Remove 2006 Remove Burns Remove Shock
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Electrical injuries

Don't Forget the Bubbles

Up to 5% of burns occur secondary to electrical injuries, and this rises to 27% in developing countries. Significant injuries can occur even in the absence of extensive burns or other signs of external injury. Was the patient thrown from the source (suggestive of DC shock and may result in further blunt force trauma)?

Burns 80
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The Technologically Dependent Child in the ED

Pediatric Emergency Playbook

He is in compensated shock. Increased demand may be temporary, such as in burns, s/p cardiac surgery, or ay prolonged recovery. Paediatric Resp Rev (2006) 7, 162–168 Wright SE,VanDahm K. The Huber needle is not a resuscitative line. Obtain proper access to give fluids -- do not rely on the port-a-cath.

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Pediatric Pain

Pediatric Emergency Playbook

For example, for a simple forearm fracture, you may opt to give an oral opioid, perform a hematoma block, and offer inhaled nitrous oxide for reduction, rather than a formal intravenous procedural sedation ( Luhmann 2006 ). Pediatric burns should be assessed carefully and treated aggressively. Management of Pain in Children with Burns.

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

EMDocs

Patients were enrolled in these trials if they had signs of shock, with mortality ranging from 18-29%. 13 While there is good data that early antibiotics for patients in septic shock reduce mortality 18-19 the role of early and aggressive volume resuscitation and its impacts on patient-centered outcomes remain unclear. Inwald et al.