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Diagnostics: Inflammatory Markers

Taming the SRU

In a small study involving 79 hospitalized children, PCT was found to be elevated in bacterial infections, with a decrease after appropriate antibiotic therapy, and decreased in viral infections [24]. However, PCT can be elevated in severe trauma, such as burns or surgery [5,25]. 2002 Jan 2;287(1):92-101. Arthritis Rheum.

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Adjunctive Methylene Blue in Septic Shock?

RebelEM

It also reduced length of stay in ICU and hospital without adverse effects. 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 95% CI 15.4 95% CI 15.4

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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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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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Pediatric Pain

Pediatric Emergency Playbook

Neonatal pain pathways are particularly plastic; prompt assessment of and increased alertness to neonatal pain may help to mitigate long-lived pain sensitivity and hyperalgesia ( Taddio 2002 ). For many medications, these children will have a greater weight-normalized clearance than adults ( Berde 2002 ). Palliative care for children.

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IV fluids in the ED: When do we really need them?

EMDocs

2024, 33 use of ultrasound may lead to a reduction in mortality, less volume of fluids given, and decreased hospital stay. 2018 56 retrospectively analyzed visits from 30,000 children from 36 hospitals across the US and found that patients who received IV antibiotics were just as likely to return at 72 hours as those who did not.

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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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