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SophiaEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: Emergency Medicine Journal)
Source: Emergency Medicine Journal - October 22, 2009 Category: Emergency Medicine Authors: Taylor, R., Wyatt, J. Tags: Miscellanea Source Type: journals

Original author's response to e-letterEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: Emergency Medicine Journal)
Source: Emergency Medicine Journal - October 22, 2009 Category: Emergency Medicine Authors: Lloyd, G Tags: PostScript Source Type: journals

Is propofol a safe and effective sedative for relocating hip prostheses?Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: Emergency Medicine Journal)
Source: Emergency Medicine Journal - October 22, 2009 Category: Emergency Medicine Authors: Davison, M, Stewart, R Tags: PostScript Source Type: journals

Subclavian vein thrombosis following clavicular fractureEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
A very rare case is presented of a woman with subclavian vein thrombosis that resulted from a fragment of her fractured clavicle impinging on the subclavian vein. (Source: Emergency Medicine Journal)
Source: Emergency Medicine Journal - October 22, 2009 Category: Emergency Medicine Authors: Wright, S W Tags: Venous thromboembolism Emergency casebooks Source Type: journals

Bullet embolisation from the right subclavian vein to the right ventricle: a case reportEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Bullet embolism to the heart is an unusual complication of penetrating gunshot injuries. A bullet may reach the heart by direct cardiac penetration or entry into the peripheral venous system with embolisation to the heart, which must be differentiated. This is a report of an unusual case of bullet embolism to the heart that was extracted by direct cardiotomy without cardiopulmonary bypass. (Source: Emergency Medicine Journal)
Source: Emergency Medicine Journal - October 22, 2009 Category: Emergency Medicine Authors: Wu, C-J, Chiu, K M, Chu, S H, Li, S J Tags: Trauma Emergency casebooks Source Type: journals

Spontaneous intraparenchymal tension pneumocephalus triggered by compulsive forceful nose blowingEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The case is described of a 50-year-old man, treated for 10 years in an outpatient psychiatric clinic for an obsessive compulsive disorder, who presented with acute loss of consciousness after forceful nose blowing. A CT scan revealed an intraparenchymal air collection with tension signs in the left frontal lobe and a bone defect in the roof of the ethmoid sinus. After emergency left frontal craniotomy and dura opening, the gaseous collection was evacuated by a ventricular catheter inserted into the brain and the bone defect was repaired with pericranium flap and muscle. The postoperative course was uneventful with neurocog...
Source: Emergency Medicine Journal - October 22, 2009 Category: Emergency Medicine Authors: Mirone, G, Rotondo, M, Scuotto, A, Bocchetti, A, D'Avanzo, R, Natale, M, Moraci, A Tags: Trauma CNS / PNS, Anxiety disorders (including OCD and PTSD), Radiology, Clinical diagnostic tests, Radiology (diagnostics), Trauma Emergency casebooks Source Type: journals

An evaluation of an educational intervention to reduce inappropriate cannulation and improve cannulation technique by paramedicsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion: The educational intervention was effective in bringing about changes leading to enhanced quality and safety in some aspects of prehospital cannulation. (Source: Emergency Medicine Journal)
Source: Emergency Medicine Journal - October 22, 2009 Category: Emergency Medicine Authors: Siriwardena, A N, Iqbal, M, Banerjee, S, Spaight, A, Stephenson, J Tags: Pain (neurology), Radiology, Clinical diagnostic tests, Resuscitation Prehospital care Source Type: journals

AnswersEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: Emergency Medicine Journal)
Source: Emergency Medicine Journal - October 22, 2009 Category: Emergency Medicine Tags: Miscellanea Source Type: journals

The Tough Guy prehospital experience: patterns of injury at a major UK endurance eventEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: Medical teams should plan for casualty rates of 1%–2% of competitors and hospital transfer rates of ~5% of patients treated. Outdoor events in winter create more casualties than in summer and require greater resources. Trauma and exposure injuries are common; critical illness is uncommon. An adequately equipped and skilled medical team reduces hospital admissions. (Source: Emergency Medicine Journal)
Source: Emergency Medicine Journal - October 22, 2009 Category: Emergency Medicine Authors: Agar, C, Pickard, L, Bhangu, A Tags: Prehospital care Source Type: journals

