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Chemical Burns

Mind The Bleep

Chemical burns are a unique subset of burns that require specialised management due to the nature of the substances involved. The majority of acid burns cause coagulative necrosis and cytotoxicity leading to skin and mucosal changes that limit deeper injury. Keep the patient warm using force air warmers such as Bairhugger.

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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.

Burns 98
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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, Okamoto, 2019) Superior Mesenteric Artery Syndrome: Presentation Presenting complaints are often vague but include epigastric abdominal pain, gastric distension, early satiety, and vomiting. Ann Vasc Surg. 76: 514-535.

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Electrical injuries

Don't Forget the Bubbles

Up to 5% of burns occur secondary to electrical injuries, and this rises to 27% in developing countries. Significant injuries can occur even in the absence of extensive burns or other signs of external injury. Children, especially toddlers, may insert objects into outlets, leading to shocks or burns.

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emDOCs Podcast – Episode 92: Marine Ingested Poisons and Infections

EMDocs

McGraw Hill; 2019. link] Fil LJ, Tunik MG. Food Poisoning. In: Nelson LS, Howland M, Lewin NA, Smith SW, Goldfrank LR, Hoffman RS. Goldfrank’s Toxicologic Emergencies, 11e. Accessed August 28, 2022. link] Waldor MK, Ryan ET. Cholera and Other Vibrioses. In: Loscalzo J, Fauci A, Kasper D, Hauser S, Longo D, Jameson J.

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Another Study on Peripheral Vasopressors

RebelEM

events/1000d of peripheral IV infusion) 60% of extravasations caused no or minimal tissue injury (Infiltration grade 0 to 1) No patient required surgical intervention Protocol Criteria Met: 355 patients (55.1%) failed to meet at least one component of the protocol at some point during peripheral IV norepinephrine Catheter size: 83.3% (i.e.

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emDOCs Podcast – Episode 91: Marine Envenomation and Trauma

EMDocs

Possible early antibiotic treatment Minor Marine Trauma Mechanism: Bites, Stings, Nematocysts Envenomation Presentation: All can cause localized pain, erythema, and warmth Dermatologic: Urticaria, burning, pruritus, localized paresthesia. McGraw Hill; 2019. McGraw Hill; 2019. Marine Envenomations. Accessed August 25, 2022.

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