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Complication with Intraosseous Access: Scandinavian Users’ Experience

Author Affiliation Peter Hallas, MD  Copenhagen University Hospital, Department of Pediatric Anesthesia, Rigshospitalet, Denmark Mikkel Brabrand, MD  Hospital of Southwest Denmark, Department of Medicine, Esbjerg, Denmark Lars Folkestad, MD  Hospital of Southwest Denmark, Department of Endocrinology, Esbjerg, Demark Introduction Methods Results Discussion Limitations Conclusion Abstract Introduction: Intraosseous access (IO) is indicated if vascular access cannot […]

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Practice Variability

Variation in Specialists’ Reported Hospitalization Practices of Children Sustaining Blunt Abdominal Trauma

Introduction: Children with blunt abdominal trauma (BAT) are often hospitalized despite no intervention. We identified factors associated with emergency department (ED) disposition of children with BAT and differing computed tomography (CT) findings.

Conclusion: Substantial variation exists between specialties in reported hospitalization practices of asymptomatic children after abdominal trauma with minor CT findings. Better evidence is needed to guide disposition decisions.

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Practice Variability

Variation in Specialists’ Reported Hospitalization Practices of Children Sustaining Blunt Head Trauma

Introduction: Questions surround the appropriate emergency department (ED) disposition of children who have sustained blunt head trauma (BHT). Our objective was to identify physician disposition preferences of children with blunt head trauma (BHT) and varying computed tomography (CT) findings.

Conclusion: Substantial variation exists between specialties in reported hospitalization practices of neurologically-normal children with BHT and traumatic CT findings.

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Ultrasound-Guided Hip Arthrocentesis in a Child with Hip Pain and Fever

Children presenting to the emergency department with hip pain and fever are at risk for significant morbidity due to septic arthritis. Distinguishing between septic arthritis and other causes of hip pain may be challenging. Sonographic visualization of the hip with real-time ultrasound-guided arthrocentesis may allow faster differentiation between etiologies, hastening definitive therapy and improving analgesia. This report describes the use of hip sonography in a case of Lyme arthritis. The authors review the medical literature in support of bedside hip sonography and discuss how to perform ultrasound-guided hip arthrocentesis. Clinical findings in septic and Lyme arthritis are also described.

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WestJEM/ Department of Emergency Medicine
UC Irvine Health

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WestJEM
ISSN: 1936-900X
e-ISSN: 1936-9018

CPC-EM
ISSN: 2474-252X

Our Philosophy

Emergency Medicine is a specialty which closely reflects societal challenges and consequences of public policy decisions. The emergency department specifically deals with social injustice, health and economic disparities, violence, substance abuse, and disaster preparedness and response. This journal focuses on how emergency care affects the health of the community and population, and conversely, how these societal challenges affect the composition of the patient population who seek care in the emergency department. The development of better systems to provide emergency care, including technology solutions, is critical to enhancing population health.