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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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Superior Mesenteric Artery Syndrome (SMA Syndrome) in Children

Pediatric EM Morsels

Record, 2015) Normal aortomesenteric angle ranges from 28 o to 65 o and the normal distance from 10 to 34 mm. Ganss, 2018) There are additional associations with scoliosis, burn injuries, and spinal cord injuries. (Oka, Record, 2015) Nausea and pain are typically post-prandial. Record, 2015).

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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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PECARN STELAR Podcast – Episode 2: Food Insecurity

EMDocs

Gottlieb LM, Hessler D, Long D, Laves E, Burns AR, Amaya A, Sweeney P, Schudel C, Adler NE. Addressing social determinants of health at well child care visits: a cluster RCT. 2015 Feb;135(2):e296-304. Epub 2015 Jan 5. Epub 2015 Jul 14. Pediatric Social Risk Screening: Leveraging Research to Ensure Equity.

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Therapeutics: Pacing Through Skin and Vein

Taming the SRU

Conduction Abnormalities AV blocks, which can also be seen in patients with MI, may require pacing as well, due to ischemia affecting the electrical pathways of the heart. Skin burns and irritation can also result from the pacing pads and cause pain. MedEdPORTAL Publications; 2015. Circulation , vol.

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Red Leg in the Heartland of America: A Rural Physician’s Approach to the Patient with a Potential DVT

EMDocs

The Wells’ Criteria for DVT can help risk stratify [2,3]. If the patient’s Wells score is ≤ 0, DVT is nearly clinically excluded and no further immediate lab or ultrasound is necessary. In patients with a Wells’ score of 1-2 (moderate risk), DVT can be ruled out with a negative d-dimer rather than an US.

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Diagnostics and Therapeutics: Vascular Access in the Emergency Department

Taming the SRU

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.