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Glasgow Coma Scale in Children

Pediatric EM Morsels

We have mentioned the Glasgow Coma Scale in multiple delicious morsels: Minor closed head injuries in <3 month olds and in the rebaked morsel , Blunt cerebrovascular injury , Cerebral edema in DKA , Pediatric Trauma Pitfalls , and Carbon monoxide poisoning. When is it useful and what does it tell us? 2008 Apr;39(4):1347-8. 107.498345.

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Toxicology Answer: The Capsaicin Found in Hot Peppers and Chilis

ACEP Now

8,9 There is one case of a 17-year-old who died from acute cerebellar stroke after participating in the “One Chip Challenge” (eating a capsaicin infused food chip as a game) that prompted Hershey Co. Boca Raton (FL): CRC Press/Taylor & Francis; 2007. Pepper spray injury severity: ten-year case experience of a poison control system.

Burns 40
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Approach to Shock

Pediatric Emergency Playbook

Conversely, is the heart rate too slow – even if the stroke volume is sufficient, if there is severe bradycardia, then cardiac output -- which is in liters/min – is decreased. Is this in an infarction, an infection, a poisoning? 2007; 35:64-8. If so, use 1 J/kg to synchronize cardiovert. Chemically pace with atropine, 0.01

Shock 40
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Episode 28 - Depressed and Suicidal Patients in the Emergency Department: An Evidence-Based Approach

EB Medicine

In one study, sending a brief postcard 9 times a year with a quick “hope things are well” type message to patients discharged after deliberate self-harm reduced self-poisonings by 50%. Mental health and substance abuse-related emergency department visits among adults, 2007: statistical brief #92. Talk to you next month!