Radiographies du thorax et de l’abdomen sans préparation à l’ère du choosing wisely [The chest and plain abdominal radiography in the era of choosing wisely]

Chest x-ray and plain abdominal radiography are widely used in the daily practice of the emergency physician. The concept of « Choosing Wisely » implies a more efficient medicine that encourages, among other things, the avoidance of investigations that do not have a significant impact on the therapeutic management of patient. In this context, indications for these two imaging examinations were reviewed, whether in the context of a consultation in the emergency department, a hospital admission or a preoperative check-up

Drogues récréatives: le plaisir des complications [Recreational drugs: the complication's pleasure?].

Steadily increasing since 1990, the use of psychoactive substances was expanded to new designer drugs (bath salts, spice) with so original still unknown pharmacological effects. At the beginning, the pleasure, first feeling, turns sometimes, in acute medical emergency and then, in some cases, in chronic diseases. Side expected or not desired effects, seen in emergency departments could be necrotizing gangrene among consumers Krokodil or dystonic reactions in consumers of Spice. Moreover, adulterants could increase the dangerosity of the substances. Searching a toxidrome helps to find the incrimining substance