J Emerg Med
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Review Case Reports
Argyria, an Unexpected Case of Skin Discoloration From Colloidal Silver Salt Ingestion.
Argyria is a rare condition characterized by gray/blue dislocation of the skin caused by chronic exposure to silver salts. ⋯ We review the case of an 81-year-old man who presented to the emergency department after a motor vehicle accident, was incidentally found to have skin discoloration, and was ultimately diagnosed with argyria. WHY SHOULD AN EMERGENCY PHYSICIAN BE AWARE OF THIS?: Although most emergency physicians will not complete a toxicology fellowship, all emergency physicians are on the front line of toxicological presentations and should be able to recognize argyria and differentiate this condition from other causes of skin discoloration.
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Meta Analysis
Endotracheal Tube Placement Confirmation by Ultrasonography: A Systematic Review and Meta-Analysis of more than 2500 Patients.
The integration of point-of-care ultrasound in endotracheal tube placement confirmation has been focus of many recent studies. ⋯ Ultrasonography is a valuable and reliable adjunct for endotracheal tube confirmation, including during cardiac arrest resuscitation.
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Viscoelastography (VE) is an established method to identify coagulopathies in various disease processes. Clinical decisions can be made with real-time tracings and quantitative values at the bedside. Thromboelastography (TEG®) and rotational thromboelastometry (ROTEM®) have been utilized in several disease states with clinical varying success. ⋯ This review serves as a way for emergency medicine clinicians to utilize VE in their practice and provides an insightful literature overview.