27 - Brain Abscesses, Torsion, and Delirium

Show Notes for Episode 27 of “The 2 View” – Brain abscesses, torsion, and delirium.
Brain Abscesses
Accorsi EK, Hall M, Hersh AL, Shah SS, Schrag SJ, Cohen AL. Notes from the Field: Update on Pediatric Intracranial Infections - 19 States and the District of Columbia, January 2016-March 2023. MMWR Morb Mortal Wkly Rep. CDC, Centers for Disease Control and Prevention.
https://www.cdc.gov/mmwr/volumes/72/wr/mm7222a5.htm
Brook I. Clinical Case. Brain Abscess Clinical Presentation. Medscape.com.
https://reference.medscape.com/article/212946-clinical
Goodman B. Doctors watching for more cases after mysterious cluster of brain infections strikes kids in southern Nevada. CNN. CNN Health.
https://www.cnn.com/2023/04/28/health/brain-abscess-cluster-nevada/index.html
The Center for Medical Education. 23 - Dear Doctor, Skin Closures, and Wound Management. 2 View: Emergency Medicine PAs & NPs.
https://2view.fireside.fm/23
What’s “ordinary negligence”? //Missed brain abscess//Special offer. Mad Mimi. Medical Malpractice Insights: Learning from Lawsuits.
https://madmimi.com/s/3fc5711
Testicular Torsion
Lukosiute-Urboniene A, Nekrosius D, Dekeryte I, Kilda A, Malcius D. Clinical risk factors for testicular torsion and a warning against falsely reassuring ultrasound scans: a 10-year single-centre experience. Emerg Med J. BMJ Journals.
https://emj.bmj.com/content/40/2/134.info
Mellick LB, Watters BC. The Torsed Testicle Traction Technique and 2 Case Reports. Pediatr Emerg Care.
https://journals.lww.com/pec-online/Citation/2023/05000/TheTorsedTesticleTractionTechniqueand2_Case.14.aspx
Sessions AE, Rabinowitz R, Hulbert WC, Goldstein MM, Mevorach RA. Testicular torsion: direction, degree, duration and disinformation. J Urol. PubMed. NIH: National Library of Medicine. National Center for Biotechnology Information.
https://pubmed.ncbi.nlm.nih.gov/12544339/
Ovarian Torsion
Long B, Koyfman A, Gottlieb M. Dispelling 5 Ovarian Torsion Myths. ACEP Now.
https://www.acepnow.com/article/dispelling-5-ovarian-torsion-myths/
Ovarian Torsion. Acep.org. ACEP Emergency Ultrasound Section.
https://www.acep.org/emultrasound/newsroom/sept2020/ovarian-torsion
Spinelli C, Piscioneri J, Strambi S. Adnexal Torsion in Adolescents: Update and review of the literature.
https://www.acog.org/clinical/clinical-guidance/committee-opinion/articles/2019/08/adnexal-torsion-in-adolescents
Swenson DW, Lourenco AP, Beaudoin FL, Grand DJ, Killelea AG, McGregor AJ. Ovarian torsion: Case-control study comparing the sensitivity and specificity of ultrasonography and computed tomography for diagnosis in the emergency department. European Journal of Radiology. ScienceDirect.
https://edus.ucsf.edu/sites/edus.ucsf.edu/files/wysiwyg/1-s2.0-S0720048X14000023-main.pdf
Delirium
ACEP’s Position on Hyperactive Delirium. American College of Emergency Physicians.
https://www.acep.org/news/acep-newsroom-articles/aceps-position-on-hyperactive-delirium
Hatten BW, Bonney C, Dunne RB, et al. ACEP Task Force Report on Hyperactive Delirium with Severe Agitation in Emergency Settings, Approved by the ACEP Board of Directors, June 23, 202. American College of Emergency Physicians.
https://www.acep.org/siteassets/new-pdfs/education/acep-task-force-report-on-hyperactive-delirium-final.pdf
Hayes BD, O’Brien M. Should Diphenhydramine be included in an Acute Agitation Regimen? AliEM: Academic Life in Emergency Meedicine.
https://www.aliem.com/diphenhydramine-acute-agitation-regimen/
Psychiatric Patient. American College of Emergency Physicians.
https://www.acep.org/patient-care/clinical-policies/Psychiatric-Patient
Reuben. Emergency Department Agitated Patient Treatment Map. Emergency Medicine Updates.
https://emupdates.com/danger/
Veraart JKE, Smith-Apeldoorn SY, Bakker IM, et al. Pharmacodynamic Interactions Between Ketamine and Psychiatric Medications Used in the Treatment of Depression: A Systematic Review. Int J Neuropsychopharmacol. Oxford Academic.
https://academic.oup.com/ijnp/article/24/10/808/6309481?login=false
Prescription Drug Monitoring Programs
D’Souza RS, Lang M, Eldrige JS. Prescription Drug Monitoring Program. StatPearls Publishing. NIH: National Library of Medicine. National Center for Biotechnology Information.
https://www.ncbi.nlm.nih.gov/books/NBK532299/
Something Sweet
Brito C. Bobi, the world’s oldest dog, turns 31 years old. CBS News.
https://www.cbsnews.com/news/bobi-the-worlds-oldest-dog-turns-31-years-old/
Recurring Sources
Center for Medical Education. http://ccme.org
The Proceduralist. http://www.theproceduralist.org
The Procedural Pause. Emergency Medicine News. Lww.com. https://journals.lww.com/em-news/blog/theproceduralpause/pages/default.aspx
The Skeptics Guide to Emergency Medicine. Thesgem.com.
http://www.thesgem.com
Trivia Question: Send answers to [email protected]

Show Notes for Episode 27 of “The 2 View” – Brain abscesses, torsion, and delirium.