Bet 4: the use of ultrasound in the diagnosis of paediatric wrist fracturesEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: Emergency Medicine Journal)
Source: Emergency Medicine Journal - October 22, 2009 Category: Emergency Medicine Authors: May, G., Grayson, A. Tags: EMJ Best evidence topic reports, Fractures, Pregnancy, Adolescent health, Child health, Radiology, Clinical diagnostic tests, Radiology (diagnostics), Trauma Source Type: journals

Bet 3: do buckle fractures of the paediatric wrist require follow up?Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: Emergency Medicine Journal)
Source: Emergency Medicine Journal - October 22, 2009 Category: Emergency Medicine Authors: May, G., Grayson, A. Tags: EMJ Best evidence topic reports, Patients, Fractures, Pain (neurology), Trauma Source Type: journals

Bet 2: eccentric exercise in the treatment of achilles tendinopathyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: Emergency Medicine Journal)
Source: Emergency Medicine Journal - October 22, 2009 Category: Emergency Medicine Authors: Flint, D., Pugh, S., Callaghan, M. Tags: EMJ Best evidence topic reports, Pain (neurology) Source Type: journals

Bet 1: steroids for patients with vestibular neuronitisEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: Emergency Medicine Journal)
Source: Emergency Medicine Journal - October 22, 2009 Category: Emergency Medicine Authors: Chou, H.-C., Yen, Z.-S. Tags: EMJ Best evidence topic reports, Cranial nerves, Clinical diagnostic tests, Ear, nose and throat/otolaryngology Source Type: journals

Towards evidence based emergency medicine: Best BETs from the Manchester Royal InfirmaryEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: Emergency Medicine Journal)
Source: Emergency Medicine Journal - October 22, 2009 Category: Emergency Medicine Authors: Carley, S. Tags: EMJ Best evidence topic reports Source Type: journals

The mark of the dragonEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: Emergency Medicine Journal)
Source: Emergency Medicine Journal - October 22, 2009 Category: Emergency Medicine Authors: Wheat, P, Boon, R L Tags: Ethics Images in emergency medicine Source Type: journals

Use of a control test to aid pH assessment of chemical eye injuriesEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We present a case of alkali injury in which the raised tear film pH seemed to be unresponsive to irrigation treatment. Suspicion was raised about the accuracy of the litmus paper used to test the tear film pH. The error was confirmed by use of a control litmus pH test of the examining doctor’s eyes. Errors in litmus paper pH measurement can occur because of difficulty in matching the paper with scale colours and drying of the paper, which produces a darker colour. A small tear film sample can also create difficulty in colour matching, whereas too large a sample can wash away pigment from the litmus paper. Samples mea...
Source: Emergency Medicine Journal - October 22, 2009 Category: Emergency Medicine Authors: Connor, A J, Severn, P Tags: Burns (diagnoses), Trauma, Burns Short report Source Type: journals

Effects of bed height on the performance of chest compressionsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion: The performance of chest compressions decreased when the bed height was 20 cm higher than the knee height of the rescuer. (Source: Emergency Medicine Journal)
Source: Emergency Medicine Journal - October 22, 2009 Category: Emergency Medicine Authors: Cho, J, Oh, J H, Park, Y S, Park, I C, Chung, S P Tags: Resuscitation Original articles Source Type: journals

Pain in the leg after joggingEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: Emergency Medicine Journal)
Source: Emergency Medicine Journal - October 22, 2009 Category: Emergency Medicine Authors: de Castro, S M M, Joosse, P, Unlu, C, Steller, E P H Tags: Fractures, Pain (neurology), Radiology, Osteoarthritis, Clinical diagnostic tests, Radiology (diagnostics), Ethics, Trauma Images in emergency medicine Source Type: journals

