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1.
J Emerg Med ; 43(3): 431-4, 2012 Sep.
Article in English | MEDLINE | ID: mdl-20097507

ABSTRACT

BACKGROUND: Aortoenteric fistula (AEF) is a rare but life-threatening condition in which expedient diagnosis is often difficult. It arises from erosion of a segment of aorta, usually an abdominal aortic aneurysm, into an adjacent portion of the gastrointestinal tract or between a vascular graft of the aorta and an adjacent portion of the gastrointestinal tract. It can present as life-threatening upper or lower gastrointestinal bleeding and is a surgical emergency that requires rapid assessment, emergency resuscitation, and definitive treatment. CASE REPORT: To present the case of an 87-year-old man diagnosed with AEF in the emergency department. A review of the literature follows the case report. CONCLUSIONS: Aortoenteric fistula is a rare diagnosis that can cause sudden life-threatening gastrointestinal bleeding.


Subject(s)
Aortic Diseases/diagnosis , Fistula/diagnosis , Gastrointestinal Hemorrhage/etiology , Intestinal Fistula/diagnosis , Aged, 80 and over , Humans , Male , Recurrence , Tomography, X-Ray Computed , Treatment Refusal
2.
Emerg Med Clin North Am ; 23(1): 31-44, 2005 Feb.
Article in English | MEDLINE | ID: mdl-15663972

ABSTRACT

There are a number of notable trends in the development of EM that have been highlighted at the regional level globally. From the establishment of formal EM training as the standard of care to practice in an ED to the influence of transnational regulatory bodies and financing mechanisms on specialty development and the broad-based issues of health security that affect EM, the specialty continues to grow around the world. As practitioners in each of these regions struggle to respond effectively to the development issues and challenges presented here, they continue to advance EM as one of the more dynamic young specialties in medicine. The regions presented here are as distinctive as the people who practice our specialty; however, in many respects the highlights and challenges are universal. This recognition is perhaps what motivates the appeal for collaboration in international EM development.


Subject(s)
Emergency Medical Services/organization & administration , Emergency Medicine/organization & administration , Global Health , Health Planning/organization & administration , International Cooperation , Humans , Models, Organizational , Program Development
3.
Emerg Med Clin North Am ; 23(1): 45-56, 2005 Feb.
Article in English | MEDLINE | ID: mdl-15663973

ABSTRACT

The specialty of EM is developing rapidly throughout the world. This growth is relatively lacking in the LICs, however. The lack of resources and financing capabilities in these regions may hinder specialty development. Further growth of the specialty in these countries requires an understanding of their health priorities and the global health and development agencies that often assist these countries in supporting the health sector. Identifying health priorities in these regions that intersect with EM is crucial and may form the basis for further expansion of EM. Many potential funding opportunities exist within the governmental and private sector, but all require some familiarity with application mechanisms and project cycles. Building relationships with personnel within these agencies and countries of interest is often fundamental to successful programmatic funding.


Subject(s)
Developing Countries , Emergency Medical Services/organization & administration , Emergency Medicine/organization & administration , Financial Support , International Cooperation , Program Development/economics , Emergency Medical Services/economics , Emergency Medicine/economics , Humans , Organizations , United Nations
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