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Glasgow Coma Scale in Children

Pediatric EM Morsels

We have mentioned the Glasgow Coma Scale in multiple delicious morsels: Minor closed head injuries in <3 month olds and in the rebaked morsel , Blunt cerebrovascular injury , Cerebral edema in DKA , Pediatric Trauma Pitfalls , and Carbon monoxide poisoning. 2015 Feb;100(2):207-8. When is it useful and what does it tell us?

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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. 2015 Oct;33(10):1542.e1-2. The American College of Medical Toxicology hosts this Toxicology Visual Pearls series. The post was peer reviewed on behalf of ACMT by Drs. Bryan Judge, Louise Kao, and Josh Radke.

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Chemical Burns

Mind The Bleep

Sodium Chloride or Hartmanns if indicated, monitoring for signs of shock. National Poisons Information Service (0344 892 0111) and TOXBASE have useful information on special chemicals and are accessible 24/7. 2015 Jun;11(2):227-31. Establish IV access and begin fluid resuscitation with 250ml boluses of 0.9% 1993;31(2):307-13.

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Tasty Morsels of Critical Care 081 | Pulmonary Hypertension ICU management strategies

Emergency Medicine Ireland

This is a somewhat philosophical approach that reminds us that the PA pressures themselves don’t prognosticate especially well but a failure of flow from right to left will result in cardiogenic shock and death. The ventilator is a bit of a poisoned chalice. 65 , 1976–1997 (2015). 31 , 369–385 (2015). Souza, R. &

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Diffuse Subendocardial Ischemia on the ECG. Left main? 3-vessel disease? No!

Dr. Smith's ECG Blog

2) Hypoxia, including poisons of oxidative phosphorylation such as HS, CO, CN. 3) Anemia, or poisons of hemoglobin such as methemoglobin or CO 4) Fixed coronary stenosis that limits flow. Authors' commentary: Cardiogenic shock in the setting of severe aortic stenosis. If you can use Doppler, then you can diagnose it.

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Episode 20 - Emergency Department Management of North American Snake Envenomations

EB Medicine

Daniel Sessions, a medical toxicologist working at the South Texas Poison Center, and our very own editor-in-chief, Dr. Andy Jagoda, who is also Chair of the Department of Emergency Medicine at Mount Sinai in New York City. These make up the vast majority of reports to the poison centers. Jeff: What a team! 1-800-222-1222.

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Episode 19 - Cannabinoids: Emerging Evidence in Use and Abuse

EB Medicine

Jeff: There are a shocking 22 million past-month users of marijuana in the US, followed by pain relievers at 3.8 Jeff: And according to the national poison data system, states with marijuana use laws have seen a 30% increase in calls related to marijuana use by children. Acute effects of synthetic cannabinoids: update 2015.