Predicting the complicated neutropenic fever in the emergency departmentEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: Platelet count, CRP and pulmonary infiltration on chest x ray at presentation could be used to identify febrile neutropenic patients who will develop complications, and these factors may be useful in making treatment-related decisions in the ED. (Source: Emergency Medicine Journal)
Source: Emergency Medicine Journal - October 22, 2009 Category: Emergency Medicine Authors: Moon, J M, Chun, B J Tags: Unlocked, Drugs: infectious diseases Original articles Source Type: journals

The toddler refusing to weight-bear: a revised imaging guide from a case seriesEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion: These cases are presented in order to heighten the awareness of this disease entity and its imaging findings, and suggest new guidelines for the appropriate radiological investigations in this clinical setting. (Source: Emergency Medicine Journal)
Source: Emergency Medicine Journal - October 22, 2009 Category: Emergency Medicine Authors: Arthurs, O J, Gomez, A C, Heinz, P, Set, P A K Tags: Bone and joint infections, Drugs: infectious diseases, Pain (neurology), Radiology, Clinical diagnostic tests, Radiology (diagnostics) Original articles Source Type: journals

Pulmonary artery pseudoaneurysmEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: Emergency Medicine Journal)
Source: Emergency Medicine Journal - October 22, 2009 Category: Emergency Medicine Authors: Kwon, O Y., Lee, K R., Kim, S W. Tags: TB and other respiratory infections, Hypertension, Radiology, Tuberculosis, Clinical diagnostic tests, Radiology (diagnostics), Ethics Images in emergency medicine Source Type: journals

Derivation and validation of a sensitive IMA cutpoint to predict cardiac events in patients with chest painEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: We prospectively validated the sensitive IMA cutpoint of 75 KU/litre with 80% sensitivity for MACEs in patients with acute chest pain. Our data suggest that IMA alone and in combination with initial hsTnT are more sensitive than the initial hsTnT for MACEs. (Source: Emergency Medicine Journal)
Source: Emergency Medicine Journal - October 22, 2009 Category: Emergency Medicine Authors: Manini, A F, Ilgen, J, Noble, V E, Bamberg, F, Koenig, W, Bohan, J S, Hoffmann, U Tags: Drugs: cardiovascular system, Pain (neurology), Acute coronary syndromes Original articles Source Type: journals

Winged scapula as the presenting symptom of Guillain-Barre syndromeEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: Emergency Medicine Journal)
Source: Emergency Medicine Journal - October 22, 2009 Category: Emergency Medicine Authors: Sivan, M, Hassan, A Tags: Haematology (incl blood transfusion), Physiotherapy, Ethics, Trauma, Recreation/Sports injury Images in emergency medicine Source Type: journals

Relationship between equipment and infrastructure for pandemic influenza and performance in an avian flu drillEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: This study has identified benchmarks of infrastructure and equipment required for managing a pandemic influenza event and evaluating the level of emergency preparedness of the hospital. The significant relationship between maintaining stockpiles of antiviral medications for patients and staff and performance in an avian flu drill emphasises its importance in the process of maintaining emergency preparedness for a pandemic influenza outbreak. (Source: Emergency Medicine Journal)
Source: Emergency Medicine Journal - October 22, 2009 Category: Emergency Medicine Authors: Adini, B, Goldberg, A, Cohen, R, Bar-Dayan, Y Tags: Drugs: infectious diseases, Influenza, TB and other respiratory infections Original articles Source Type: journals

EMQs: PaediatricsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: Emergency Medicine Journal)
Source: Emergency Medicine Journal - October 22, 2009 Category: Emergency Medicine Authors: Davey, M, Pandit, S Tags: Miscellanea Source Type: journals

