I think that if the child's circulation had been stable, follow-up ultrasound monitoring would have been sufficient. A CT scan would only be necessary if the child's condition became unstable.

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never a good look when you send them to the ward for observation and their Hb in the morning is 5. Respect the injury mechanism!

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Equally impressive clip, with the device appearing to be floating freely inside the RV. #echosky #achofirst #cardiosky #ansky #FOAMEd

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ARISE FLUIDS – Fluids, pressors, neither, both? The management of sepsis has evolved dramatically since I was a trainee, just after Manny Rivers published his seminal sepsis protocol....

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It is inevitable, sometimes, that the closure device that was used to close an atrial septal defect will migrate from its original position and will embolize into the right ventricle, requiring open heart surgery with cardiopulmonary bypass to remove it. #echosky #echofirst #ansky #cardiosky

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