Mind The Bleep

AUGUST 15, 2024

Burning mouth syndrome Typically middle-aged menopausal females though not always. Burning sensation to mouth, subjective dry mouth and altered taste (e.g. Investigations may be needed to rule out other causes. Psychological support if needed and reassurance. Anti-depressants can be trialled. Analgesia and decongestants. Goodson, A.M.,

Burns 52

Burns 52

ALiEM

FEBRUARY 20, 2024

Bruccoleri RE, Burns MM. 2015 Oct;33(10):1542.e1-2. Flecainide toxicity–treatment with intravenous fat emulsion and extra corporeal life support. Acute Card Care. 2013 Dec;15(4):90-2. doi: 10.3109/17482941.2013.841949. Epub 2013 Nov 7. PMID: 24200150. J Med Toxicol. 2016 Mar;12(1):121-9. doi: 10.1007/s13181-015-0483-y.

Shock 73

Shock EKG/ECG Poisoning Burns 73

Taming the SRU

AUGUST 30, 2023

However, PCT can be elevated in severe trauma, such as burns or surgery [5,25]. A 2015 prospective, cross-sectional study of 78 Thai patients published in the International Journal of Rheumatic Disease demonstrated a sensitivity of 59% and specificity of 84% for PCT with a cut-off of 0.5 2015 Mar;18(3):352-9. Int J Rheum Dis.

Infectious Diseases 89

Infectious Diseases Sepsis Emergency Department Point-of-Care Testing 89

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). 2015 Feb;78(2):295–9. This technique is an ideal second-line alternative when traditional palpation-based techniques fail.

Emergency Department 92

Emergency Department Ultrasounds Administration Burns 92

Emergency Medicine Journal

NOVEMBER 28, 2023

Practice resource summary: September 2015 [Internet]. 2015 [cited 2022 Nov 17]. Frayne SM, Burns RB, Hardt EJ, Rosen AK, Moskowitz MA. 2015 Dec; 12 (6):618–26. Jill Roberts Public Health England. Local action on health inequalities. Improving health literacy to reduce health inequalities. Available from: [link] 2.

Research 40

Research Burns Wellness 40

PHEM Cast

MARCH 17, 2016

References Wilmalasena Y, Burns B, Reid C, Ware S., 2015; 65(4): 371-376. video cast from Emergency Medicine colleagues in the States discussing and demonstrating techniques for optimal bag-valve-mask ventilation. Annals of Emergency Medicine. Weingart SD, Levitan RM.

Airway Management 52

Airway Management Burns Emergency Department Resuscitation 52

EMDocs

OCTOBER 21, 2023

2015 Jul;5(3):142-50. 2015 Jan;46(1):102-7. link] Burns JD, Rindler RS, Carr C, et al. Available from: [link] Circle of Willis. link] January 24, 2007. Accessed April 13, 2023. Demel SL, Broderick JP. Basilar Occlusion Syndromes: An Update. Neurohospitalist. doi: 10.1177/1941874415583847. PMID: 26288672; PMCID: PMC4530423.)

EMS 97

EMS Stroke Outcomes Hospitals 97

Mind The Bleep

AUGUST 18, 2024

Examination Use a systematic approach to ensure you do not miss any key areas. Below is one approach you can use; it lists common pathologies and deformities to look out for. It is important that all medical professionals can assess these and escalate appropriately to prevent long-lasting or life-changing consequences. F Payne, K.F., Goodson, A.M.,

Fractures 91

Fractures Soft Tissue Injuries Burns Emergency Department 91

EB Medicine

NOVEMBER 1, 2018

Nachi: Each year, in the US, approximately 10,000 patients present with electrical burns or shocks. Thankfully, fatalities are declining, with just 565 in 2015. You’re probably familiar with this concept when you see high voltages arcing through the air without direct contact with the actual electrical source, leading to diffuse burns.

Emergency Department 40

Emergency Department Burns EKG/ECG Shock 40

Mind The Bleep

AUGUST 18, 2024

It can also be due to burns or other trauma. Figure 1 Suspicious ulcer requiring biopsy Benign ulceration Benign ulceration is usually related to trauma. Often this is due to a sharp tooth and requires smoothing by a dentist, as seen in the image below. References Payne, K.F., Goodson, A.M., Tahim, A.S., and Fan, K.F., Libri Publishing.

Burns 59

Burns 59

EMDocs

DECEMBER 4, 2023

When US is available, but the tech would be required to come in at night, we don’t want to burn them out when we can use an approach with a temporizing measure so the patient can get their study safely n a less emergent timeframe. Thrombosis J 13, 18 (2015). 2006;295(2):199-207. doi:10.1001/jama.295.2.199 295.2.199 Dybowska, M.,

Ultrasounds 96

Ultrasounds Documentation/Coding Wellness EMS 96

ACEP Now

APRIL 2, 2024

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. Oral exposure creates a spicy burning sensation (or pungency) in the mouth that can extend to the throat and stomach (and eventually the rectum—“ fire tuchus ”).