Brain Abscesses

Accorsi EK, Hall M, Hersh AL, Shah SS, Schrag SJ, Cohen AL. Notes from the Field: Update on Pediatric Intracranial Infections - 19 States and the District of Columbia, January 2016-March 2023. MMWR Morb Mortal Wkly Rep. CDC, Centers for Disease Control and Prevention.

https://www.cdc.gov/mmwr/volumes/72/wr/mm7222a5.htm

Brook I. Clinical Case. Brain Abscess Clinical Presentation. Medscape.com.

https://reference.medscape.com/article/212946-clinical

Goodman B. Doctors watching for more cases after mysterious cluster of brain infections strikes kids in southern Nevada. CNN. CNN Health.

https://www.cnn.com/2023/04/28/health/brain-abscess-cluster-nevada/index.html

The Center for Medical Education. 23 - Dear Doctor, Skin Closures, and Wound Management. 2 View: Emergency Medicine PAs & NPs.

https://2view.fireside.fm/23

What’s “ordinary negligence”? //Missed brain abscess//Special offer. Mad Mimi. Medical Malpractice Insights: Learning from Lawsuits.

https://madmimi.com/s/3fc5711

Testicular Torsion

Lukosiute-Urboniene A, Nekrosius D, Dekeryte I, Kilda A, Malcius D. Clinical risk factors for testicular torsion and a warning against falsely reassuring ultrasound scans: a 10-year single-centre experience. Emerg Med J. BMJ Journals.

https://emj.bmj.com/content/40/2/134.info

Mellick LB, Watters BC. The Torsed Testicle Traction Technique and 2 Case Reports. Pediatr Emerg Care.

https://journals.lww.com/pec-online/Citation/2023/05000/The_Torsed_Testicle_Traction_Technique_and_2_Case.14.aspx

Sessions AE, Rabinowitz R, Hulbert WC, Goldstein MM, Mevorach RA. Testicular torsion: direction, degree, duration and disinformation. J Urol. PubMed. NIH: National Library of Medicine. National Center for Biotechnology Information.

https://pubmed.ncbi.nlm.nih.gov/12544339/

Ovarian Torsion

Long B, Koyfman A, Gottlieb M. Dispelling 5 Ovarian Torsion Myths. ACEP Now.

https://www.acepnow.com/article/dispelling-5-ovarian-torsion-myths/

Ovarian Torsion. Acep.org. ACEP Emergency Ultrasound Section.

https://www.acep.org/emultrasound/newsroom/sept2020/ovarian-torsion

Spinelli C, Piscioneri J, Strambi S. Adnexal Torsion in Adolescents: Update and review of the literature.

https://www.acog.org/clinical/clinical-guidance/committee-opinion/articles/2019/08/adnexal-torsion-in-adolescents

Swenson DW, Lourenco AP, Beaudoin FL, Grand DJ, Killelea AG, McGregor AJ. Ovarian torsion: Case-control study comparing the sensitivity and specificity of ultrasonography and computed tomography for diagnosis in the emergency department. European Journal of Radiology. ScienceDirect.

https://edus.ucsf.edu/sites/edus.ucsf.edu/files/wysiwyg/1-s2.0-S0720048X14000023-main.pdf

Delirium

ACEP’s Position on Hyperactive Delirium. American College of Emergency Physicians.

https://www.acep.org/news/acep-newsroom-articles/aceps-position-on-hyperactive-delirium

Hatten BW, Bonney C, Dunne RB, et al. ACEP Task Force Report on Hyperactive Delirium with Severe Agitation in Emergency Settings, Approved by the ACEP Board of Directors, June 23, 202. American College of Emergency Physicians.

https://www.acep.org/siteassets/new-pdfs/education/acep-task-force-report-on-hyperactive-delirium-final.pdf

Hayes BD, O’Brien M. Should Diphenhydramine be included in an Acute Agitation Regimen? AliEM: Academic Life in Emergency Meedicine.

https://www.aliem.com/diphenhydramine-acute-agitation-regimen/

Psychiatric Patient. American College of Emergency Physicians.

https://www.acep.org/patient-care/clinical-policies/Psychiatric-Patient

Reuben. Emergency Department Agitated Patient Treatment Map. Emergency Medicine Updates.

https://emupdates.com/danger/

Veraart JKE, Smith-Apeldoorn SY, Bakker IM, et al. Pharmacodynamic Interactions Between Ketamine and Psychiatric Medications Used in the Treatment of Depression: A Systematic Review. Int J Neuropsychopharmacol. Oxford Academic.

https://academic.oup.com/ijnp/article/24/10/808/6309481?login=false

Prescription Drug Monitoring Programs

D’Souza RS, Lang M, Eldrige JS. Prescription Drug Monitoring Program. StatPearls Publishing. NIH: National Library of Medicine. National Center for Biotechnology Information.

https://www.ncbi.nlm.nih.gov/books/NBK532299/

Something Sweet

Brito C. Bobi, the world’s oldest dog, turns 31 years old. CBS News.

https://www.cbsnews.com/news/bobi-the-worlds-oldest-dog-turns-31-years-old/

Recurring Sources

Center for Medical Education. http://ccme.org

The Proceduralist. http://www.theproceduralist.org

The Procedural Pause. Emergency Medicine News. Lww.com. https://journals.lww.com/em-news/blog/theproceduralpause/pages/default.aspx

The Skeptics Guide to Emergency Medicine. Thesgem.com.

http://www.thesgem.com

Trivia Question: Send answers to [email protected]