scholarly journals Butane Toxicity: The Curse of Volatile Solvent Abuse

2021 ◽  
Vol 4 (4) ◽  
pp. 344-347
Author(s):  
Awais Tahir ◽  
Petr Pokorny ◽  
Naveed Malek
Keyword(s):  
Emergency Department ◽  
Young Person ◽  
Full Recovery ◽  
Clinical Scenario ◽  
Appropriate Treatment ◽  
Solvent Abuse

We discuss the presentation and management of a young person who presented to the emergency department with butane toxicity. A delay in recognition of butane toxicity can have fatal consequences. On the contrary, prompt recognition of the clinical scenario by physicians can lead to early commencement of appropriate treatment with a potential for full recovery.

Deliberate self-harm in young people: attendance at a paediatric emergency department

2009 ◽  
Vol 26 (3) ◽  
pp. 114-118 ◽  
Author(s):  
Sophia Morgan ◽  
Sinead Byrne ◽  
Carole Boylan ◽  
Stephen McLearie ◽  
Carol Fitzpatrick
Keyword(s):  
Emergency Department ◽  
Young People ◽  
Medical Records ◽  
Risk Group ◽  
High Risk Group ◽  
Deliberate Self Harm ◽  
Paediatric Emergency Department ◽  
Paediatric Emergency ◽  
Appropriate Treatment ◽  
Self Harm

AbstractObjectives: Deliberate self-harm (DSH) is the strongest predictor of suicidal behaviour. This retrospective study reviewed all DSH presentations to our Paediatric Emergency Department between 2002-2006.Method: Using database and medical records we profiled these presentations. Data was coded and statistically analysed.Results: There were 253 DSH attendances. Twenty-four percent were living in care, 15% were under 12 years and 14% presented more than once. Overdoses (61%) were more common than cutting (16%) and 56% had a psychiatric condition.Conclusions: DSH presents an ongoing challenge to child and adolescent mental health services and those working in suicide prevention. Identifying the characteristics of these young people is essential to providing appropriate treatment for this high-risk group.

Hematologic and Oncologic Emergencies

2019 ◽  
pp. 170-177
Author(s):  
James McCue
Keyword(s):  
Emergency Department ◽  
Standardized Tests ◽  
Tumor Lysis Syndrome ◽  
Clinical Effects ◽  
Tumor Lysis ◽  
Oncologic Emergencies ◽  
First Response ◽  
Appropriate Treatment ◽  
Wide Range ◽  
Life Threatening

Hematologic and oncologic emergencies are an uncommon reason for people to present to the emergency department (ED), but when they do, it is important to know how to diagnose and treat these conditions because many of them are life threatening. Whether it is bleeding due to conditions such as hemophilia, von Willebrand’s disease, warfarin use, or dangerous conditions related to cancer such as tumor lysis syndrome or neutropenic fever, knowing the basics will help you manage these patients and also ace the standardized tests. This chapter presents questions related to the diagnosis, clinical effects, best first response in the ED, and most appropriate treatment of a wide range of these hematologic and oncologic emergencies.

scholarly journals HYPERDENSE BASILAR ARTERY – EARLY SIGN OF STROKE

JMS SKIMS ◽  
2020 ◽  
Vol 23 (1) ◽  
pp. 46-47
Author(s):  
Mohammad Masood ◽  
Akshit Kumar ◽  
Omair Ashraf Shah ◽  
Feroz Shaheen
Keyword(s):  
Emergency Department ◽  
Facial Nerve ◽  
Basilar Artery ◽  
Nerve Palsy ◽  
Facial Nerve Palsy ◽  
Sudden Onset ◽  
Posterior Circulation ◽  
Clinical Scenario ◽  
Posterior Circulation Stroke ◽  
Basilar Occlusion

Hyperdense artery sign is presumed to represent acute thrombus or clot, and is an early indicator of posterior circulation stroke. This sign if detected, in proper clinical scenario can help the clinician to detect the basilar occlusion and to intervene early. We are presenting a case of 30 yr. old female, normotensive, nondiabetic presented with sudden onset focal left sided seizure, central vertigo, diplopia and decreased vision in left eye to emergency department. On examination, ptosis and anisocoria, Left facial nerve palsy. Patient was advised NCCT Head, which showed hyperdense basilar artery , seen retrospectively after MRI.    

scholarly journals Tea or Thrush?: A Case of Nonaccidental Oral Injury in an Infant

