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Topical Therapies for Pediatric Burns

Pediatric EM Morsels

The management of pediatric thermal burns always seems to be a hot topic , whether we are caring for a little future chef who splashed a scalding microwaved noodle cup on himself, or a toddling youngster who pulled a pot of boiling water on herself. Topical Therapies for Pediatric Burns: The options?

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emDOCs Podcast – Episode 103: Thermal Burn Injury

EMDocs

Today on the emDOCs cast with Brit Long, MD ( @long_brit) , we cover the evaluation and management of the patient with a burn injury. Episode 103: Thermal Burn Injury Initial evaluation of thermal burns Range of burn severities and types: minor sunburns to full thickness burns and severe inhalation injury.

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Electrical injuries

Don't Forget the Bubbles

Up to 5% of burns occur secondary to electrical injuries, and this rises to 27% in developing countries. Significant injuries can occur even in the absence of extensive burns or other signs of external injury. Children, especially toddlers, may insert objects into outlets, leading to shocks or burns.

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Back Braces: Are They Really Needed?

The Trauma Pro

The first was published in 2016 and examined papers comparing postop bracing vs. no postop bracing. World Neurosurg 93:221-228, 2016. Int J Burns Trauma 12(4):168-174, 2022. I found two systematic reviews and a ten-year prospective clinical trial. First, the reviews. J Clin Neurosci 45:33-39, 2017.

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Superior Mesenteric Artery Syndrome (SMA Syndrome) in Children

Pediatric EM Morsels

Ganss, 2018) There are additional associations with scoliosis, burn injuries, and spinal cord injuries. (Oka, Reece, 2016) There is multiple cases of sudden death from undiagnosed SMA syndrome in the literature attributed to a variety of causes at autopsy. 2016: 7809281. The Oschner Journal. 15(1):74-78. Case Rep Emerg Med.

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Beyond the Burns: Toxic House Fire Gases

Northwestern EM Blog

Recognizing the controversial nature of HBOT, the 2016 ACEP position statement noted that HBOT or high flow, normobaric oxygen can be used to treat carbon monoxide poisoning; though it likely carries clinical benefit in certain situations, at this time HBOT is not the standard of care for severe carbon monoxide poisoning.

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Case Report: a High-Voltage Victim

ACEP Now

Per EMS, the patient was found at the bottom of a high voltage line with diffuse burns and amputation of his left forearm. FIGURE 1: Electrical burns of the patient’s bilateral feet. FIGURE 2: Traumatic amputation and electrical burn of the patient’s left arm. He was intubated by EMS due to the extent of his injuries.

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