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emDOCs Podcast – Episode 103: Thermal Burn Injury

EMDocs

Fluid resuscitation target and fluid Fluid resuscitation is one of the most important parts of management; goal is to increase intravascular volume and ensure end organ perfusion. Calculating fluid resuscitation: Parkland formula: 4 mL X % TBSA X weight in kilograms. IOs and central lines are also options. link] (2019).

Burns 92
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SGEM#243: Enough is Enough (O2 Saturation of 94-96%)

The Skeptics' Guide to EM

The Lancet 2018. The Lancet 2018. While supplemental oxygen is undoubtedly beneficial for patients acutely desaturating, in respiratory distress, or suffering from carbon monoxide poisoning just to name a few, there is widespread “indication creep” for this therapy. The Lancet 2018. This is Bob’s ninth visit to the SGEM.

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Episode 20 - Emergency Department Management of North American Snake Envenomations

EB Medicine

I’m Jeff Nusbaum, and I’m back with my co-host, Nachi Gupta and we’ll be taking you through the September 2018 issue of Emergency Medicine Practice - Emergency Department Management of North American Snake envenomations. These make up the vast majority of reports to the poison centers. Jeff: What a team! 1-800-222-1222.

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Assessing the floppy baby

Mind The Bleep

Did the baby need resuscitating? What were the APGAR signs? If so, were they intubated and admitted to NICU? Were they cooled? Were the cord gases poor? cord gases are venous and arterial blood sampled from the umbilical cord after birth and give you a pH, base excess, bicarbonate, pC02 and sometimes a lactate.

Sepsis 52
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ToxCard: Acute Organophosphate Toxicity

EMDocs

7 Check out ToxCard: Nerve Agents by Dr. Sahi & Dr. Santos from July 2018 Organophosphates exert their toxic effects by inhibiting acetylcholinesterase within the synaptic cleft, which leads to accumulation of acetylcholine, with subsequent overstimulation of postsynaptic nicotinic and muscarinic receptors, and a predominant cholinergic effect.

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ToxCard: Organic Mercury Poisoning

EMDocs

Diagnosis and Management: Whole blood mercury concentrations are the most useful for diagnosis of organic mercury poisoning, as organic mercury undergoes little urinary excretion. 6 The neurotoxicity caused by organic mercury poisoning is permanent, thus, you must act fast. 2018, February 1). Resources: S. 2022, February 25).