J Emerg Med
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Letter Case Reports
Acute myocardial infarction due to libman-sacks endocarditis.
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Data suggest that prolonged Emergency Department length of stay (EDLOS) has a detrimental effect on outcomes in some critically ill patients. However, the relationship between EDLOS and outcomes in traumatic brain injury (TBI) has not been examined. ⋯ Our study demonstrates that EDLOS was not associated with poor outcomes in patients with moderate to severe TBI who required intensive care or early operative intervention in an academic Level 1 trauma center.
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Department of Radiology performed ultrasound for patients suspected of having intussusception in resource-limited settings might be either unavailable or significantly time delayed. ⋯ In resource-limited settings, point-of-care ultrasound performed by a physician trained to diagnose intussusception can reduce the time to definitive management and thereby potentially reduce complications such as bowel ischemia and necrosis, dehydration, and sepsis.
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Review Case Reports
Undetected Penetrating Bladder Injuries Presenting as a Spontaneously Expulsed Bullet during Voiding: A Rare Entity and Review of the Literature.
Patients presenting with a penetrating missile lodged in the pelvis are at risk for having a urinary tract injury. Once in the bladder, the missile can become impacted in the urethra, causing retention that requires extraction. Rarely, the missile can be expulsed spontaneously through the urethra. ⋯ There have been <10 cases reported in the literature of spontaneously expulsed bullets from the urethra, all of which were undetected injuries on initial presentation. Physicians should be aware of the potential for undetected urinary tract injuries in patients with penetrating missiles to the pelvis and understand the appropriate evaluation and management strategies for these injuries.