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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. Check temperature and blood glucose levels.

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Major Burns in Children

Pediatric Emergency Playbook

Bedside Escharotomies for Burns Classic Paragraph Selected References Mahar PD et al. Clinical differences between major burns patients deemed survivable and non-survivable on admisssion. 2015; 46:870-873. Pediatric Thermal Burns and Treatment: A Review of Progress and Future Prospects. 2015; e24-227 Sherren PB et al.

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ACMT Toxicology Visual Pearl: Salt, not Shock

ALiEM

Bruccoleri RE, Burns MM. 2015 Oct;33(10):1542.e1-2. Author information Timothy Harmon, MD Emergency Medicine Resident Inova Fairfax Medical Campus, George Washington University | The post ACMT Toxicology Visual Pearl: Salt, not Shock appeared first on ALiEM. Acute Card Care. 2013 Dec;15(4):90-2. Epub 2013 Nov 7. PMID: 24200150.

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

RebelEM

In these situations, the American Heart Association (AHA) and the European Resuscitation Council (ERC) of 2015 recommend the intraosseous (IO) route after the peripheral route and before the central venous route ( 1). 2015 PMID: 25768683 8 Leidel BA. This can often lead to significant delays in proper resuscitation. Trauma 1996.

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Therapeutics: Pacing Through Skin and Vein

Taming the SRU

Follow this algorithm in patients with unstable bradycardia with acute heart failure, change in mental status, or concern for shock, physicians should start with atropine, 1 mg and may be continued every 3 to 5 minutes if effective. Skin burns and irritation can also result from the pacing pads and cause pain. Circulation , vol.

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Diagnostics: Inflammatory Markers

Taming the SRU

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.

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Episode 22 - Electrical Injuries in the Emergency Department An Evidence-Based Review

EB Medicine

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. Most electrical injuries present with burns to the skin. In the bones, it can lead to osteonecrosis and periosteal burns. That’s -- high.