Pediatric EM Morsels

SEPTEMBER 22, 2023

Physical exam findings of occult shock in children can be subtle. Fortunately, there are screening tools for occult shock. A (sorta) Quick Blurb about Spinal Shock If you, like me, have recently had to go back to review the difference between spinal and neurogenic shock , here is a quick refresher on the topic.

Shock 304

Shock Pediatrics Hyperthermia / Hypothermia Dislocations 304

Taming the SRU

JANUARY 10, 2024

Additionally, ED boarding is a now a larger factor than in 2018. Physicians believe the biggest factors contributing to ED violence are a lack of adequate punitive consequences toward the attacker and the absence of adequate protective mechanisms for staff.

EKG/ECG 93

EKG/ECG Shock Fractures Dislocations 93

EMDocs

MARCH 30, 2024

Intervertebral disks lie between vertebrae and act as shock absorbers. Fracture-dislocation of the thoracolumbar spine without neurological deficit: a report of two cases and literature review. Published 2018 Jan 25. 2-4 Around 7% of all blunt trauma injuries include the thoracic and lumbar regions. Orthop Traumatol Surg Res.

EMS 104

EMS Fractures Emergency Department Dislocations 104

ACEP Now

MARCH 14, 2024

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. 2018 Nov;20(11):1-20.

Burns 52

Burns Fluid Resuscitation EKG/ECG EMS 52

EB Medicine

NOVEMBER 1, 2018

In total, they pulled references from 1966 until 2018. Nachi: Each year, in the US, approximately 10,000 patients present with electrical burns or shocks. Pay attention to the entry and exit sites, as the pathway of the shock is predictive of the potential for myocardial injury and arrhythmia. That’s -- high.

Emergency Department 40

Emergency Department Burns EKG/ECG Shock 40

EMDocs

JUNE 3, 2023

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.

Fractures 60

Fractures Resuscitation Operations EMS 60