PEMBlog

OCTOBER 17, 2023

Patients often describe a sensation of burning or stinging pain rather than itching. Clinical Pediatric Dermatology 5 th ed, Elsevier, 2016, 382-401. It presents with acute onset, rapidly progressive, symmetric swelling and erythema of the hands and feet, often with petechiae or purpura. The diagnosis can be made clinically.

Urgent Care 69

Urgent Care Burns Pediatrics Emergency Department 69

Taming the SRU

JUNE 24, 2024

Skin burns and irritation can also result from the pacing pads and cause pain. AP placement was proven to be capture at a lower current than the AL placement in the same patients, thus more effective. [5] Sedation can be adequately achieved with benzodiazepines. Opioid pain medications are most effective for analgesia while pacing.

Advances Cardiac Life Support (ACLS) 83

Advances Cardiac Life Support (ACLS) CPR Burns Resuscitation 83

Sensible Medicine

JUNE 21, 2024

Governor Pete Shumlin of Vermont, speaking in 2016 , captured the zeitgeist: “We didn’t have a heroin crisis in America before OxyContin was approved and started being handed out like candy. Cautious professionals, it turns out, try not to burn what they’ve built. And yet, part of me rages at seeing people mistreated.

Academics 75

Academics Research Burns Outcomes 75

Emergency Medicine Journal

NOVEMBER 28, 2023

Method and Design Structured review of PEM studies published in three major journals between 2016-2021. Frayne SM, Burns RB, Hardt EJ, Rosen AK, Moskowitz MA. Improving health literacy to reduce health inequalities. Practice resource summary: September 2015 [Internet]. 2015 [cited 2022 Nov 17]. Available from: [link] 2.

Research 40

Research Burns Wellness 40

PHEM Cast

JANUARY 4, 2017

Boet S, Bould MD, Layat Burn C, Reeves S. [link] Paediatric Trauma TARN report: Severe Injury in Children Simulation ATACC:The Anaesthesia Trauma and Critical Care course Thanks to Mark Forrest (@ObiDoc) for sharing these videos: nightclub-sim massive-haemorrhage-packing thoracostomy References Spurr J, Gatward J, Joshi N, Carley SD.

Teamwork 52

Teamwork Burns Emergency Department Resuscitation 52

RebelEM

APRIL 29, 2024

2016 PMID:27075364 13 Astasio-Picado Á et al. Impact of intraosseous versus intravenous resuscitation during in-hospital cardiac arrest: A retrospective study. Resuscitation. 2021 PMID: 34273470 12 Petitpas F et al. Use of intra-osseous access in adults: a systematic review.

Resuscitation 102

Resuscitation Administration Emergency Department Hospitals 102

EMDocs

DECEMBER 19, 2023

Possible early antibiotic treatment Minor Marine Trauma Mechanism: Bites, Stings, Nematocysts Envenomation Presentation: All can cause localized pain, erythema, and warmth Dermatologic: Urticaria, burning, pruritus, localized paresthesia. link] Published April 7, 2016. McGraw Hill; 2021. Accessed August 25, 2022.[link] doi:10.1136/emj.2005.028456

Poisoning 91

Poisoning Seizures Anaphylaxis Burns 91

Dr. Smith's ECG Blog

DECEMBER 5, 2023

Newburger JW, Takahashi M, Burns JC. 2016 Apr 12;67(14):1738-49. Circulation. 2021 Aug 10;144(6):e123-e135. doi: 10.1161/CIR.0000000000001001. 0000000000001001. Epub 2021 Jul 7. Erratum in: Circulation. 2021 Aug 10;144(6):e149. PMID: 34229446. Kawasaki Disease. J Am Coll Cardiol. doi: 10.1016/j.jacc.2015.12.073. 2015.12.073.

Pediatrics 112

Pediatrics EKG/ECG Hospitals Burns 112

PHEM Cast

MARCH 17, 2016

References Wilmalasena Y, Burns B, Reid C, Ware S., 2016: 28(1); 67-72. 2016; 193(3): 273-280. 2016 [cite Date Accessed]. video cast from Emergency Medicine colleagues in the States discussing and demonstrating techniques for optimal bag-valve-mask ventilation. The Journal of Emergency Medicine. Oxygenation.

Airway Management 52

Airway Management Burns Emergency Department Resuscitation 52

RebelEM

JULY 20, 2023

EMS radios in for a burn patient and to anticipate a difficult airway. The patient is horribly burned. She was smoking with her home O2 on and has severe mixed partial and full thickness burns to the chest, neck, face, and airway. INTRODUCTION You’re moonlighting in a remote access hospital. They’re rolling up now.

EMS 71

EMS Burns Airway Management Wellness 71

Mind The Bleep

NOVEMBER 21, 2023

Bites Burns and chemical Injuries Management of wound Wounds can either heal by primary intention when they are held together by artificial means, or by secondary intention when they heal spontaneously through granulation pulling the wound together. Penetrating Wounds: Small deep wounds caused by sharp objects, such as needles.

