J Emerg Med
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Case Reports
Migrating Sternal Rod: Ultrasound Identification of an Unusual Soft Tissue Foreign Body.
Sternal hardware migration from its original site of implantation is a rare entity. Bedside ultrasound may identify migrated hardware if the site of migration is the subcutaneous tissue. ⋯ Sternal hardware migration is uncommon, but in patients who have undergone surgery involving sternal fixation, this diagnosis should be considered as a cause for unusual symptoms.
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Disorders of the salivary glands can be evaluated by bedside ultrasonography and should be considered in patients presenting with undifferentiated neck swelling. ⋯ Bedside ultrasound can be a useful imaging modality in the evaluation of the patient with neck swelling.
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Randomized Controlled Trial Multicenter Study
Slow-onset and Fast-onset Symptom Presentations In Acute Coronary Sundrome (ACS): New Perspectives on Prehospital Delay in Patients with ACS.
Patient decision delay is the main reason why many patients fail to receive timely medical intervention for symptoms of acute coronary syndrome (ACS). ⋯ Slow-onset ACS and fast-onset ACS presentations are associated with distinct behavioral patterns that significantly influence prehospital time frames. As such, slow-onset ACS and fast-onset ACS are legitimate ACS presentation phenomena that should be seriously considered when examining the factors associated with prehospital delay.
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Randomized Controlled Trial
Management of Benign Paroxysmal Positional Vertigo: A Randomized Controlled Trial.
Benign paroxysmal positional vertigo (BPPV) is a common presenting problem. ⋯ This pilot study shows promise, and would suggest that there is no difference in symptomatic resolution, ED length of stay, or patient satisfaction between standard medical care and canalith repositioning maneuver. Physicians should consider the canalith repositioning maneuver as a treatment option.