Brown EM Journal Club: The Effect of Formalized Emergency Medicine Training in Low and Middle Income Countries

Formal Emergency Medicine training in the majority of low- and middle-income countries (LMICs) is still in early stages of development. At the same time Emergency Centre (EC) mortality in LMICs is high, with a meta-analysis demonstrating a median mortality prevalence of 1.8%. Although there are multi-factorial reasons for this high mortality rate, the authors state a lack of a robust formally trained Emergency Medicine workforce is one of the proposed problems…

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Brown Sound: Lung Ultrasound for COVID-19

SARS-CoV-2/COVID-19 is a novel coronavirus first identified in Wuhan, China in late 2019. There are many types of human coronavirus which cause mild symptoms, but COVID-19 is a new disease which has caused a global pandemic. In COVID-19 infection, there are specific findings seen on point-of-care lung ultrasound (LUS) which correlate to computed tomography findings. Thus, LUS may have an important role in the screening, diagnosis, and prognosis of patients presenting with an influenza like illness (ILI)…

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Brown Sound: Point-Of-Care Ultrasound Diagnosis of Pyloric Stenosis

An ex-full term six-week old male presented to the pediatric emergency department with three weeks of forceful, non-bloody, non-bilious emesis. He was having two to four episodes of vomiting that occurred after feeding. Three weeks prior, the patient had been transitioned from breast milk to formula, and attempts to thicken the formula by adding rice had not improved his vomiting. More recently, he had poor PO intake and his parents were concerned about his weight. He had no fevers, no change in number of wet diapers or stooling, and no other acute complaints…

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