Detroit Receiving Hospital

About: Detroit Receiving Hospital is a healthcare organization based out in Detroit, Michigan, United States. It is known for research contribution in the topics: Vancomycin & Population. The organization has 877 authors who have published 850 publications receiving 37202 citations. The organization is also known as: Detroit General.

Severe mucositis after acute substance ingestion.

Abstract: A 25-year-old male presented to the emergency department (ED) stating that he had just chewed and swallowed approximately 3 g of an off-white crystalline of powdered substance obtained from the str...

Evaluation and management of moderate to severe pediatric head trauma.

Abstract: A case of pediatric head trauma is presented with a detailed discussion of current concepts in evaluation and treatment. Management of the moderate to severe head-injured child is reviewed, and best practices for emergency department treatment are discussed. Background: Pediatric head trauma is a common and potentially devastating injury. Thorough knowledge of the clinical evaluation and treatment will assist the emergency physician in providing optimal care. Discussion: Using a case-based scenario, the initial management strategies along with rationale evidence-based treatments are reviewed. Conclusions: Computed tomography scan is the diagnostic test of choice for the moderate to severe head-injured pediatric patient. Several unique scales to describe and prognosticate the head injury are discussed, although currently, the Glasgow Coma Scale is still the most commonly accepted one. Similar to the adult patient, avoidance of hypotension and hypoxia are key to decreasing mortality. Etomidate and succinylcholine remain the choice of medications for intubation. Hyperventilation should be avoided.

Hiatal Hernia Mimicking Aortic Aneurysm on Point-of-care Echocardiography.

Abstract: CASE PRESENTATION An 85-year-old woman presented to the emergency department (ED) with altered mental status. She appeared to be in shock with a distended abdomen. A point-of-care (POC) echocardiogram using a 4 Mhz phased array transducer revealed a large anechoic mass posterior to the left atrium concerning for an aneurysm of the descending thoracic aorta (DTA). (Image, Video) However, computed tomography revealed high-grade small bowel obstruction, associated with a hiatal hernia.