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Tasty Morsels of Critical Care 082 | Carbon Monoxide Poisoning

Emergency Medicine Ireland

We’re going to cover a bit of an environmental/tox topic today and look at carbon monoxide poisoning from Oh’s manual chapter 83 on burns. Resuscitate and investigate as you would any sick patient. A follow up trial in 2011 by ICU steroid guru Djilalli Annane did not find a benefit. This is not really our cohort.

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The Intersections of Physical and Mental Health Disorders

ACEP Now

However, the persistence of tachycardia despite fluid resuscitation and dosing with lorazepam to help with his panic disorder raised concerns that warranted further investigation. Burns E, Buttner R. Given his history, it could have been easy to attribute his current presentation to his known mental health conditions. Published 2022.

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Adventures in RSI

Pediatric Emergency Playbook

We have a few minutes to optimize, to resuscitate before we intubate. The goal is a good general perfusion and a balanced resuscitation, ensuring enough cerebral perfusion without disrupting nascent clots. Caro et al in Annals in 2011 reported that the majority of patients undergoing RSI preserved their pupillary response.

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Podcast: Cervical Spine Injuries & Imaging in Children

PEMBlog

Guidelines for field triage of injured patients: recommendations of the National Expert Panel on Field Triage, 2011. 2011 Aug;58(2):145-55. Resuscitate with volume and blood. MMWR Recomm Rep. 2012 Jan 13;61(RR-1):1-20. PMID: 22237112. Factors associated with cervical spine injury in children after blunt trauma. Ann Emerg Med.

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Foreign Bodies in the Head and Neck

Pediatric Emergency Playbook

11 Beware the “double-ring” sign: this is a button battery13 This is an emergency: the electrolyte-rich mucosa conducts a focal current from the narrow negative terminal of the battery, rapidly causing burn, necrosis, and possibly perforation. Thieme; 2011. Coin en face – in the esophagus – lodged at the thoracic inlet.12 2013.12.028.

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Pediatric Pain

Pediatric Emergency Playbook

neutropenia) ( Babl 2011 , Dokko 2014 ). Pediatric burns should be assessed carefully and treated aggressively. Minor burns can be treated topically and with oral medications. Minor burns can be treated topically and with oral medications. Major burns require IN, IM, or IV analgesics with morphine. Acad Emerg Med.

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IV fluids in the ED: When do we really need them?

EMDocs

Sepsis There has been much controversy over the last two decades around the various nuances of volume resuscitation in ED patients with suspected sepsis, much of which goes beyond the scope of this limited review. In lower-resource settings, the evidence is stronger against a liberal approach to volume resuscitation. Andrews et al.