2021 ◽  
Vol 11 (01) ◽  
pp. e205-e207
Author(s):  
Meryam Jan ◽  
Kathleen Dully ◽  
Carissa Kostecki ◽  
Randell C. Alexander
Keyword(s):  
Emergency Department ◽  
Child Abuse ◽  
Case Report ◽  
Correct Identification ◽  
Clinical Scenario ◽  
Mechanism Of Injury ◽  
Cultural Issues ◽  
Girl Child ◽  
Child Patient ◽  
Oral Thrush

AbstractA 5-month-old girl child patient presented to the emergency department for oral thrush and poor feeding but instead demonstrated concern for abuse after physical exam, as findings were consistent with oral injury. Correct identification of the oral findings as traumatic necessitated navigating language and cultural issues before the mechanism of injury and abuse determination could be made. Exploring the involvement of other caregivers was a crucial piece for investigation of the clinical scenario. The incidence of child abuse and pediatric oral injuries concerning for abuse were reviewed in this case report.

scholarly journals The Role of the Emergency Department in Protecting the Hospital as a Critical Infrastructure in the Corona Pandemic Strategies and Experiences of a Rural Sole Acute-Care Clinic

2020 ◽  
Author(s):  
Stefan O. Kortuem ◽  
Dirk Becker ◽  
Hans-Juergen Ott ◽  
Hans-Peter Schlaudt
Keyword(s):  
Emergency Department ◽  
Critical Infrastructure ◽  
Early Stage ◽  
Short Term ◽  
Care Clinic ◽  
Appropriate Treatment ◽  
Patient Pathways ◽  
Strategic Element ◽  
First Contact

Background. The Klinikum Hochrhein is responsible as a regional sole provider for the acute and emergency medical treatment of more than 170.000 people. Against the background of the pandemic spread of SARS-CoV-2 with expected high patient inflows and at the same time endangering one's own infrastructure due to intraclinical transmissions, the hospital management defined the maintenance of one's functionality as a priority protection objective in the pandemic. An essential strategic element was a very short-term restructuring of the Emergency Department with the objectives of reducing the number of cases within the clinic, detecting COVID-19 cases as sensitively as possible and separating the patient pathways at an early stage. Methods. The present work is a retrospective analysis of the processes and structures established in the Emergency Department between 27 March 2020 and 20 May 2020. In addition, a retrospective descriptive evaluation of the epidemiological and clinical data of the patients is carried out at the time of first contact during the period mentioned above. Results. After establishing a pre-triage with structured algorithms, all confirmed COVID-19 cases were identified before entering the clinic and assigned to an appropriate treatment pathway. Unprotected entry into hospital structures or nosocomial infections were not observed, although almost 35% of patients with confirmed infection were admitted due to other symptom complexes or injuries. 201 inpatient patients were initially isolated without COVID-19 being confirmed. The number of cases in the Emergency Department was 39% lower than the previous year's period, thus avoiding crowding. Discussion. The reduction in the number of cases was strategically intended and is primarily the result of a restrictive indication of in-clinical treatment but supported by a decline in emergency consultations that can be noticed anyway. The proportion of false positive triage results is probably dependent on epidemiological activity and was accepted for safety reasons as sufficient resources were available for isolation. Conclusion. Short-term organizational, spatial and procedural restructuring of the Emergency Department has enabled the clinic to achieve its goal of managing the pandemic. The algorithms we developed are particularly well suited to guarantee the desired level of safety in the case of a high pre-test probability.

Undertreatment of chlamydia and gonorrhea among pregnant women in the emergency department

2019 ◽  
Vol 31 (2) ◽  
pp. 166-173
Author(s):  
Eleanor P Bergquist ◽  
Anne Trolard ◽  
Anne S Kuhlmann ◽  
Travis Loux ◽  
Stephen Y Liang ◽  
...  
Keyword(s):  
Emergency Department ◽  
Cohort Study ◽  
Pregnant Women ◽  
Retrospective Cohort ◽  
Multiple Logistic Regression ◽  
Transmitted Infection ◽  
Sexually Transmitted ◽  
Appropriate Care ◽  
Appropriate Treatment

