The Mount Sinai journal of medicine, New York
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Review Comparative Study
The evaluation of blunt abdominal trauma: the evolving role of ultrasound.
There is a growing body of literature pertaining to the use of ultrasound in the evaluation of patients with blunt abdominal trauma. Multiple studies have looked at the use of this modality as a screening examination for the detection of intra-abdominal fluid and as a means of diagnosing specific organ injuries. ⋯ In many centers, ultrasound is now being performed by emergency medicine physicians and trauma surgeons as part of the initial trauma evaluation. This paper summarizes the recent literature on the use of ultrasound in evaluating blunt abdominal trauma as an adjunct or an alternative to diagnostic peritoneal lavage and abdominal computed tomography.
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Maintenance of the airway is the most important and one of the most challenging functions that an emergency physician has to perform. This article is a review of the various techniques that can be used by both emergency and nonemergency physicians to secure the airway. It includes standard orotracheal intubation, nasotracheal intubation, fiberoptic intubation, and cricothyroidotomy. The medications used in these procedures and in rapid sequence intubation are discussed.
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The prone-oblique surgical position as introduced and used by Dr. Malis at Mount Sinai Hospital is presented. The advantages of this position over the prone and knee-chest positions are noted. Recommendations for the safe use of the prone-oblique position are made.