European journal of emergency medicine : official journal of the European Society for Emergency Medicine
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Case Reports
Renal colic as the first symptom of acute renal vein thrombosis, resulting in the diagnosis of nephrotic syndrome.
Renal vein thrombosis is a well-known complication of nephrotic syndrome, but rarely its first or only symptom. We describe a 26-year-old patient presenting with flank pain suggestive of renal colic. A computed tomography scan showed acute renal vein thrombosis, the only sign of a later diagnosed nephrotic syndrome. This is a rare presentation of a renal vein thrombosis caused by nephrotic syndrome, and easily misdiagnosed as renal calculi especially in young and otherwise asymptomatic patients.
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Subdural haematomas can result from bridging vein rupture. Rotational acceleration in the sagittal plane and in a forward direction, as in falls, is very likely the 'mechanical' cause of subdural haematoma, as shown in cadaveric studies. ⋯ We report a case of chronic subdural haemorrhage in a male teenager without precipitating factors and no history of head trauma. This case shows the value of good history-taking in medical diagnosis and that one should be aware of the risks of violent sports or dancing and the minimal clinical signs encountered.
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Witnessed resuscitation is the process of resuscitation in the presence of family members. ⋯ Our data locally revealed that most of the participants in this survey would like to witness CPR conducted on their family members who presented to our emergency department.
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Evaluation of the efficacy and safety of central venous catheter (CVC) use during prehospital emergency care. ⋯ Insertion of CVCs during prehospital emergency care is effective in providing intravenous access, thus facilitating the delivery of fluids and medications in unstable patients. It is safe, as associated with a low incidence of complications in experienced hands.
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To question the existing practice to observe the victims of scorpion sting in the emergency department at least for 6 h. ⋯ Serious toxicity after scorpion sting in Israel and some of neighboring countries is rare, and always presents within 1 h from the sting. Thus, prolonged observation can be reserved for a high-risk population and patients with serious toxicity on admission.