Magnesium sulphate in the treatment of acute asthma: evaluation of current practice in adult emergency departmentsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: Intravenous magnesium sulphate is widely used for acute asthma, usually for patients with severe or life-threatening asthma who have not responded to initial treatment. Nebulised magnesium sulphate, by contrast, is hardly used at all. The use of intravenous magnesium sulphate is more extensive than current guidelines or available evidence would appear to support. (Source: Emergency Medicine Journal)
Source: Emergency Medicine Journal - October 22, 2009 Category: Emergency Medicine Authors: Jones, L A, Goodacre, S Tags: Asthma Original articles Source Type: journals

DNW--"Did Not Wait" or "Demographic Needing Work": a study of the profile of patients who did not wait to be seen in an Irish emergency departmentEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion: Failure to provide the service in a timely manner gives rise to patients leaving without receiving the medical assessment they came to obtain. This is a serious clinical problem and puts both those requiring care and those providing it at risk of adverse outcomes. (Source: Emergency Medicine Journal)
Source: Emergency Medicine Journal - October 22, 2009 Category: Emergency Medicine Authors: Gilligan, P, Joseph, D, Winder, S, Keeffe, F O, Oladipo, O, Ayodele, T, Asuquo, Q, O'Kelly, P, Hegarty, D Tags: Original articles Source Type: journals

Introduction of the Liverpool Care Pathway for end of life care to emergency medicineEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: It has been a rewarding undertaking to improve the care of dying patients, but one which has taken time and has required consistent management of change to promote the positive outcomes. (Source: Emergency Medicine Journal)
Source: Emergency Medicine Journal - October 22, 2009 Category: Emergency Medicine Authors: Paterson, B C, Duncan, R, Conway, R, Paterson, F M, Napier, P, Raitt, M Tags: End of life decisions (geriatric medicine), End of life decisions (palliative care), Ethics Original articles Source Type: journals

Qualitative research: specific designs for qualitative research in emergency care?Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This article follows our description of generic qualitative approaches, focusing on the specific designs of ethnography, grounded theory and phenomenology. Distinguishing features are described, including methodological approaches and methods for enhancing rigour. The use of these designs in emergency care is unusual but informative, and important work has been produced. Whether used in a pure or applied manner, it is likely that such approaches will add to our understanding of the emergency world. (Source: Emergency Medicine Journal)
Source: Emergency Medicine Journal - October 22, 2009 Category: Emergency Medicine Authors: Cooper, S, Endacott, R, Chapman, Y Tags: Editor's choice Original articles Source Type: journals

Organisation of traumatic head injury management in the Nordic countriesEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: Most Nordic hospitals are well prepared to manage patients with acute traumatic head injury. A substantial proportion of the operations are performed at local and central hospitals without neurosurgical expertise, despite an efficient pre and interhospital transport system. The Nordic adaption of the Brain Trauma Foundation guidelines recommends that this practice is terminated. (Source: Emergency Medicine Journal)
Source: Emergency Medicine Journal - October 22, 2009 Category: Emergency Medicine Authors: Sollid, S, Sundstrom, T, Ingebrigtsen, T, Romner, B, Wester, K. Tags: Trauma CNS / PNS, Trauma Original articles Source Type: journals

Prehospital paediatric emergency care: paediatric triageEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The practice of triage was conceived during the Napoleonic wars, with the aim of salvaging those soldiers whose injuries were readily treatable, returning them to the battlefield at the earliest opportunity. Literally, the word triage means "to sieve" or "to sort" (French trier), and those earlier battlefield principles have been refined and expanded to now encompass trauma and medical emergencies, with triage practiced in prehospital and hospital settings. To address the anatomical, physiological and developmental differences encountered when dealing with children, specific paediatric triage systems have also been develop...
Source: Emergency Medicine Journal - October 22, 2009 Category: Emergency Medicine Authors: Sandell, J M, Maconochie, I K, Jewkes, F Tags: Review Source Type: journals

USA health reforms and the NHSEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: Emergency Medicine Journal)
Source: Emergency Medicine Journal - October 22, 2009 Category: Emergency Medicine Authors: Hughes, G. Tags: Editorial Source Type: journals

