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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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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, Oka, 2023) A systematic review linked SMA syndrome to the immediate post-operative period after surgery for scoliosis in pediatric patients, and found the mean days to onset of symptoms was 9. (Oka, Record, 2015).

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Major Burns in Children

Pediatric Emergency Playbook

Bedside Escharotomies for Burns Classic Paragraph Selected References Mahar PD et al. Clinical differences between major burns patients deemed survivable and non-survivable on admisssion. Pediatric Thermal Burns and Treatment: A Review of Progress and Future Prospects. Lethal triad in severe burns. 2017; 4:91.

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PECARN STELAR Podcast – Episode 2: Food Insecurity

EMDocs

The emDOCs.net team is very happy to collaborate with PECARN STELAR (Seattle, Dallas/Texas, and Los Angeles) Node and the Emergency Medical Services for Children Innovation and Improvement Center (EIIC) in presenting high-yield pediatric topics that highlight evidence based medicine with solid research. Acad Pediatr. Acad Pediatr.

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TXA in head injuries

Don't Forget the Bubbles

published in 2018, looked at 1900 matched pairs of injured children under 12, half of whom received TXA. Tranexamic acid administration to pediatric trauma patients in a combat setting: the pediatric trauma and tranexamic acid study (PED-TRAX). Safety of Tranexamic Acid During Pediatric Trauma: A Nationwide Database Study.

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What Causes Pulmonary Edema?

Pediatric Education

Patient Presentation A 9-month-old, previously healthy, male came to clinic for followup 2 days after being discharged from the pediatric intensive care unit (PICU). Trauma Burns Chest Inhalation Neurogenic due to increased intracranial pressure. Reexpansion pulmonary edema: review of pediatric cases. Pediatr Crit Care Med.

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Major Trauma – Injuries by Assault

Don't Forget the Bubbles

E.g. burns, neurosurgery, interventional radiology. Signs of Hypovolaemia Children have approximately 80ml/kg of blood volume; clinical signs of shock may not occur until there has been a loss of more than 20% of circulating blood volume in pediatric trauma. Don’t Forget the Bubbles, 2018. TXA in head injuries.