Pediatric Trauma: Management From an Austere Prospective.

Pediatric trauma represents a notable proportion of casualties encountered by Combat medics, physician assistants, and physicians while in the deployed setting. Most of these resuscitation teams receive limited pediatric- specific training and suffer subsequent emotional stress due the perceived high-stakes nature of caring for gravely wounded children. Even when children survive long enough to arrive at combat support hospitals, there remain high risks for morbidity and mortality for many of them.

Traumatic testicular dislocation after minor trauma in a pediatric patient.

Background: Traumatic dislocation of the testicle is a rare injury that may result from blunt abdominopelvic trauma. The majority of cases reportedly occur in young adults secondary to severe scrotal trauma during high-speed motorcycle crashes. Our review of the available English medical literature revealed only one pediatric case.

Mega aorta syndrome: a case of thoracic and abdominal aortic aneurysm.

An 83-year-old woman presented to the emergency department (ED) via emergency medical services with the chief complaint of "strokelike symptoms." Physical examination revealed altered mental status, tachycardia, hypotension, and a large nonpulsatile periumbilical mass. Bedside ultrasound revealed a 9-cm abdominal aortic aneurysm with absent central flow.

Pediatric retinal detachment due to Coats' disease diagnosed with bedside emergency department ultrasound.

Atraumatic retinal detachment in a pediatric patient is an extremely rare but vision-threatening disease process. Obtaining an adequate history and physical examination in children presenting with eye complaints can be extremely challenging, as young children are frequently unable to provide a good history or comply with a detailed physical examination. The use of high-resolution bedside ultrasonography in the Emergency Department can assist practitioners with obtaining detailed images of structural intraocular pathology.

Use of 2-octyl cyanoacrylate for the repair of a fractured molar tooth.

Odontalgia in association with an acutely fractured tooth is a frequent reason for emergency department presentation. We describe the case of a patient who presented with a painful fractured molar tooth and was treated with topical application of 2-octyl cyanoacrylate tissue adhesive, resulting in prompt relief of her discomfort and a good temporary functional and cosmetic outcome. This product may prove useful in treating similar dental emergencies when access to emergency dental care is unavailable.

Painful dilemmas: an evidence-based look at challenging clinical scenarios.

Difficult clinical decisions are a part of every emergency practitioner's life. Dealing with difficult patients and recalcitrant consultants is seldom enjoyable, but can be made more palatable through the use of some of the clinical strategies contained in this article. Knowledge of the current best evidence and a willingness to discard outdated practice ideas will help ensure that emergency practitioners continue to provide state-of-the-art medical care.