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

RebelEM

APRIL 29, 2024

CVC vs PIV The critically ill patient is often associated with pathology that makes IV access difficult such as shock state, hypovolemia, obesity, IV drug abuse, end-stage renal disease, cardiac arrest, as well as other conditions. 2016 PMID:27075364 13 Astasio-Picado Á et al. Resuscitation. 2021 PMID: 34273470 12 Petitpas F et al.

Resuscitation 105

Resuscitation Administration Emergency Department Ultrasounds 105

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 75

EMS Burns Airway Management Wellness 75

EMDocs

JULY 9, 2024

Gottlieb LM, Hessler D, Long D, Laves E, Burns AR, Amaya A, Sweeney P, Schudel C, Adler NE. 2016 Nov 7;170(11):e162521. Epub 2016 Nov 7. Addressing social determinants of health at well child care visits: a cluster RCT. 2016 Mar;16(2):168-74. PMID: 34571253; PMCID: PMC8479442. JAMA Pediatr. PMID: 27599265.

Pediatrics 55

Pediatrics Emergency Department Research Burns 55

Sensible Medicine

JUNE 21, 2024

“Well,” my friend advised, “if you’re feeling nervous right now, that is because the thing you are about to do might upset people, and that takes courage.” Cautious professionals, it turns out, try not to burn what they’ve built. It was the night before a health ethics conference at a university.

Academics 68

Academics Research Burns Outcomes 68

Taming the SRU

JULY 21, 2023

link] A patient presents with an itchy and burning feeling on their eyelids. Patients will often have objective visual acuity impairment as well as a fever or leukocytosis. saline eyedrops for “burning” or “gritty” feeling of discomfort. They report blurred vision as well as photophobia and redness / watery discharge of the eye.

Emergency Department 86

Emergency Department EMS Burns Wellness 86

Pediatric Emergency Playbook

DECEMBER 1, 2015

Victims of electrical injuries present either in extremis or as the seeming well patient with insidious, developing disease. Most patients do well, and the burn heals by secondary intention. Most patients do well, and the burn heals by secondary intention. Injury from electrical burns can be subtle.

Burns 40

Burns EKG/ECG Emergency Department Shock 40

Emergency Medicine Journal

NOVEMBER 28, 2023

Method and Design Structured review of PEM studies published in three major journals between 2016-2021. Journals reviewed were Archives of Disease in Childhood, BMJ Emergency Medicine, and the Lancet Adolescent and Child Health; as well as published studies by the Paediatric Emergency Research in the UK and Ireland (PERUKI) Network.

Research 40

Research Burns Wellness 40

RebelEM

MARCH 23, 2023

Our Conclusion : Although not the subject of this study, across multiple medical conditions, lower hospital lengths of stay are associated with lower morbidity and mortality as well as lower healthcare costs. Buell D, Filewod N, Ailon J, Burns KEA. 2016 Apr;32:101-7. J Intensive Care Med. 2019;23: 885066619847119. J Crit Care.

Emergency Department 52

Emergency Department Outcomes Burns Hospitals 52

Mind The Bleep

NOVEMBER 21, 2023

They have straight and well defines edges. 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. Cut/Incision: Wounds made by sharp objects.

Fractures 40

Fractures Burns Documentation/Coding Hospitals 40

Northwestern EM Blog

JANUARY 24, 2022

Due to its extremely high morbidity and mortality as well as high healthcare costs, the prompt recognition, diagnosis and resuscitation of shock is key. To reverse these effects as well as refractory hypotension, hydrocortisone is the preferred agent due to both its glucocorticoid and mineralocorticoid properties. Curr Opin Crit Care.

Anaphylaxis 52

Anaphylaxis Shock Sepsis Resuscitation 52

Pediatric Emergency Playbook

JANUARY 1, 2017

Tachycardia, tachypnea, and a change in behavior can be indicators not only to the presence of pain, but possibly to its etiology as well. For children greater than one year who are preverbal, a well performing scale is the FLACC score: Face, Legs, Activity, Cry, Consolability ( Table 3 ).

Pediatrics 40

Pediatrics Soft Tissue Injuries Burns Emergency Department 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 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

As the name would suggest, inflammatory markers are biological markers of, well, inflammation. 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. Kinetics & Reference Range: Normal serum levels of PCT are < 0.05 PMID: 29094869.

Infectious Diseases 87

Infectious Diseases Sepsis Emergency Department Point-of-Care Testing 87

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. She denies any trauma, swelling, or redness in the joints, as well as fever or weight loss. Trauma Surg Acute Care Open. 2009;32:1-32.

Emergency Department 99

Emergency Department Fractures Burns EMS 99

EMDocs

JANUARY 6, 2025

She receives IV calcium gluconate and bicarbonate as well as oral potassium binders for hyperkalemia. 89 The high malnutrition rate is caused by factors such as a heavy disease burden, particularly malaria, as well as poor food consumption and inadequate infant and child feeding practices. International Monetary Fund; 2016.

Infectious Diseases 40

Infectious Diseases CDC PPE Rapid Diagnostic Testing 40

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 81

Administration Outcomes Burns Operations 81