In 2010, there were approximately 535,000 ED visits for foreign bodies. Approximately 80-90% of ingested foreign bodies pass through the GI tract without complications while the rest require intervention. What are some basics that you need to know about foreign bodies that ingested, aspirated and inserted?
Neutropenic Enterocolitis aka typhlitis, necrotizing enterocolitis, ileocecal syndrome
- intestinal mucosal wall edema and disruption of wall integrity in a neutropenic patient
- Weakened immune system --> intestinal overgrowth --> invasion of opportunistic bacteria.
- May lead to sepsis and bowel perforation.
- Mortality 22%-50%.
This week's post comes courtesy of our ED pharmacist Rachel Rafeq. Surprise! Metronidazole is no longer first line therapy for c-diff infections! Check out this handy table for the updated guidelines from the Infectious Disease Society of America for the latest treatment regimens
N-acetyl cysteine has a well established role in the early treatment of acetaminophen poisoning, but does it have any value in the treatment of other causes of acute liver failure? Read on for a quick summary of two studies, summarized by our own Dr. Poonam Kothari...
Last week the Cooper EM residents received a primer on the approach to the patient with IBD in the ED from our own GI fellow Krysta Contino. This week will focus on the basic approach, and next week we will take a deeper dive into specific complications that every ED doc needs to know about!