In a presentation from Lauren Westafer, DO, MPH, MS, advised emergency physicians to not treat genitourinary trauma as a joking matter and instead to treat such injuries as true emergencies. She suggests considering penile fracture in men with a bloated and purple penis, as well as though who report hearing a snap during intercourse. Inflammation in such cases can impinge on the urethra, causing urethral injury, scare, and erectile dysfunction. Dr. Westafer suggests calling urology in such cases, but after gathering such information as whether the patient can urinate and whether blood is at the meatus. While surgery is the ultimate treatment, emergency providers can offer supportive care until surgery is available. In cases of ischemic priapism, Dr. Westafer notes that irreversible damage occurs in 24 hours, adding that the first step in treatment should be a dorsal nerve block and aspiration of the blood, followed by phenylephrine and immediate urology consult in patients who remain erect. For women with vaginal tears, Dr. Westafer advises considering non-consensual behavior if there are red flags of sex trafficking, sexual assault, or intimate partner violence. Because such patients can hemorrhage substantially or have a rare intraperitoneal perforation, she recommends treating the bleeding and considering an ob/gyn consult. With cases of foreign bodies in the rectum, she suggests avoiding judgement in taking history followed by an exam and x-ray and calling surgery when objects are sharp or considering removal of blunt objects.
- ACC 2020The American College of Cardiology decided to cancel ACC.20/WCC due to COVID-19, which was scheduled to take place March 28-30 in Chicago. However, ACC.20/WCC Virtual Meeting continues to release cutting edge science and practice changing updates for cardiovascular professionals on demand and free through June 2020.
- ENDO: 2020ENDO 2020 Annual Conference has been canceled due to COVID-19. Here are highlights of emerging data that has still been released. Keep an eye out for ENDO Online 2020, which will take place from June 8 to 22.
- CROI 2020Every year, CROI hosts some of the world's leading experts in HIV research, who come to present exciting new data and drive forward the field of HIV/AIDS research. This year, due to COVID-19, CROI held their meeting virtually.