Primary surveyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: Emergency Medicine Journal)
Source: Emergency Medicine Journal - October 22, 2009 Category: Emergency Medicine Authors: Wyatt, J. Tags: EMJ Primary survey Source Type: journals

Sophia [Miscellanea]Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: Emergency Medicine Journal)
Source: Emergency Medicine Journal - September 22, 2009 Category: Emergency Medicine Authors: Parry, R., Wyatt, J. Tags: Miscellanea Source Type: journals

Cambridge illustrated history of surgery [PostScript]Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: Emergency Medicine Journal)
Source: Emergency Medicine Journal - September 22, 2009 Category: Emergency Medicine Authors: Guly, H Tags: PostScript Source Type: journals

Diagnostic imaging: emergency [PostScript]Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: Emergency Medicine Journal)
Source: Emergency Medicine Journal - September 22, 2009 Category: Emergency Medicine Authors: Hughes, G Tags: PostScript Source Type: journals

Emergency medicine in Uganda [PostScript]Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: Emergency Medicine Journal)
Source: Emergency Medicine Journal - September 22, 2009 Category: Emergency Medicine Authors: Hulme, P Tags: PostScript Source Type: journals

Waiting times are they that important? A patient survey [PostScript]Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: Emergency Medicine Journal)
Source: Emergency Medicine Journal - September 22, 2009 Category: Emergency Medicine Authors: Jolly, E, Clancy, M Tags: PostScript Source Type: journals

Authors' response [PostScript]Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: Emergency Medicine Journal)
Source: Emergency Medicine Journal - September 22, 2009 Category: Emergency Medicine Authors: Hutson, H R, Anglin, D, Strote, J Tags: PostScript Source Type: journals

Emergency physicians and police brutality [PostScript]Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: Emergency Medicine Journal)
Source: Emergency Medicine Journal - September 22, 2009 Category: Emergency Medicine Authors: Ford, J S Tags: PostScript Source Type: journals

Prehospital use of ketamine in mountain rescue [PostScript]Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: Emergency Medicine Journal)
Source: Emergency Medicine Journal - September 22, 2009 Category: Emergency Medicine Authors: Ellerton, J, Paal, P, Brugger, H Tags: PostScript Source Type: journals

Management of cocaine-associated chest pain [PostScript]Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: Emergency Medicine Journal)
Source: Emergency Medicine Journal - September 22, 2009 Category: Emergency Medicine Authors: Fayomi, O Tags: PostScript Source Type: journals

The need for an educational DVD for procedural sedation using ketamine and propofol [PostScript]Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: Emergency Medicine Journal)
Source: Emergency Medicine Journal - September 22, 2009 Category: Emergency Medicine Authors: Jones, L O, Lloyd, J G Tags: PostScript Source Type: journals

"A head turning complication" [Images in emergency medicine]Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: Emergency Medicine Journal)
Source: Emergency Medicine Journal - September 22, 2009 Category: Emergency Medicine Authors: Sefton, J D, Tipping, J Tags: Trauma CNS / PNS, Radiology, Clinical diagnostic tests, Radiology (diagnostics), Ethics, Trauma Images in emergency medicine Source Type: journals

Persistent idiopathic ventricular tachycardia in a 28-year-old woman [Emergency casebooks]Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The case history is presented of a normally fit and well 28-year-old woman with idiopathic right ventricular outflow tract ventricular tachycardia (RVOT VT). Presentation was with a broad complex tachycardia unresponsive to first-line anti-arrhythmic drugs and DC cardioversion (immediate recurrence) but highly sensitive to flecainide and eventually successfully treated with catheter ablation. Assessment and management of broad complex tachycardia is challenging but requires a structured approach to the underlying differential diagnosis. Ventricular tachycardia may occur in structurally normal hearts and not cause haemodyna...
Source: Emergency Medicine Journal - September 22, 2009 Category: Emergency Medicine Authors: Dorman, S H, Razzak, N, Chamberlain-Webber, R Tags: Tachyarrhythmias, Drugs: cardiovascular system, Radiology, Clinical diagnostic tests Emergency casebooks Source Type: journals

