Taming the SRU

JUNE 24, 2024

Conduction Abnormalities AV blocks, which can also be seen in patients with MI, may require pacing as well, due to ischemia affecting the electrical pathways of the heart. Skin burns and irritation can also result from the pacing pads and cause pain. Sedation can be adequately achieved with benzodiazepines.

Advances Cardiac Life Support (ACLS) 90

Advances Cardiac Life Support (ACLS) CPR Burns Resuscitation 90

RebelEM

APRIL 29, 2024

CVC vs PIV The critically ill patient is often associated with pathology that makes IV access difficult such as shock state, hypovolemia, obesity, IV drug abuse, end-stage renal disease, cardiac arrest, as well as other conditions. Studies have compared IO to peripheral intravenous (PIV) and central venous (CVC) access for resuscitation.

Resuscitation 105

Resuscitation Administration Emergency Department Ultrasounds 105

Taming the SRU

JANUARY 1, 2024

However, in at least 10% of patients, blind insertion of a peripheral IV may be unsuccessful for a variety of reasons including obesity, edema, IV drug use, surgical scars, dialysis, burns, and others (1,2). 2020 Aug;76(2):134–42. This technique is an ideal second-line alternative when traditional palpation-based techniques fail.

Emergency Department 92

Emergency Department Ultrasounds Administration Burns 92

ACEP Now

OCTOBER 10, 2024

On physical exam, you notice what appears to be a blister from a burn on her right palm (see photo on cover). When you are done, you tell the mother what you found and ask her if there is any way the child could have been burned. The child should be undressed, and the exam conducted in a well-lit room. Published August 19, 2020.

Forensics 40

Forensics Domestic Violence Burns Pediatrics 40

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

ALiEM

JULY 17, 2023

as well as an analysis of the 2023 Match by Pupazan and Cook in Emergency Medicine News [3,4]. In fact, the average number of applicants between 2015-2020 and 2022-2023 were relatively similar, with the latter demonstrating 122 more applicants (2,801 vs 2,923). Murano T, Weizberg M, Burns B, Hopson LR. Ann Emerg Med.

EMS 52

EMS Burns Emergency Department Shock 52

Northwestern EM Blog

SEPTEMBER 12, 2022

This post will discuss a brief overview of hospital planning and operational setup with key elements of a disaster response from events that cause high numbers of blunt trauma, penetrating trauma, burns or crush injuries that may be seen following explosive events, mass shootings, or large scale motor vehicle collisions, to name a few.

Mass Casualty Incidents 52

Mass Casualty Incidents EMS Hospitals Hazardous Materials 52

Taming the SRU

AUGUST 30, 2023

As the name would suggest, inflammatory markers are biological markers of, well, inflammation. However, PCT can be elevated in severe trauma, such as burns or surgery [5,25]. 2020 Nov 20;99(47):e23315. They are used clinically to detect pathological inflammation or measure response to treatment [1-2]. J Med Virol.

Infectious Diseases 89

Infectious Diseases Sepsis Emergency Department Point-of-Care Testing 89

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. link] Updated September 14, 2020. Accessed December 14, 2020. Along with this, he has had worsening leg cramps. Pesticides and Cholinergics.

PPE 89

PPE Poisoning Seizures Emergency Department 89

EMDocs

NOVEMBER 4, 2024

21 Case: A 40-year-old male presents to the ED with a burning epigastric pain that has been worsening over the past week. Pain can be gnawing, aching, burning, and located in the upper abdomen. She denies any trauma, swelling, or redness in the joints, as well as fever or weight loss. Epub 2020 Oct 31. Epub 2020 Oct 31.

Emergency Department 105

Emergency Department Fractures Burns EMS 105

Dr. Smith's ECG Blog

MARCH 1, 2025

He states that it feels like burning and pressure, like GERD. ng/mL, but it is uncertain how well that correlates to high sensitivity troponin of 10,000 ng/L.) A 50 something male presented in the evening to ED for evaluation of chest pain that started at 1600. The history gives a subtle hint that this might be another acute OMI.)

EKG/ECG 123

EKG/ECG Burns Wellness 123

Taming the SRU

MARCH 3, 2025

million fires in 2020, with some studies quoting over 500,000 emergency room visits annually for burn and inhalation injuries (4). Because of this high number of visits, it is important for ED physicians to have a broad knowledge base for treating chemical inhalation injuries as well as fire and smoke related injuries.

Burns 52

Burns Fluid Resuscitation Emergency Department Resuscitation 52

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 138

EKG/ECG Shock Resuscitation Burns 138

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? 2020 Feb;26(1):24-30. What’s it about?

Burns 129

Burns Academics Hospitals Outcomes 129

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 73

Dehydration Fluid Resuscitation Sepsis Resuscitation 73

EMDocs

FEBRUARY 8, 2025

Well keep it short, while you keep that EM brain sharp. She is well appearing with otherwise normal vital signs. McGraw Hill; 2020. COPD, cystic fibrosis), HIV/AIDS, cancer, immunosuppressed (i.e. million patients with acute IFIs per year globally 3 >1.5 neoformans mortality: 41-61% (2023) 1,3 Invasive Cryptococcus spp.

Infectious Diseases 65

Infectious Diseases EMS COPD Research 65

Sensible Medicine

DECEMBER 31, 2024

This time, it was the GBD authors who were the witches burned at the stake. 2 Bhattacharya and his colleagues issued the Great Barrington Declaration on October 4, 2020, the pandemic was raging and the response to it was chaotic, calling for a reasoned approach to COVID.

Sepsis 145

Sepsis CDC Burns Academics 145

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 March 17, 2020. 6 By the end the of 2016, 32 states had adopted expansion.

Administration 99

Administration Outcomes Burns Operations 99

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 72

Infectious Diseases CDC PPE Rapid Diagnostic Testing 72