This is the third in a series of Emergency Casebooks from the virtual hospital CFN General, with key learning points for staff working in an Emergency Department
Children (mainly), and even some adults, like to put a range of objects in any orifice they can find. Once they're in, they come to us in the ED to sort out whether they're really there, and how best to extract them.
Here is a brief overview of three of our favourite and most satisfying PEM procedures. They epitomise ED practice - but can seem tricky to the PEM naive practitioner.
When I was asked to talk about assessment of (de)hydration in children, I accepted without a second thought. "How hard could it be?", I guessed, "I do this every single day".
The social context is central to learning from an EM perspective, and how trainees feel in that community is a vital part of their education.
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