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Grand Rounds Recap 1.3.24

Taming the SRU

Therefore this should remain high on the differential if a patient with history of SCAD presents with similar symptoms. della porta & Hajdu Alcohol withdrawal syndrome is a highly prevalent and morbid condition.

EKG/ECG 93
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Case Report: a High-Voltage Victim

ACEP Now

Electrical injuries—excluding lightning injuries—account for roughly 10,000 nonfatal shock incidents a year and 500 deaths a year. 4,5 High voltage injuries can throw a victim from the electrical source, lead to falls, and cause forceful tetany with spinal hyperextension injuries or joint dislocations. McGraw Hill; 2016.

Burns 52
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Diagnostics and Therapeutics: Managing Pneumothorax

Taming the SRU

Blunt trauma can cause rib fracture or dislocation that may injure the visceral pleura. Trends in the Incidence and Recurrence of Inpatient-Treated Spontaneous Pneumothorax, 1968-2016. J Emerg Trauma Shock. Eur Respir Rev. 2010;19(117):217-219. 2018;320(14):1471-1480. doi:10.1001/jama.2018.14299 Ann Emerg Med. 2008;1(1):34-41.

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Unstable Pelvic Trauma Patient: ED Presentations, Evaluation, and Management

EMDocs

4 Patients with pelvic fractures are considered unstable when systolic blood pressure < 90mmHg and heart rate >120bpm, or in those with dyspnea, altered mental status, or skin findings of shock. Limb-length discrepancy is not often apparent in pelvic fractures and would be more suggestive of a femoral fracture or dislocation.