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Snake Bites and Children

Pediatric EM Morsels

Ahmed 2008) **Talk with a Medical Toxicologist who can help you determine if anti-venom is needed, what kind is needed, and how to get it. Ahmed 2008) Tetanus toxoid booster is usually recommended. If you are managing a snake bite from a snake that does not typically reside in the U.S.,

CDC 130
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Acute Transverse Myelitis in Children

Pediatric EM Morsels

28,1 (2008): 105-20. B12, cooper, vitamin E) (Wang 2019) Acute Transverse Myelitis in Children: Evaluation Primary diagnostic tools (Wang 2019) Spinal MRI Findings: abnormal T2/fluid-attenuated inversion recovery (FLAIR) hyperintensities affecting one or more cord segment. Neurology vol. 87,9 Suppl 2 (2016): S46-52. doi:10.1212/WNL.0000000000002820

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An Update On The Electronic Trauma Flow Sheet

The Trauma Pro

I’ve been writing about the significant problems it can create since 2008! It’s been five years since I published my series on the use of the electronic trauma flow sheet (eTFS). Anyone who knows me is familiar with my skepticism about this tool. But alas, that is not the case.

Hospitals 204
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REBEL Core Cast 125.0 – Hyperkalemia

RebelEM

Clin J Am Soc Nephrol 2008; 3:324–330. Crit Care Med 2008; 36: 3246-51. 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. Nephrol Dial Transplant 2002; 17: 1639-42.

EKG/ECG 59
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Chest Tube Size: The Argument That Never Dies

The Trauma Pro

The University of Miami Ryder Trauma Center group performed a comprehensive review of the topic, spanning literature published through 2022.

Hospitals 147
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Rebaked Morsel: Pediatric Buckle and Greenstick Forearm Fractures

Pediatric EM Morsels

Buckle Fractures: Evolving literature Multiple prospective studies have been performed using single posterior slabs, splints, braces and soft bulky bandages (Davidson, 2001. West, 2005. Plint, 2006.

Fractures 286
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What is the ECG Diagnosis?

Dr. Smith's ECG Blog

D e W inter T Waves : In 2008 — Robert J. NOTE: For illustrative purposes — I’ve adapted Figure-1 from the original manuscript by de Winter et al, published in this 2008 NEJM citation. de Winter et al in N Engl J Med 359:2071-2073, 2008. It does not quite meet the original 2008 description for de Winter T waves.

EKG/ECG 52