When a 2-year-old girl came to the Emergency Center at Carondelet St. Mary's Hospital in Tucson, AZ, with difficulty breathing and a bluish appearance, nurses set about preparing for an emergency tracheostomy to save the child's life. Suddenly, they determined a key piece of equipment was missing.
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A 6-year-old girl comes to your ED with wheezing and lethargy. Emergency medical services (EMS) reports a previous history of asthma. What would you suspect?
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Immediately after a 70-year-old man presented with fever, tachycardia, low blood pressure and abdominal pain, ED nurses gave acetaminophen, started two large-bore intravenous (IV) lines of normal saline infusing wide open, obtained all blood work including cultures and lactate, obtained a portable chest X-ray and electrocardiogram, and administered antibiotics with lab results pending.
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Using ultrasound at the patient's bedside is a noninvasive way to diagnose intravascular volume depletion in children with gastroenteritis, says a new study.
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B-type natriuretic peptide (BNP), a neurohormone secreted by the heart in response to fluid overload, has been shown to be elevated in medical patients with left ventricular dysfunction, which speeds diagnosis of congestive heart failure (CHF) patients. But can it also detect CHF in critically ill trauma patients?
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