Providence

 

Clinical

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Bedside Ultrasound for the Diagnosis of Acute Cardiogenic Pulmonary Edema

Have a look at this article by Dr Barbic on diagnosing pulmonary edema with bedside ultrasound:

http://www.ncbi.nlm.nih.gov/pubmed/25176151

Medical Apps for the Emergency Department

Life in the Fast Lane (LITFL) produces a segment called "Tech Tool Thursday". Have a look at their review of some of the best apps in 2014 for emergency physicians.

iMedicalApps.com also lists a variety of essential emergency medicine apps.

Urgent Spine Imaging Guidelines

Urgent imaging is required for patients who present with the following "red flag" conditions:

 

Cauda equina syndrome  

spine emergency

 

 

Classically defined as urinary retention, saddle anesthesia of the perineum, bilateral lower extremity pain, numbness, and weakness

 

Decreased rectal tone may be a relatively late finding

 

 

Suspected infection

discitis-osteomyelitis

 

 

Risk factors include immunosupression or IV drug use

  • fever may only present in 1/3 of patients
  • pain is often severe and insidious in onset
  • pain is usually unrelenting  and worse with activity
  • pain that awakens patients at night should raise concern for infection

 

 

Suspected epidural abscess

 

 

Risk factors include immunosupression or IV drug use

  • relentless spinal pain is the most common presenting complaint
  • neurological findings are absent in the majority of early presentations
  • fever present in 60% to 70% of otherwise healthy individuals

 

 

Suspected epidural hematoma

 

Risk factors include trauma, recent spinal procedures, and coagulopathy

 

May present with acute pain but no neurological symptoms

 

 

Suspected cancer

 

Past history of cancer

  • pain is often severe and insidious in onset
  • pain is usually unrelenting  and worse with activity
  • pain that awakens patients at night should raise concern for malignancy

 

 

Suspected compression fracture

 

Risk factors include trauma and osteoporosis

 

Severe or progressive neurologic deficit

 

 

Defined and reproducible motor or sensory deficit

this does not include isolated neuropathic pain or paresthesia

 

 

2012 Canadian Association of Radiologists Diagnostic Imaging Referral Guidelines

http://www.car.ca/en/standards-guidelines/guidelines.aspx

 

 

Medical Apps for the Emergency Department

Life in the Fast Lane (LITFL) produces a segment called " Tech Tool Thursday".  Have a look at their reviews of some of the best apps in 2014 for emergency physicians.

Ebola Updates:

PHC Ebola page (including info on donning and doffing of PPE)

The Latest CDC Ebola Info

BC Centre for Disease Control (BCCDC) Ebola Info for Health Professionals

More info will be added and updates provided as they are available.

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