Hematocolpos mimicking acute urinary retention in Emergency Department

Lower abdominal pain with lower urinary tracts symptoms in young girls presented to Emergency
Department (ED) is urinary tract infection (UTI) until proven otherwise. We reported a case of classic UTI
presentation with unusual finding of hematocolpos. We believed the unusual circumstance of this case is
likely to be repeated in some other clinical practice and such differential diagnoses should be considered. click here

Subtalar Dislocation Reduction with Regional Block in Emergency Department

Pain is one of the common presentation in ED. It is a stressful event and has an impact psychologically and  emotionally. It is important for the ED physician to control the pain first before asking further question. I'd still remember one of the lecturer always quote the word ' give me morphine, then we talk' when dealing with patient in pain. There are many methods available nowadays to control the pain in ED, one of that is regional block. The knowledge of regional block is very useful. We can help alleviate the patient pain while doing a procedure.This case report shows one of the technique using regional block...click here

NIV:CPAP=EPAP=PEEP

Assalamualaikum & Dear all..

It has been a long time not updating my blog, and I think it's almost 6 months. Not to say I'm busy, but rather common excuse used by others. In this post I would like to share about NIV[noninvasive ventilation] in ED.Some students still confuse about the terminology and setting used in NIV. For example, CPAP [continuous positive airway pressure] which is class 1 evidence in APO. Some ventilator already has CPAP mode, but some don't.Actually you can use BPAP mode to become CPAP. We understand that, in BPAP there will be IPAP,EPAP and RATE, if you put IPAP=0,RATE=0 [spontaneous mode] and you set EPAP=10, it's automatically become CPAP.Hope this can clear the cloud in our minds...Cheers