Fractures 40

Fractures Burns Hospitals Documentation/Coding 40

RebelEM

MARCH 23, 2023

Buell D, Filewod N, Ailon J, Burns KEA. 2016 Apr;32:101-7. 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 Outcomes Hospitals Burns 52

EMDocs

OCTOBER 21, 2023

doi: 10.1136/neurintsurg-2016-012515. Epub 2016 Jul 15. link] Burns JD, Rindler RS, Carr C, et al. Neurocrit Care 24, 172–179 (2016). A population-based incidence of acute large vessel occlusions and thrombectomy eligible patients indicates significant potential for growth of endovascular stroke therapy in the USA.

EMS 73

EMS Stroke Outcomes Hospitals 73

Pediatric Emergency Playbook

DECEMBER 1, 2015

Case 1: Toddler with an oral commissure burn An electrical burn to the angle of the mouth cauterizes superficial bleeding vessels, and hours later the wound becomes covered with a white layer of fibrin, surrounded by erythema. Most patients do well, and the burn heals by secondary intention. Take Home Points 1. J Pediatr Surg.

Burns 40

Burns Emergency Department EKG/ECG Shock 40

Taming the SRU

JULY 21, 2023

link] A patient presents with an itchy and burning feeling on their eyelids. saline eyedrops for “burning” or “gritty” feeling of discomfort. 2016 American Academy of Ophthalmology. Anatomy and function of the eye”, KinderKrebsInfo.de ; 21 Nov 2016. Endophthalmitis Highlights”, emDocs; 12 Jan 2016. Conjunctivitis."

Emergency Department 81

Emergency Department EMS Burns Wellness 81

Advanced Emergency Nursing from AENJ

APRIL 25, 2016

Tuesday, April 19th, 2016 4:58pm EDT. Online March 31, 2016. Tags: advanced emergency nursing, ED, ER, NP, nurse practitioner, CNS, clinical nurse specialist, APRN, critical care, trauma, injury, pediatrics, hemorrhage, bleeding, tourniquet, IED, bombs, exsanguination Published: 4/25/2016 10:17:00 AM Jacobs, L.

Military 40

Military Burns Emergency Nursing Academics 40

AED Leader

OCTOBER 11, 2023

Thanksgiving Mains According to the National Grocers Association, for Thanksgiving 2016, Americans were stuffing their shopping carts with over 311 million pounds of turkey and over 213 million pounds of potatoes ! For a festive finishing touch to your board, sprinkle with toasted nuts and pomegranate seeds.

CPR 52

CPR Burns Hospitals Wellness 52

AED Leader

OCTOBER 11, 2023

Thanksgiving Mains According to the National Grocers Association, for Thanksgiving 2016, Americans were stuffing their shopping carts with over 311 million pounds of turkey and over 213 million pounds of potatoes ! For a festive finishing touch to your board, sprinkle with toasted nuts and pomegranate seeds.

CPR 52

CPR Burns Hospitals Wellness 52

Pediatric EM Morsels

AUGUST 4, 2023

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.

Pediatrics 246

Pediatrics Burns Operations Ultrasounds 246

Pediatric Emergency Playbook

JANUARY 1, 2017

NON-PHARMACOLOGIC TREATMENT The first line of treatment in all pain management is non-pharmacopeia ( Horeczko 2016 ). mg/kg IV, up to 10 mg) may be substituted for ibuprofen ( Paniyot 2016 ). Pediatric burns should be assessed carefully and treated aggressively. Minor burns can be treated topically and with oral medications.

Pediatrics 40

Pediatrics Soft Tissue Injuries Burns Emergency Department 40

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). 2016 Dec 14;20(1):102. 2016 Mar;34(3):578–81. 2016 Dec;51(6):636–42. J Trauma Acute Care Surg. Am J Emerg Med.

Emergency Department 84

Emergency Department Ultrasounds Administration Burns 84

Taming the SRU

AUGUST 30, 2023

However, PCT can be elevated in severe trauma, such as burns or surgery [5,25]. 2016 Dec;115(6):317-21. 2016 Aug 23;134(8):e113. Notably, PCT is not elevated in noninfectious inflammatory conditions including most rheumatological diseases, gout, SLE, and IBD. Bray C, Bell LN, Liang H, Haykal R, Kaiksow F, Mazza JJ, Yale SH.

Infectious Diseases 81

Infectious Diseases Sepsis Emergency Department Point-of-Care Testing 81

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. Curr Opin Crit Care. 2008;14:379-83. 3) Farkas J. 5) Kerns W.

Anaphylaxis 52

Anaphylaxis Shock Sepsis Resuscitation 52

EMDocs

MARCH 14, 2024

6 By the end the of 2016, 32 states had adopted expansion. Adoption rapidly slowed after 2016 as political opposition to the policy, as well as the ACA in general, remained strong in states with Republican-controlled state houses and governors’ mansions. link] Williams E, Rudowitz R, Burns A. Mississippi Today.

Administration 79

Administration Outcomes Burns Operations 79