What are the major criteria of cannabinoid hyperemesis syndrome?
What was considered the first occupation related disease?
Answer: There are a number of candidates for the first occupation disease. It was noted in roman times that mine workers where often troubled by mercury vapours. It was also suggested that some STI was likely associated with the “oldest profession”
The first occupational cancer was SCC of the scrotum which was seen in chimney sweeps.
Ultrasound can be used in the emergency department to indentify patients with cholecysitis.
How sensitive is USS for cholecysitis?
In what situations is it less sensitive?
Answer: Emergency physician USS has a pooled sensitiviy and specificity of 90% & 90%
As always with ultrasound it is both operator (experience) patient dependant (obesity, compliance) and disease dependant (acalculus cholecysitis).
What ASA grade is associated with the highest risk of complications during procedural sedation in the emergency department?
Answer: There is no association between ASA grading and risk of complications during ED sedation. (Thanks for the heads up Cliff!)
(Dawson, N., Dewar, A., Gray, A., Leal, A., on behalf of the Emergency Medicine Research Group, Edinburgh. (2014).
Association between ASA grade and complication rate in patients receiving procedural sedation for relocation of dislocated hip prostheses in a UK emergency department.
Emergency Medicine Journal 31(3), 207–209)