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Bullous Skin Lesions, Meet Emergency Medicine

Taming the SRU

Mortality rates related to bullous skin lesions are typically related to disruption of the skin barrier and include subsequent dehydration, electrolyte imbalances, hypothermia, increased metabolic needs, and secondary infection leading to bacteremia and/or sepsis. Nature 2004; 428:486. Proc Natl Acad Sci U S A 2005; 102:4134.

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Vasopressor Nonresponse

Northwestern EM Blog

While the diagnosis of hypothyroidism can be delayed by lab results, clues to the diagnosis include thyroidectomy scar, non-pitting edema of the extremities, macroglossia, altered mental status, hypoglycemia and hypothermia. 2004; 139(11):1199-1203. The Internet Book of Critical Care. Accessed [link] 4) Ho H, Chapital A, and Yu M.

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Seeing Peter Safar, and his work

Advanced Emergency Nursing from AENJ

Research into post-arrest after-care, therapeutic hypothermia, reanimatology. Helped establish the Freedom House ambulance with paramedic level care. Expanding focus of resuscitation to include the brain: CPCR; CardioPulmonary Cerebral Resuscitation. Support of prevention activities to lessen the need for resuscitation.

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Unconscious + STEMI criteria: activate the cath lab?

Dr. Smith's ECG Blog

Acute and reversible J waves are called "Osborn waves" and are often associated with hypothermia which can also induce ventricular arrhythmias (3), where their size correlates with colder temperatures and resolves with warming (5). Hypothermia can also produce bradycardia and J waves, with a pseudo-STEMI pattern. TSH came back as 45.

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emDOCs Revamp – Acute Chest Syndrome

EMDocs

2004 Jul;15(4):248-250. -smoke, high ozone levels, smog) Asthma/reactive airway disease (RAD) Diagnostic criteria 7,8 Respiratory symptoms +/- fever (at least 38.0 C or 100.4 2 mcg/kg, max 100 mcg) while obtaining IV access 20 IV/IM ketorolac (1 mg/kg, max 15 mg) Morphine (05-0.1 mg/kg, max 4 mg per dose q20-30min) or hydromorphone (0.01-0.02

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How Much Phototherapy Should Be Ordered?

Pediatric Education

We have to order the nurses to use an isolette so hypothermia doesn’t become an issue. However it caries risk of dehydration, sunburn, and hypothermia. Even with sunlight filters hypothermia continues to be a major issues. The nurses still monitor the temperature closely though in the isolette.