Diagnosing Small Bowel Obstruction in the ED: A Role for Ultrasound?

Diagnosing small bowel obstruction (SBO) is bread-and-butter work for the emergency physician. It accounts for 2% of patients presenting to the ED with abdominal pain, and 20% of all surgical admissions[1]. In the developing world the majority of SBO patients have had previous intra-abdominal surgeries causing adhesions… But I won’t delve into aetiology, let’s talk […]

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New RCEM Guidelines – Acute Behavioural Disturbance

The Royal College of Emergency Medicine in the UK has today published new guidelines (PDF) on the management of acute behavioural disturbance (ABD) in the emergency department. This follows a year after NICE guidance was released on the management of violence and aggression, but focuses specifically on ABD. The guidelines have been published in conjunction with the Faculty […]

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Mistakes Were Made

This past month a pair of articles were published online in the EMJ concerning diagnostic error in the Emergency Department. This pair of articles, with the fabulous Hardeep Singh as senior author on each, attempt to describe the underlying foundations of error. These are particularly important in the context of the ongoing resource constraints facing […]

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