EM Cases · Bowel obstruction
Strangulated small bowel obstruction — the deteriorating station
ACEM Fellowship resus station testing NG+fluid resuscitation, recognition of strangulation and timely theatre escalation.
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Study tools
Target exams
ACEMFRCEMABEMFRCPCCCFPEMEBEEM
Prompt
Adhesive SBO that evolves from simple obstruction to suspected strangulation.
Station brief
Format. Clinical-management (resus) station, 11 minutes.
Candidate instructions. Lead the assessment. Examiner plays nurse and surgical registrar.[1]
References2ShowHide
- [1]Catena F, De Simone B, Coccolini F, et al. Bowel obstruction: a narrative review for all physicians. World Journal of Emergency Surgery, 2019.PMID 31168315
- [3]Huang Z, et al. Computed tomography for diagnosis and risk stratification of small bowel obstruction. European Journal of Radiology, 2026.PMID 42308707