EMDocs

JUNE 25, 2024

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 97

Burns Fluid Resuscitation Resuscitation Poisoning 97

Pediatric EM Morsels

AUGUST 4, 2023

(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.

Pediatrics 246

Pediatrics Burns Operations Ultrasounds 246

Don't Forget the Bubbles

OCTOBER 7, 2024

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.

Burns 80

Burns Fluid Resuscitation Shock Resuscitation 80

Taming the SRU

AUGUST 27, 2024

This differential is broad and reflects the clinical diversity of their presentations - in this post we will parse through the specifics of bullous lesions as well as what there is to do for them acutely. J Am Acad Dermatol 2019; 81:686. Retrieved August 9, 2024, from [link] Koh HK, Chai ZT, Tay HW, et al.

Emergency Department 83

Emergency Department Dehydration Burns Sepsis 83

Don't Forget the Bubbles

JUNE 30, 2023

Well, one study in Kornelson’s systematic review and meta-analysis is interesting. 2019 Nov 9;394(10210):1713-1723. Epub 2019 Oct 14. 2019 Nov 9;394(10210):1712. But – these findings are all from observational cohort studies with small numbers and significant heterogeneity, especially regarding the dosing of TXA.

Head Injuries 145

Head Injuries Seizures Pediatrics Outcomes 145

EMDocs

JULY 15, 2023

She has had pruritus and swelling to the site accompanied by a painful burning sensation and a couple “painful knots” on her right inguinal region. The patient reported feeling better, pain and other symptoms were well controlled 24 hours after starting antibiotics and pain medication. M., & Bédane, C. link] Brindle, R.,

EMS 92

EMS Infectious Diseases Shock Ultrasounds 92

Northwestern EM Blog

JANUARY 24, 2022

Due to its extremely high morbidity and mortality as well as high healthcare costs, the prompt recognition, diagnosis and resuscitation of shock is key. To reverse these effects as well as refractory hypotension, hydrocortisone is the preferred agent due to both its glucocorticoid and mineralocorticoid properties. 2010; 36: 2019-2029.

Anaphylaxis 52

Anaphylaxis Shock Sepsis Resuscitation 52

EB Medicine

DECEMBER 4, 2019

Well, with that, let’s get started on our final scheduled episode of EMplify ! Thanks as well to the peer editors, Dr. Knight, and Dr. Hill of the University of Cincinnati. Show More v Jeff: Well, this is a first! In 2019, of the 4 billion passengers expected to fly, there will be an estimated 60,000 medical emergencies.

Dehydration 40

Dehydration EMS Wellness Burns 40

PEMBlog

JUNE 5, 2024

2019 Jul;144(1):e20183221. Infants can get a cervical spine injury during breech delivery or, unfortunately, during non accidental trauma as well. Hopefully they will find it helpful as well. Leonard JC, Browne LR, Ahmad FA, Schwartz H, Wallendorf M, Leonard JR, Lerner EB, Kuppermann N. Pediatrics. doi: 10.1542/peds.2018-3221.

Fractures 52

Fractures Pediatrics Radiology Radiology 52

PEMBlog

APRIL 26, 2023

Kit Carney and Dr. Kristen Humphrey discuss gun violence, its impact on our patients and their families, as well as practical tips on advocating for safe storage of firearms, and how we can support victims of violence. Quinlan, Michele Burns Ewald, Beth E. Denise Dowd, Robert D. Garry Gardner, Kyran P. Pomerantz, Elizabeth C.

Pediatrics 52

Pediatrics Wellness Poisoning Burns 52

Taming the SRU

JULY 21, 2023

link] A patient presents with an itchy and burning feeling on their eyelids. Patients will often have objective visual acuity impairment as well as a fever or leukocytosis. saline eyedrops for “burning” or “gritty” feeling of discomfort. They report blurred vision as well as photophobia and redness / watery discharge of the eye.

Emergency Department 88

Emergency Department EMS Burns Wellness 88

EMDocs

JUNE 14, 2023

He complains of eye irritation with redness with a burning sensation and tearing sometimes. This leads to an enhanced, as well as a prolonged predominant cholinergic effect. He has been having difficulty walking and is having trouble manipulating tools he uses for work with his hands. Along with this, he has had worsening leg cramps.

PPE 95

PPE Poisoning Seizures Emergency Department 95

Sensible Medicine

NOVEMBER 19, 2024

It is a critical appraisal deep dive by “friend of the stack” David Rind that combines the “letter to the editor” feel that we like so much as well some nice EBM history. One of the lessons supposedly burned into the brains of cardiologists is that of ISIS-2. Posting this article was a no brainer.

Burns 95

Burns Wellness Academics 95

EMDocs

JANUARY 20, 2025

1,2 For hypervolemia in heart failure patients, orthopnea >2 pillows is the most reliable clinical finding, 3,4 though an increase in peripheral edema and increased weight can be useful as well. 6-8 In patients who are on long-term hemodialysis, typical non-invasive signs of volume assessment seem to be unreliable as well.

Dehydration 75

Dehydration Fluid Resuscitation Sepsis Resuscitation 75

Dr. Smith's ECG Blog

JANUARY 11, 2025

See our other cases with similar patters, to burn this deep into your brain files: Smith : In my experience, these cases of LAD OMI with RBBB and LAFB are either about to arrest, post-arrest, and/or in cardiogenic shock. 3rd seeing definite ST elevation in lead I , as well as in the other high-lateral lead ( = lead aVL ).

EKG/ECG 137

EKG/ECG Shock Resuscitation Burns 137

Pediatric EM Morsels

JUNE 21, 2024

The management of pediatric thermal burns always seems to be a hot topic , whether we are caring for a little future chef who splashed a scalding microwaved noodle cup on himself, or a toddling youngster who pulled a pot of boiling water on herself. Topical Therapies for Pediatric Burns: The options?

Burns 173

Burns Pediatrics Hospitals Wellness 173

EMDocs

MARCH 14, 2024

Adoption rapidly slowed after 2016 as political opposition to the policy, as well as the ACA in general, remained strong in states with Republican-controlled state houses and governors’ mansions. link] Williams E, Rudowitz R, Burns A. Published 2019. 6 By the end the of 2016, 32 states had adopted expansion. link] Allen K.

Administration 104

Administration Outcomes Burns Operations 104

Don't Forget the Bubbles

JANUARY 4, 2024

Given the well-understood potential harms of ionizing radiation exposure in children (particularly lifetime cancer risk), adherence to diagnostic imaging protocols is crucial. Reviewed by: Sian Venables and Ashwin Mahtani Article 4: Does being admitted with a burn impact school performance? What’s it about? 2020 Feb;26(1):24-30.

Burns 129

Burns Academics Hospitals Outcomes 129

EMDocs

JANUARY 6, 2025

She receives IV calcium gluconate and bicarbonate as well as oral potassium binders for hyperkalemia. 89 The high malnutrition rate is caused by factors such as a heavy disease burden, particularly malaria, as well as poor food consumption and inadequate infant and child feeding practices. Hypoglycemia is managed with IV dextrose.

Infectious Diseases 75

Infectious Diseases CDC PPE Rapid Diagnostic Testing 75