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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 58
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Heat-Related Illness

Pediatric Emergency Playbook

2008 Nov;36(11):2226-37. In: Pediatric Emergency Medicine, Baren JM, Rothrock SG, Brennan JA, Brown L (Eds), Saunders Elsevier, Philadelphia 2008. J Athl Train. 2013 Jul-Aug; 48(4): 546–553. DeFranco MJ et al. Environmental issues for team physicians. Am J Sports Med. Ishimine P. Hyperthermia. Jardine DS. Heat illness and heat stroke.

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PECARN STELAR Podcast – Episode 2: Food Insecurity

EMDocs

Gottlieb LM, Hessler D, Long D, Laves E, Burns AR, Amaya A, Sweeney P, Schudel C, Adler NE. Pediatric Social Risk Screening: Leveraging Research to Ensure Equity. Acad Pediatr. 2022 Mar;22(2):190-192. doi: 10.1016/j.acap.2021.09.013. 2021.09.013. Epub 2021 Sep 24. PMID: 34571253; PMCID: PMC8479442. JAMA Pediatr. 2016 Nov 7;170(11):e162521.

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Diagnostics and Therapeutics: Vascular Access in the Emergency Department

Taming the SRU

However, in at least 10% of patients, blind insertion of a peripheral IV may be unsuccessful for a variety of reasons including obesity, edema, IV drug use, surgical scars, dialysis, burns, and others (1,2). 2008 Jan;26(1):31–8. This technique is an ideal second-line alternative when traditional palpation-based techniques fail.

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Don’t Become Obsolete: The EM Physician’s Fight Against Procedural Decay

RebelEM

EMS radios in for a burn patient and to anticipate a difficult airway. The patient is horribly burned. She was smoking with her home O2 on and has severe mixed partial and full thickness burns to the chest, neck, face, and airway. INTRODUCTION You’re moonlighting in a remote access hospital. They’re rolling up now.

EMS 75
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Hyperacute T waves

Dr. Smith's ECG Blog

49 yo man with 1 week of stuttering chest burning and tightness for 1-2 hours. This is seen commonly, but only recently reported on by de Winter, Verouden, Wilde, and Wellens' in a long letter to the New England Journal (NEJM 359(19):2071-2073; Nov. They may be the only remaining clue to a reperfused LAD occlusion.

EKG/ECG 52
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Electrical Injuries: Hertz So Bad

Pediatric Emergency Playbook

Case 1: Toddler with an oral commissure burn An electrical burn to the angle of the mouth cauterizes superficial bleeding vessels, and hours later the wound becomes covered with a white layer of fibrin, surrounded by erythema. Most patients do well, and the burn heals by secondary intention. 2008; 15:988-994. Ericsson KA.

Burns 40