Thrombolysis beyond 3 hours for acute ischaemic stroke [Emergency casebooks]Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Intravenous thrombolysis is an accepted form of treatment for acute ischaemic stroke when administered within 3 h of symptom onset. However, evidence for its benefit when given beyond this time continues to strengthen. The case history of a young woman is presented with an ischaemic stroke who was successfully thrombolysed with recombinant tissue-type plasminogen activator more than 3 h after presentation. Perfusion CT scanning was used to stratify the likelihood of benefit. Thrombolysis was administered through a combination of intravenous and intra-arterial routes. This case illustrates the advances being made both in th...
Source: Emergency Medicine Journal - September 22, 2009 Category: Emergency Medicine Authors: Selvaratnam, R, Srirangalingam, U, Ahmad, S, Goulden, P Tags: Drugs: cardiovascular system, Stroke, Radiology, Clinical diagnostic tests, Radiology (diagnostics) Emergency casebooks Source Type: journals

Inadvertent cannulation of the C6 transverse foramen during central venous catheterisation [Images in emergency medicine]Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: Emergency Medicine Journal)
Source: Emergency Medicine Journal - September 22, 2009 Category: Emergency Medicine Authors: Barua, N, Adams, W, Pobereskin, L, Waddy, S Tags: Trauma CNS / PNS, Radiology, Other anaesthesia, Clinical diagnostic tests, Radiology (diagnostics), Ethics, Trauma Images in emergency medicine Source Type: journals

Acute coronary syndrome triggered by honeybee sting: a case report [Emergency casebooks]Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
A 56-year-old previously healthy man was admitted to our hospital with a severe chest pain that started shortly after being stung by a honeybee. He did not have any allergic symptoms and there was no cutaneous or respiratory evidence of allergy on physical examination. Electrocardiographic and biochemical markers were consistent with an acute coronary syndrome. Coronary angiography demonstrated a significant thrombotic lesion in the right coronary artery. Here, a rare and unexpected event is presented, the development of acute coronary syndrome after a bee sting. (Source: Emergency Medicine Journal)
Source: Emergency Medicine Journal - September 22, 2009 Category: Emergency Medicine Authors: Murat, S N, Karasu, B B, Akdemir, R, Kilic, H, Ornek, E, Ozcan, O Tags: Drugs: cardiovascular system, Pain (neurology), Pacing and electrophysiology, Radiology, Clinical diagnostic tests, Radiology (diagnostics), Trauma Emergency casebooks Source Type: journals

Spontaneous rupture of kidney [Images in emergency medicine]Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: Emergency Medicine Journal)
Source: Emergency Medicine Journal - September 22, 2009 Category: Emergency Medicine Authors: Chung, S-D, Chiang, H-S, Liao, C-H Tags: Urinary tract infections, Pain (neurology), Radiology, Surgical diagnostic tests, Clinical diagnostic tests, Radiology (diagnostics), Hematuria, Urinary tract infections, Ethics Images in emergency medicine Source Type: journals

Small bowel intussusception following blunt abdominal trauma in an adult patient [Emergency casebooks]Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Blunt abdominal trauma is a rare cause of small bowel intussusception in adults. A patient is described who presented with signs and symptoms of intestinal obstruction following a fall from a ladder. A CT scan revealed evidence of ileo-ileal intussusception. Exploratory laparotomy and resection of a necrotic bowel segment were performed. Rare occurrences like intussusception should be kept in mind in similar presentations with careful examination of the pathognomonic CT findings, as early detection and surgical intervention with manual reduction could preclude the need for small bowel resection and its untoward possible co...
Source: Emergency Medicine Journal - September 22, 2009 Category: Emergency Medicine Authors: Karam, J, Khreiss, M, Musallam, K M, Alaeddine, M H, Al-Kutoubi, A, Abi Saad, G S Tags: Small intestine Emergency casebooks Source Type: journals