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Topical Therapies for Pediatric Burns

Pediatric EM Morsels

Palmieri 2002] Ointments and Silver and Gauzes, Oh My! There are many topical burn dressing options on the market. Ointment has shorter half-life, so should be cleansed and changed every 12 hours. Ointment has shorter half-life, so should be cleansed and changed every 12 hours.

Burns 169
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Use Of Radio-opaque Markers In Penetrating Trauma

The Trauma Pro

OLYMPUS DIGITAL CAMERA The author first reviewed the literature on the use of markers for penetrating injury, which started only recently, in 2002. The author questions the justification of this practice and posits that there are risks to extrapolating information based on radiographs with markers placed by the trauma team.

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Snake Bites and Children

Pediatric EM Morsels

Venomous snakebites in the United States: management review and update [published correction appears in Am Fam Physician 2002 Jul 1;66(1):30]. as far west as Texas Cottonmouths/Water Moccasins live in the southeastern U.S. in wetlands, rivers, and lake areas Coral snakes inhabit the southern U.S. J Pediatr Surg. 2014;49(6):1009-1015.

CDC 130
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REBEL Core Cast 114.0 – Carbon Monoxide Toxicity

RebelEM

Weaver 2002 ) As always, call your local toxicologist or regional poison control center to help determine the need for hyperbaric therapy. 2002 Oct 3;347(14):1057-67. Take Home Points: Carbon monoxide is a colorless, odorless, and tasteless gas that results from incomplete combustion of any carbon containing product. N Engl J Med.

Poisoning 105
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Cerebral Edema and Diabetic Ketoacidosis: Rebaked

Pediatric EM Morsels

2002 Dec;141(6):793-7. The Pediatric Emergency Medicine Collaborative Research Commitee. Factors associated with adverse outcomes in children with diabetic ketoacidosis-related cerebral edema. PMID: 12461495.

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A Controlled Trial of Arthroscopic Surgery for Osteoarthritis of the Knee

Sensible Medicine

Going back to 2002 with this one. I can’t believe I am at number six in this series and have not discussed a good case of medical reversal ! Well, here we go.

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Adjunctive Methylene Blue in Septic Shock?

RebelEM

Anaesth Intensive Care 2002. vs 0.5% (Range 0.4 BUT significantly lower than the clinically relevant threshold of 10% Author Conclusion: “In patients with septic shock, MB initiated within 24h reduced time to vasopressor discontinuation and increased vasopressor-free days at 28 days. Crit Care Med 2001. PMID: 11588440 Memis D et al.

Shock 145