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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.

Burns 52
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ECG Blog #387 — 2 Minutes Later.

Ken Grauer, MD

The ECG in Figure-1 was obtained from an elderly man with a history of coronary disease — who contacted EMS for "burning" chest discomfort that woke him at 3am. Unlike his "usual" anginal episodes — this chest discomfort was not relieved by NTG.

EKG/ECG 195
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ACMT Toxicology Visual Pearl: Salt, not Shock

ALiEM

2013 Dec;15(4):90-2. Epub 2013 Nov 7. Bruccoleri RE, Burns MM. Sivalingam SK, Gadiraju VT, Hariharan MV, Atreya AR, Flack JE, Aziz H. Flecainide toxicity–treatment with intravenous fat emulsion and extra corporeal life support. Acute Card Care. doi: 10.3109/17482941.2013.841949. PMID: 24200150. J Med Toxicol.

Shock 73
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Episode 15: Paediatric Trauma & How to Do Sim

PHEM Cast

2013; 22: 468-477. Boet S, Bould MD, Layat Burn C, Reeves S. Patterson MD, Geis GL, Falcone RA, LeMaster T, Wears RL. In situ simulation: detection of safety threats and teamwork training in a high risk emergency department. BMJ Quality & Safety. Medical Teacher. 2014; 36: 853-857.

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52 in 52 – #41: The CENSER Trial

EMDocs

mL/kg/hr for 2 consecutive hours OR Decrease in serum lactate by more than 10% from initial level Primary outcome – Early norepinephrine group vs. the control group demonstrated higher rates of shock control at 6 hours: 76.1% vs 48.4% (OR 3.4, vs 48.4% (OR 3.4,

Sepsis 93
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Grand Rounds Recap 9.6.23

Taming the SRU

ETT onto a fiberoptic scope.

CPR 90
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TXA in head injuries

Don't Forget the Bubbles

CRASH 2 , published in 2013 – was huge. 2013 Mar;17(10):1-79. But, there’s always been a worry that giving TXA could cause clotting in the cerebral vessels. This is not good. There have been a couple of landmark trials. Traumatic injury clinical trial evaluating tranexamic acid in children (TIC-TOC): A pilot randomized trial.