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

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) 90

Advances Cardiac Life Support (ACLS) CPR Burns Resuscitation 90

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 86

Academics Research Burns Outcomes 86

ACEP Now

MARCH 14, 2024

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.

Burns 52

Burns Fluid Resuscitation EKG/ECG EMS 52

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

ALiEM

FEBRUARY 20, 2024

Bruccoleri RE, Burns MM. 2016 Mar;12(1):121-9. Acute Card Care. 2013 Dec;15(4):90-2. doi: 10.3109/17482941.2013.841949. Epub 2013 Nov 7. PMID: 24200150. A Literature Review of the Use of Sodium Bicarbonate for the Treatment of QRS Widening. J Med Toxicol. doi: 10.1007/s13181-015-0483-y. PMID: 26159649 ; PMCID: PMC4781799.

Shock 73

Shock EKG/ECG Poisoning Burns 73

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 105

Resuscitation Administration Emergency Department Ultrasounds 105

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

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 105

Poisoning Seizures Anaphylaxis Burns 105

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 98

EMS Stroke Outcomes Hospitals 98

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 75

EMS Burns Airway Management Wellness 75

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

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

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

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 Burns Hospitals 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 Shock 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 Shock 52

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 89

Infectious Diseases Sepsis Emergency Department Point-of-Care Testing 89

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

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

Pediatric EM Morsels

JUNE 21, 2024

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?

Burns 173

Burns Pediatrics Hospitals Wellness 173

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 88

Emergency Department EMS Burns Wellness 88

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 121

Pediatrics EKG/ECG Hospitals Burns 121

EMDocs

NOVEMBER 4, 2024

21 Case: A 40-year-old male presents to the ED with a burning epigastric pain that has been worsening over the past week. Pain can be gnawing, aching, burning, and located in the upper abdomen. doi:10.1136/tsaco-2016-000064 Zink KA, Mayberry JC, Peck EG, Schreiber MA. Pain can be improved or exacerbated with meals. 2009;32:1-32.

Emergency Department 105

Emergency Department Fractures Burns EMS 105

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 Documentation/Coding Hospitals 40

Taming the SRU

MARCH 3, 2025

million fires in 2020, with some studies quoting over 500,000 emergency room visits annually for burn and inhalation injuries (4). Because inhalational injuries often co-occur with large cutaneous burns, aggressive fluid resuscitation can rapidly worsen upper airway edema making airway management especially challenging.

Burns 52

Burns Fluid Resuscitation Emergency Department Resuscitation 52

Dr. Smith's ECG Blog

MARCH 17, 2025

Written by Willy Frick A man in his 60s with a history of hypertension and 40 pack-year history presented to the ER with 1 day of intermittent, burning substernal chest pain radiating into both arms as well as his back and jaw. It has been stuttering, lasting 10 minutes at a time with associated diaphoresis. This is the limitation of STEMI.

EKG/ECG 81

EKG/ECG Documentation/Coding Burns Research 81

EMDocs

FEBRUARY 8, 2025

Clinical Practice Guideline for the Management of Candidiasis: 2016 update by the Infectious Diseases Society of America. Practice Guidelines for the Diagnosis and Management of Aspergillosis: 2016 update by the Infectious Diseases Society of America. COPD, cystic fibrosis), HIV/AIDS, cancer, immunosuppressed (i.e. Candidiasis.

Infectious Diseases 74

Infectious Diseases EMS COPD Research 74

EMDocs

JANUARY 6, 2025

International Monetary Fund; 2016. Centers for Disease Control and Prevention; 2016. Global, regional, and national burden of meningitis, 19902016: a systematic analysis for the Global Burden of Disease Study 2016. Physical injuries and burns among refugees in Lebanon: implications for programs and policies. Confl Health.

Infectious Diseases 75

Infectious Diseases CDC PPE Rapid Diagnostic Testing 75

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 105

Administration Outcomes Burns Operations 105