J Emerg Med
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Airway management in a trauma patient can be particularly challenging when both a difficult airway and the need for rapid action collide. The provider must evaluate the trauma patient for airway difficulty, develop an airway management plan, and be willing to act quickly with incomplete information. ⋯ Using a case-based approach, this article reviews initial trauma airway management strategies along with the rationale for evidence-based treatments.
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The diagnosis of alcohol intoxication might not be considered in patients coming from locations where access to alcohol is severely restricted or not permitted. ⋯ Alcohol intoxication might be unexpected or not considered in patients that should have no access to common sources of ethanol. Awareness of methods of novel fermentation, even in incarcerated individuals, can assist in the differential diagnosis of patients presenting with altered mental status.
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We lack noninvasive and effective methods for evaluating origin of pelvic hemorrhage. Contrast-enhanced ultrasound (CEUS) may be a prospective method. ⋯ The accuracy of CEUS in detecting active bleeding of peritoneal artery was high. Pulsed Doppler guided by CEUS was able to distinguish arterial from venous blood flow and to exhibit the velocity changes.