Penetrating trauma is a common presenting complaint with the potential for devastating consequences. The diagnostic and therapeutic management of penetrating injuries to the chest and abdomen has undergone substantial evolution. The authors discuss the advances in the care of patients with penetrating chest and abdominal trauma.
Abdominal pain is a common pediatric chief complaint with a diversity of etiologies. Many are benign, but some have the potential for devastating consequences if a timely diagnosis is not made. Understanding and practicing a comprehensive approach facilitates consideration of more serious pathology while allowing for a focused diagnostic plan. This two-part series guides the clinician to a practical clinical approach to pediatric abdominal pain.
Ectopic pregnancy has significant health consequences and represents an important cause of morbidity and mortality for women of reproductive age. Making the diagnosis of ectopic pregnancy expeditiously is critical to reduce morbidity and mortality associated with the condition.
This article examines some commonly held assumptions related to the emergency care and stabilization of trauma patients. It provides the practicing clinician with information needed to inform important clinical decisions about spinal immobilization, thromboelastography, direct oral anticoagulants (DOACs), and the Focused Abdominal Sonography in Trauma (FAST) exam.
It is important for emergency providers to understand the pathophysiology and management of chronic abdominal pain disorders. This article will review two common chronic abdominal pain disorders encountered in the ED: chronic pancreatitis and cyclic vomiting syndrome.
Ultrasound is rapidly evolving as the ideal imaging modality for many common pediatric complaints. This two-part series reviews the select applications of ultrasound, reviewing the basic techniques, indications, and limitations for each exam.
Intra-abdominal hypertension and abdominal compartment syndrome are common occurrences in both ICU and surgical patients. It is important for emergency physicians to have a general working knowledge of abdominal compartment syndrome so they can identify risk factors and decrease morbidity and mortality for the duration of the patient’s hospitalization.
Trauma patients are often very difficult to assess, particularly young children.This article reviews trauma in children. It reminds us that children are not little adults. Their injury pattern and their response to injury are unique.