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Topical Therapies for Pediatric Burns

Pediatric EM Morsels

The management of pediatric thermal burns always seems to be a hot topic , whether we are caring for a little future chef who splashed a scalding microwaved noodle cup on himself, or a toddling youngster who pulled a pot of boiling water on herself. Topical Therapies for Pediatric Burns: The options?

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emDOCs Podcast – Episode 103: Thermal Burn Injury

EMDocs

Today on the emDOCs cast with Brit Long, MD ( @long_brit) , we cover the evaluation and management of the patient with a burn injury. Episode 103: Thermal Burn Injury Initial evaluation of thermal burns Range of burn severities and types: minor sunburns to full thickness burns and severe inhalation injury.

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Case Report: a High-Voltage Victim

ACEP Now

Per EMS, the patient was found at the bottom of a high voltage line with diffuse burns and amputation of his left forearm. FIGURE 1: Electrical burns of the patient’s bilateral feet. FIGURE 2: Traumatic amputation and electrical burn of the patient’s left arm. He was intubated by EMS due to the extent of his injuries.

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Quick First Aid Refresher Training

American Medical Compliance

First aid can include cleaning minor cuts, scrapes, or scratches, treating a minor burn, and applying bandages and dressings. Also, OSHA stated in 2002 that although this type of care may occur often, it is not required to be reported.

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REBEL Core Cast 125.0 – Hyperkalemia

RebelEM

Nephrol Dial Transplant 2002; 17: 1639-42. Definition: A serum potassium level > 5.5 patients can jump from peaked T waves to sine wave) Management Basics: ABCs, IV, O 2 , Cardiac Monitor and, 12-lead EKG Identify + treat underlying cause of hyperkalemia (i.e. rhabdomyolysis -> hydration) Remove inciting factors (i.e.

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Tasty Morsels of Critical Care 082 | Carbon Monoxide Poisoning

Emergency Medicine Ireland

We’re going to cover a bit of an environmental/tox topic today and look at carbon monoxide poisoning from Oh’s manual chapter 83 on burns. The Lindell Weaver NEJM RCT in 2002 did suggest a neuro benefit but only 8% of the patients in this trial were intubated. The New England journal of medicine 347 , 1057–1067 (2002).

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Adjunctive Methylene Blue in Septic Shock?

RebelEM

Anaesth Intensive Care 2002. What They Did: Single-center, parallel, double blind, randomized controlled trial performed in a medical-surgical ICU (Mexico) Both groups received: Adjunctive vasopressin initiated at a dose of 0.03 NaCl over 6hrs once daily x3 doses Placebo: 500mL of 0.9% 95% CI 15.4 vs 0.5% (Range 0.4 Crit Care Med 2001.

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