Emergency Medicine Cases

EM Quick Hits 20 Imaging Renal Colic, Human Trafficking, Atrial Fibrillation During COVID, Transvenous Pacemaker Placement, COVID Lung POCUS, COVID Derm, Virtual Simulation

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Jun 30, 2020
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ADVICE

Renal Colic Imaging Guidelines

  • Image patients for renal colic if an alternative diagnosis, sepsis, or uncontrolled pain necessitates surgical intervention.
  • Otherwise, imaging may be unnecessary, especially in younger patients with classic presentations and good pain control with analgesia.
INSIGHT

Low-Dose Renal CT

  • Low-dose renal CT protocols can be faster and less radiation than ultrasounds.
  • Consider low dose CT scans over ultrasounds in certain situations.
ADVICE

Human Trafficking Assessment

  • Screen vulnerable populations (migrants, substance users, etc.) for human trafficking using the PAIR tool (Privacy, Educate, Ask, Respect, Respond).
  • Empower potential victims with information and resources, but do not force disclosure or involve law enforcement without their consent.
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