The American journal of emergency medicine
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A hiatal herniation, which is a common disease worldwide, is associated with various complications. However, hiatal herniation has rarely been reported to cause life-threatening complications in emergency settings. ⋯ The patient was ultimately diagnosed with obstructive shock with inferior vena cava compression attributed to hiatal herniation upon imaging. Clinicians should consider the possibility that hiatal herniation can cause obstructive shock with inferior vena cava compression and take immediate steps to stabilize the vital signs.
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Improved data on spinal motion restriction (SMR) use can improve pediatric prehospital guidelines and inform the appropriate use of this procedure. We sought to evaluate the prevalence and factors associated with SMR among injured children in the prehospital setting. ⋯ We identified multiple factors associated with SMR use. These findings provide an opportunity to evaluate practices, track changes, and assess the impact of updated SMR guidelines in pediatric EMS.
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Multicenter Study
The effects of the 2022 computed tomography IV contrast shortage on the emergency department diagnosis of abdominal pathology.
A COVID-19 lockdown in China resulted in a global disruption in IV contrast media production, which resulted in a hospital system advisory limiting contrast studies. The purpose of this study was to describe the effects of the IV contrast shortage on the ED diagnosis of emergent abdominopelvic pathology. ⋯ We did not identify differences in diagnoses during the contrast shortage period compared to the control period, and did not identify any missed important diagnoses as a consequence of the IV contrast shortage.