We read with interest the recent article by Elmer and Sajed, but the discussion that follows the illustrative case seems somewhat confusing ( 1 Elmer J. Sajed D. Rectal intussusception. J Emerg Med. 2012; 43: 706-707 Abstract Full Text Full Text PDF PubMed Scopus (1) Google Scholar ). The authors discuss “sigmoidorectal intussusception,” a rare condition different from rectal intussusception (RI), which is a common form of rectal prolapse.

Paraphimosis is a urologic emergency that must be treated immediately. This video demonstrates the proper technique for manual reduction, a noninvasive procedure that is usually successful.

Paraphimosis is a urologic emergency that must be treated immediately. This video demonstrates the proper technique for manual reduction, a noninvasive procedure that is usually successful.

A healthy 3-year old boy was brought to the emergency department because of an acutely dilated right pupil, which developed after he had played in the garden. Half an hour before presentation, his parents noticed he had been crying.

A healthy 3-year old boy was brought to the emergency department because of an acutely dilated right pupil, which developed after he had played in the garden. Half an hour before presentation, his parents noticed he had been crying.

Intussusception in children is not a frequent pathology but it is important to consider when working in a paediatric emergency department due to the potential serious complications in the case that the diagnosis is not rapidly identified. The majority of cases are idiopathic and in only 10% of patients will a pathological lead point be found. One would be in error to wait for the classical triad presentation before beginning the appropriate diagnostic testing. Hence, the diagnosis of intussusception should be suspected in all children, under the age of 3 years, with acute colicky abdominal pain. In this practical review, we have included the clinical experience in intussusception seen in 2 Swiss university paediatric hospitals.

This 2020 International Consensus on Cardiopulmonary Resuscitation (CPR) and Emergency Cardiovascular Care Science With Treatment Recommendations on basic life support summarizes evidence evaluations performed for 20 topics that were prioritized by the Basic Life Support Task Force of the International Liaison Committee on Resuscitation. The evidence reviews include 16 systematic reviews, 3 scoping reviews, and 1 evidence update. Per agreement within the International Liaison Committee on Resuscitation, new or revised treatment recommendations were only made after a systematic review.Systematic reviews were performed for the following topics: dispatch diagnosis of cardiac arrest, use of a firm surface for CPR, sequence for starting CPR (compressions-airway-breaths versus airway-breaths-compressions), CPR before calling for help, duration of CPR cycles, hand position during compressions, rhythm check timing, feedback for CPR quality, alternative techniques, public access automated external defibrillator programs, analysis of rhythm during chest compressions, CPR before defibrillation, removal of foreign-body airway obstruction, resuscitation care for suspected opioid-associated emergencies, drowning, and harm from CPR to victims not in cardiac arrest.The topics that resulted in the most extensive task force discussions included CPR during transport, CPR before calling for help, resuscitation care for suspected opioid-associated emergencies, feedback for CPR quality, and analysis of rhythm during chest compressions. After discussion of the scoping reviews and the evidence update, the task force prioritized several topics for new systematic reviews.

Intussusception in children is not a frequent pathology but it is important to consider when working in a paediatric emergency department due to the potential serious complications in the case that the diagnosis is not rapidly identified. The majority of cases are idiopathic and in only 10% of patients will a pathological lead point be found. One would be in error to wait for the classical triad presentation before beginning the appropriate diagnostic testing. Hence, the diagnosis of intussusception should be suspected in all children, under the age of 3 years, with acute colicky abdominal pain. In this practical review, we have included the clinical experience in intussusception seen in 2 Swiss university paediatric hospitals.

The intermetallic compounds AuAl2 and PtAl2 are colored purple and yellow respectively. In the past they have been prepared by bulk melting techniques or by co-deposition in a magnetron sputterer. Here, however, we investigate films of AuAl2, PtAl2 and (Au,Pt)Al2 prepared by sequential physical vapor deposition of the elements, followed by in situ solid-state reaction. The microstructure, dielectric functions, optical properties and thermal stability of the resulting films are characterized and compared to those prepared by bulk melting or co-deposition. The (Au,Pt)Al2 films show a color gamut that stretches from purple to brassy yellow depending on composition and microstructure. High temperature synchrotron X-ray diffraction experiments show that the (Au,Pt)Al2 phase is metastable, decomposing when heated above 420 °C. In contrast, the pure AuAl2 or PtAl2 phases are stable to about 580 °C before they oxidize or decompose. The alternative possibility of producing the purple-to-yellow color gamut by depositing optical stacks of very thin films of AuAl2 and PtAl2 is also assessed. Either scheme will provide a range of colors lying between those of the binary compound endpoints. Calculations predict that deposition of AuAl2 onto PtAl2 will produce more intense colors than vice versa, an unexpected finding that is worth further investigation.

Les traumatismes sont la premiere cause de deces et d'invalidite chez l'enfant de plus d'un an et chez l'adolescent dans les pays industrialises ❚ Le plus souvent accidentels, ils peuvent etre la consequence d'un acte agressif delibere: maltraitance, violence ou automutilation ❚ La survenue de traumatismes sur un squelette en croissance demande une evaluation clinique rigoureuse et le soulagement de la douleur, premiere priorite de la prise en charge.

Urethral catheterization may be needed in a child for diagnostic purposes or for performing voiding cystourethrography or monitoring urine output in very ill or postoperative patients. This video demonstrates a diagnostic urethral catheterization in a male infant.