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Confessions of an Acute Care Surgeon: Swallowed Foreign Body P1

Stuart Swadron, MD, FRCPC and Kenji Inaba, MD
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10:52
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Nurses Edition Commentary

Kathy Garvin, RN and Lisa Chavez, RN
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01:51

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Tags Airway · Trauma
EMRAP_2018_10_October_Written Summary_v2 548 KB - PDF

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Christopher W. -

We had a cool case at our suburban community ED
50s year old male with RLQ/flank pain, nausea, chills with RLQ TTP and some guarding, still had his appendix
WBC mildly elevated, UA clear
CT showed normal appendix but a radiopague sharp/linear appearing FB traversing his cecum and obvioulsly penetrating through the wall, creating a perforation
On further questioning, the guy had a recent cosmetic dental procedure and apparently swallowed a bunch of epoxy resin which then hardened an created a sharp penetrating FB causing cecal perforation
Was able to undergo enterotomy, FB removal and closure of perf without need for colectomy or ostomy

Tracy G. -

From Kenji Inaba, M.D.:

What a great case…amazing what will, and what will not, get through the GI tract…

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EM:RAP 2018 October Full episode audio for MD edition 245:31 min - 230 MB - M4AEM:RAP 2018 October Canadian Edition Canadian 48:30 min - 67 MB - MP3EM:RAP 2018 October German Edition Deutsche 98:17 min - 135 MB - MP3EM:RAP 2018 October French Edition Français 31:44 min - 25 MB - MP3EM:RAP 2018 October Spanish Edition Español 89:24 min - 123 MB - MP3EMRAP_2018_10_Oct_Board Review Answers_Vol.18_10 128 KB - PDFEMRAP_2018_10_Oct_Board Review Questions_Vol.18_10 95 KB - PDFEM:RAP 2018 10 October Individual MP3 files 302 MB - ZIPEMRAP_2018_10_October_Individual PDF 855 KB - ZIPEM:RAP 2018 10 October Spanish Written Summary 812 KB - PDFEMRAP_2018_10_October_Written Summary_v2 548 KB - PDF

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