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Topical Therapies for Pediatric Burns

Pediatric EM Morsels

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?

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emDOCs Podcast – Episode 103: Thermal Burn Injury

EMDocs

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.

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Chemical Burns

Mind The Bleep

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.

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Health Care Worker Unionization Uncommon, But Sometimes Necessary

ACEP Now

But we should not have to sacrifice our own well-being in the process. 8 Striking is a last resort, but we were ready to follow in these footsteps, knowing that securing a fair contract is essential for our health and well-being and the quality of care we provide to our patients. Physician burnout will burn all of us.

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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). 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.

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Don’t Forget About the IO in the Critically Ill Patient

RebelEM

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.

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How to Dose Medications During a PIRRT

Critical Care Now

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).

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