Burns 40

Burns Poisoning Seizures Stroke 40

Downeast Emergency Medicine

APRIL 5, 2021

Acad Emerge Med 2015. [ Ann Noninvasive Electrocardiol 2015.[ Righward Axis and Septal ST Elevation For an EKG with septal ST elevation and rightward axis, there are three main diagnosis to consider before STEMI: Acute pulmonary hypertension (i.e. Pdf ] Dibgy, et al. Pdf ] Zhan, et al.

EKG/ECG 40

EKG/ECG Shock Burns Academics 40

ALiEM

JULY 17, 2023

In fact, the average number of applicants between 2015-2020 and 2022-2023 were relatively similar, with the latter demonstrating 122 more applicants (2,801 vs 2,923). However, between 2015 and 2023, the number of available EM positions grew, with an annual addition of 149 PGY1 positions. Murano T, Weizberg M, Burns B, Hopson LR.

EMS 52

EMS Burns Emergency Department Shock 52

RebelEM

MARCH 23, 2023

Buell D, Filewod N, Ailon J, Burns KEA. Epub 2015 Dec 8. Filewod N, Hwang S, Turner CJ, Rizvi L, Gray S, Klaiman M, Buell D, Ailon J, Caudarella A, Ginocchio GF, Santos M, Sandhu G, Dewhurst N, Sequeira K, Burns KEA. Phenobarbital Versus Lorazepam for Management of Alcohol Withdrawal Syndrome: A Retrospective Cohort Study.

Emergency Department 52

Emergency Department Burns Outcomes Hospitals 52

Mind The Bleep

AUGUST 31, 2024

Stinging: Sensations of burning or stinging, often worsened by environmental conditions or extended periods of visual focus. 2015 Jan 30;112(5):71-81; quiz 82. Advances in dry eye disease examination techniques. Front Med (Lausanne). 2022 Jan 25;8:826530. Messmer EM. The pathophysiology, diagnosis, and treatment of dry eye disease.

Burns 52

Burns EMS Outcomes 52

Advanced Emergency Nursing from AENJ

APRIL 25, 2016

Tuesday, April 19th, 2016 4:58pm EDT. Jacobs, L. Langer, G.,& & de Jonge, C. The Hartford Consensus: A National Survey of the Public Regarding Bleeding Control. Journal of the American College of Surgeons. Online March 31, 2016. Jacobs Jr, L. Bulletin of the American College of Surgeons, 100(7), 20. PMID: 26248396. Kragh Jr, J.

Military 40

Military Burns Emergency Nursing Academics 40

Northwestern EM Blog

JANUARY 24, 2022

Those at higher risk of hypocalcemia (vitamin D deficiency, ESRD, hyperparathyroidism, burns, multiple blood transfusions, etc.) Hypocalcemia can be hinted at through history or by hints such as a prolonged QTc on an ECG. may have greater severity of shock with increased mortality. California Medicine. Critical Care Research and Practice.

Anaphylaxis 52

Anaphylaxis Shock Sepsis Resuscitation 52

PEMBlog

JUNE 5, 2024

2015 Apr;22(4):441-6. Epub 2015 Mar 16. Central cord syndromes are from hyperextension, and you’ll see weakness that is greater in the upper as opposed to the lower extremities, and transient burning sensation of the hands and fingers. Leonard JC, Jaffe DM, Olsen CS, Kuppermann N. Acad Emerg Med. doi: 10.1111/acem.12637.

Fractures 52

Fractures Pediatrics Radiology Radiology 52

Pediatric Emergency Playbook

APRIL 1, 2017

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. link] Accessed February 20, 2015. Accessed February 5, 2015. doi:10.1016/j.otc.2008.01.013.

Pediatrics 52

Pediatrics CPR Operations Resuscitation 52

EMDocs

JULY 15, 2023

She has had pruritus and swelling to the site accompanied by a painful burning sensation and a couple “painful knots” on her right inguinal region. 2015, July 31). She denies any prior history of deep vein thrombosis (DVT, IV drug use, or any history of vascular surgeries to the lower extremities. 2023, February 14). Erysipelas.

EMS 92

EMS Infectious Diseases Shock Ultrasounds 92

Pediatric Emergency Playbook

JANUARY 1, 2017

Intranasal (IN) medications offer the advantage of a fast onset for moderate-to-severe pain ( Graudins 2015 ), either as monotherapy or as a bridge to parenteral treatment (Table 4). Needleless lidocaine injectors may facilitate IV placement without obscuring the target vein ( Spanos 2008 , Lunoe 2015 ).

Pediatrics 40

Pediatrics Soft Tissue Injuries Burns Emergency Department 40

Taming the SRU

MARCH 3, 2025

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

Burns Fluid Resuscitation Emergency Department Resuscitation 52

EMDocs

JANUARY 20, 2025

2015, 49 performed a retrospective review of 5,000 patients across the Cleveland Clinic health system looking at the prevalence of IV fluid used for renal colic and found that about 80% of patients were given fluid boluses despite the absence of signs of dehydration. Pediatr Rev July 2015; 36 (7): 274285. 2015 Sep;2(5):239-243.

Dehydration 75

Dehydration Fluid Resuscitation Sepsis Resuscitation 75