Pediatric EM Morsels

JUNE 21, 2024

The management of pediatric thermal burns always seems to be a hot topic , whether we are caring for a little future chef who splashed a scalding microwaved noodle cup on himself, or a toddling youngster who pulled a pot of boiling water on herself. Topical Therapies for Pediatric Burns: The options?

Burns 169

Burns Pediatrics Hospitals Wellness 169

EMDocs

JUNE 25, 2024

Today on the emDOCs cast with Brit Long, MD ( @long_brit) , we cover the evaluation and management of the patient with a burn injury. Episode 103: Thermal Burn Injury Initial evaluation of thermal burns Range of burn severities and types: minor sunburns to full thickness burns and severe inhalation injury.

Burns 86

Burns Fluid Resuscitation Resuscitation Poisoning 86

Mind The Bleep

OCTOBER 29, 2024

Chemical burns are a unique subset of burns that require specialised management due to the nature of the substances involved. The majority of acid burns cause coagulative necrosis and cytotoxicity leading to skin and mucosal changes that limit deeper injury. Keep the patient warm using force air warmers such as Bairhugger.

Burns 52

Burns Fluid Resuscitation PPE Resuscitation 52

Taming the SRU

JANUARY 1, 2024

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). It is a relatively new procedure first described in 2009 (13). 2009 Sep 11;2(3):155–60. Ann Emerg Med. Int J Emerg Med.

Emergency Department 91

Emergency Department Ultrasounds Administration Burns 91

RebelEM

APRIL 29, 2024

CVC vs PIV The critically ill patient is often associated with pathology that makes IV access difficult such as shock state, hypovolemia, obesity, IV drug abuse, end-stage renal disease, cardiac arrest, as well as other conditions. Int J Emerg Med 2009 PMID: 20157465 4. World J Emerg Surg 2023 PMID: 36918947 3.

Resuscitation 105

Resuscitation Administration Emergency Department Ultrasounds 105

Critical Care Now

APRIL 21, 2022

Because HD, and subsequently CRRT, have been around for many years, dosing recommendations for medications are generally well established when using these modalities. Clin Infect Dis 2009; 49:433-7. However, there is another modality which is a hybrid of HD and CRRT – prolonged intermittent renal replacement therapy (PIRRT).

Burns 52

Burns Administration Outcomes Hospitals 52

PulmCCM

FEBRUARY 19, 2024

Well … no. More health care professionals are burned out or disengaged. Patients have become more complex, hospitalists’ workload frequently exceeds what they consider safe, and nonphysician providers are seeing more (and sicker) patients with no physician involvement. Societal trust has declined.

Hospitals 52

Hospitals Resuscitation Burns Documentation/Coding 52