Articles: trauma.
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Cardiovascular CasesSESSION TYPE: Case ReportsPRESENTED ON: Saturday, March 22, 2014 at 04:15 PM - 05:15 PMINTRODUCTION: Central venous catheters (CVC) are placed in large caliber veins, and though relatively safe, complications can occur. When chest radiograph cannot verify proper CVC placement, further assessments are mandated. We present a case of questionable placement of a left-sided CVC. ⋯ The following authors have nothing to disclose: Andrew Oh, Timothy QuastNo Product/Research Disclosure Information.
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Pleural Case Report PostersSESSION TYPE: Case Report PosterPRESENTED ON: Sunday, March 23, 2014 at 01:15 PM - 02:15 PMINTRODUCTION: Thoracic splenosis should be suspected in a patient with pulmonary nodules and history of splenic trauma. ⋯ In conclusion, thoracic splenosis is considered a benign process, and should be suspected in a patient with any CT or MRI demonstrating left pulmonary nodules with history of splenic trauma. Though new non invasive studies are available and are preferred to the invasive studies, the CT guided biopsy was done to rule out malignancy found on the initial chest CT.Reference #1: Malik U (2010). Parenchymal Thoracic Splenosis: history and nuclear imaging without invasive procedures may provide diagnosis. J Clin Med Res. 2(4),180-184.Reference #2: Mancano A (2012). Thoracic splenosis after thoracoabdominal trauma presenting as pleural nodules. Lung. 190(6), 699-701.Reference #3: Sahin E. (2009). Thoracic splenosis accompanied by diaphragmatic hernia. Can J Surg. 52, E293-294DISCLOSURE: The following authors have nothing to disclose: Ashraf Elsawaf, Jonathan Banibensu, Heather BoakyeNo Product/Research Disclosure Information.
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Pleural Disease/Pneumothorax PostersSESSION TYPE: Poster PresentationsPRESENTED ON: Saturday, March 22, 2014 at 01:15 PM - 02:15 PMPURPOSE: Primary spontaneous pneumothorax (PSP) occurs in patients with no clinically apparent underlying lung disease. Those aged less than 50 year with no significant smoking history are also included in this group according to the British Thoracic Society (BTS) pneumothorax management algorithm. There is paucity of data on treatment outcomes based on age criteria. We aimed to compare treatment outcomes including successful re-inflation rates in patients aged <30 and 31-50. ⋯ The following authors have nothing to disclose: Muhammad Ganaie, Shiva Bikmalla, Masood Khalil, Muhammad Afridi, Mohammed Haris, Imran HussainNo Product/Research Disclosure Information.
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Severe posttraumatic ankle arthritis poses a reconstructive challenge in the young and active patient. Bipolar fresh total osteochondral allograft (BFTOA) may represent an intriguing alternative to arthrodesis and prosthetic replacement. The purpose of this article was to evaluate the outcomes of BFTOA performed through an anterior approach to the ankle and to investigate the parameters influencing the results. ⋯ Level IV, case series.
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The use of Emergency Medical Services (EMS) for low-acuity pediatric problems is well documented. Attempts have been made to curb potentially unnecessary transports, including using EMS dispatch protocols, shown to predict acuity and needs of adults. However, there are limited data about this in children. The primary objective of this study is to determine the pediatric emergency department (PED) resource utilization (surrogate of acuity level) for pediatric patients categorized as "low-acuity" by initial EMS protocols. ⋯ While this EMS system did not well predict overall resource utilization, it safely identified most low-acuity patients, with a low under-triage rate. This study identifies subgroups of patients that could be managed without emergent transport and can be used to further refine current protocols or establish secondary triage systems.