The American journal of emergency medicine
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The act of filling the bladder prior to obtaining an ultrasound is often the rate limiting factor in the diagnosis of ovarian torsion in pediatric females. The objective of this study was to evaluate if low dose furosemide plus IV fluid administration results in faster bladder filling time in comparison to IV fluid administration alone in females age 8-18 with suspected ovarian torsion. ⋯ Furosemide administration leads to a statistically and clinically significant difference in the time to fill the bladder of pediatric females awaiting pelvic US and leads to more rapid ultrasonography and interpretation by a radiologist in our setting.
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Accidental hypothermia impacts the cardiovascular system, complicating patient management and prognosis. While previous studies have reported an association between hypothermia and ECG patterns, these findings are largely based on case reports or small-scale observational studies with limited sample sizes, underscoring the need for a more comprehensive analysis. ⋯ AF, PR prolongation, QT prolongation, and Osborn wave were observed to some extent even in mild hypothermia, and the frequency of these ECG patterns increased with severity increasing.