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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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ACMT Toxicology Visual Pearl: Salt, not Shock

ALiEM

Poisoning by sodium channel blocking agents. Flecainide poisoning and prolongation of elimination due to alkalinization. 2013 Dec;15(4):90-2. Epub 2013 Nov 7. Bruccoleri RE, Burns MM. The American College of Medical Toxicology hosts this Toxicology Visual Pearls series. Bryan Judge, Louise Kao, and Josh Radke.

Shock 73
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Toxicology Answer: The Capsaicin Found in Hot Peppers and Chilis

ACEP Now

Carolina Reaper, under whose effects I was suffering, is a cultivar of ( Capsicum chinense ) and was declared in 2013 to be the hottest chili pepper in the world with greater than 1.6 degress Fahrenheit), caustics (low pH), and voltage—causing a Ca++ and Na+ action potential influx that confers the sensation of pain and burning to the brain.

Burns 40
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ToxCard: Chronic Organophosphate Toxicity

EMDocs

He complains of eye irritation with redness with a burning sensation and tearing sometimes. 5, 6 Organophosphate-Induced Delayed Neuropathy (OIDN) 1 to 2 weeks after recovering from an acute poisoning (2-4 weeks post exposure). Parenteral organophosphorus poisoning in a rural emergency department: a case report. BMC Res Notes.

PPE 96
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Diagnostics and Therapeutics: Inhalation Injuries

Taming the SRU

million fires in 2020, with some studies quoting over 500,000 emergency room visits annually for burn and inhalation injuries (4). Because inhalational injuries often co-occur with large cutaneous burns, aggressive fluid resuscitation can rapidly worsen upper airway edema making airway management especially challenging.

Burns 52