The objective of this study is to evaluate whether pregnant women receive appropriate treatment, undertreatment, or overtreatment in the emergency department (ED) when they are tested for chlamydia and gonorrhea as compared to non-pregnant women. In a retrospective cohort study, we analyzed visits made to an urban ED from 1 July 2012 to 30 June 2014, with testing for chlamydia and gonorrhea (n = 3908). Using multiple logistic regression, we compared undertreatment and overtreatment in women controlling for pregnancy, age, race, and sexually transmitted infection International Statistical Classifications of Diseases (ICD)-9 coded diagnosis. Pregnant women were significantly more likely to be undertreated when positive for infection as compared to non-pregnant women (OR 2.94; 95% CI, 1.47–5.95) and significantly less likely to be overtreated when negative for infection (OR 0.40; 95% CI, 0.31–0.53) as compared to non-pregnant women. Pregnant women may not be receiving appropriate treatment when they present to the ED with chlamydia or gonorrhea. Attention should be paid to this group when administering chlamydia and gonorrhea treatment to ensure appropriate care and follow-up.

scholarly journals Abnormal Uterine Bleeding in Adolescence: When Menarche Reveals other Surprises

2021 ◽  
Vol 43 (10) ◽  
pp. 789-792
Author(s):  
Helena Gomes ◽  
Bruna Abreu ◽  
Liliana Barros ◽  
Carlos Veríssimo
Keyword(s):  
Emergency Department ◽  
Medical Treatment ◽  
Burkitt Lymphoma ◽  
Clinical Case ◽  
Abnormal Uterine Bleeding ◽  
Uterine Bleeding ◽  
Personal History ◽  
Age Group ◽  
Appropriate Treatment ◽  
Ovulatory Dysfunction

Abstract Introduction Abnormal uterine bleeding is more frequent in adolescence. Although, most commonly, it has a non-structural etiology, it may be due to any cause described. Clinical case A 12-year-old adolescent, with no relevant personal history, menarche 1 month before, was observed in the emergency department for severe menstrual bleeding with progressive worsening, and hemodynamic repercussion in need of transfusion support. Physiological ovulatory dysfunction associated with possible previously unknown coagulopathy was considered to be the most likely diagnosis and medical treatment was initiated. Without response, the patient was submitted to sedated observation and uterine aspiration, which ultimately led to the diagnosis of a Burkitt Lymphoma. Discussion Although structural causes, and particularly malignancy, whether gynecological or not, are a rare cause of abnormal uterine bleeding in this age group, they must be considered, thus enhancing the fastest and most appropriate treatment.

Thoracic and Respiratory Emergencies

2019 ◽  
pp. 304-339
Author(s):  
Nelson Diamond ◽  
Janelle Lee ◽  
Vaishal Tolia ◽  
Megan Tresenriter
Keyword(s):  
Emergency Department ◽  
Clinical Effects ◽  
Outpatient Management ◽  
Management Interventions ◽  
Best Response ◽  
Appropriate Treatment ◽  
Wide Range ◽  
The Common ◽  
Respiratory Emergencies ◽  
Needle Decompression

Thoracic and respiratory disorders cover many of the common respiratory and thoracic complaints and pathology that bring both pediatric and adult patients to the emergency department (ED). The etiologies can range from infectious to traumatic to malignancy. It is important to be able to recognize patients who need admission to the hospital and those who can be sent home for outpatient management. Interventions like needle decompression and intubation may need to be done emergently on some patients. This chapter presents questions related to the diagnosis, clinical effects, best response in the ED, and most appropriate treatment of a wide range of these thoracic and respiratory emergencies.

Fifteen-minute consultation: Recognition and management of the child or young person who has ingested a novel psychoactive substance

2020 ◽  
Vol 105 (6) ◽  
pp. 336-341
Author(s):  
Lee Tubman ◽  
Niall Mullen ◽  
Derek K Tracy
Keyword(s):  
Emergency Department ◽  
Legal Status ◽  
Young Person ◽  
Clinical Effects ◽  
Acute Management ◽  
Novel Psychoactive Substances ◽  
Psychoactive Substance ◽  
Psychoactive Substances ◽  
Children And Young People ◽  
Functional Classes

Intoxicated children and young people (CYP) attending the paediatric emergency department (PED) are typically under the influence of alcohol or established recreational agents such as cannabis or ecstasy. The last decade or so has seen an increase in the numbers of CYP in PED who have used novel psychoactive substances (NPS). In this review, we describe four different functional classes of NPS, their legal status, clinical effects, acute management and interventions to reduce harm.

Sign in / Sign up

Export Citation Format

Share Document