 16 2021
Bilateral Clamshell or Left Anterolateral Thoracotomy?
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The bilateral anterior clamshell thoracotomy technique was as fast (faster for some) as the left anterolateral thoracotomy, resulted in fewer iatrogenic injuries, and was favored by emergency physicians.
Apr 13 2021
Best Antibiotic for Diverticulitis
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Amoxicillin-clavulanate (AC) compared to fluoroquinolone + metronidazole (FM) was not associated with worsened outcomes for outpatient treatment of diverticulitis and may reduce known harm related to the fluoroquinolone class of antibiotic.
Dec 01 2020
Peds Radiology Super Powers for Equivocal Outside CT for Appendicitis
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When pediatric radiologists reinterpreted CT scans thought to be equivocal for appendicitis by community radiologists, they were able to provide a definitive diagnosis 88% of the time. Also, ultrasound for appendicitis at this children’s hospital was very accurate in equivocal cases.
Nov 17 2020
CODA RCT – Antibiotics or Surgery for Appendicitis?
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Antibiotic treatment vs appendectomy for appendicitis had non-inferior 30-day quality of life scores, but need for subsequent surgery and complications were greater in the antibiotic group, especially in patients with an appendicolith.
Oct 21 2020
Intussusception – How Accurate Is History, Exam, X-ray, Ultrasound?
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History, exam, and x-ray were not accurate predictors of intussusception, but POCUS was very accurate. If you suspect it, get an ultrasound.
Jul 10 2020
Trauma to the Cardiac Box – Is It More Dangerous?
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Penetrating injury to the cardiac box is more likely to cause cardiac injury and to need surgery than outside the box, but this was driven by stab wounds. Mortality was no different with injuries in the box vs not. FAST exam is probably more important than location of the wound.
May 20 2020
Gestalt for Pediatric Appendicitis?
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ED physicians were found to be accurate, based on clinical gestalt alone, in predicting pediatric appendicitis, especially in patients they considered low risk.
Apr 01 2020
Spontaneous Pneumothorax – Chest Tube or Watchful Waiting?
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Conservative management of moderate-to-large size spontaneous pneumothorax was noninferior to interventional management, with lower risk of complications and recurrence.