Dr. Smith's ECG Blog

AUGUST 18, 2024

Burns and Buttner — LITFL ( Life-In-The-Fast-Lane ) — in the June 4, 2021 and July 7, 2022 posts.

EKG/ECG 110

EKG/ECG Fractures Burns Wellness 110

Sensible Medicine

SEPTEMBER 19, 2024

In addition, a 2021 Mayo Clinic study found that antibiotics given to a young child (known to alter the formation of the microbiome), was associated with higher rates of obesity, learning disabilities, attention deficit disorder, and celiac disease later in childhood.

Research 145

Research Military Poisoning Burns 145

ALiEM

FEBRUARY 9, 2024

This is endorsed in the 2022 ACC pathway [1] and the 2021 AHA chest pain guidelines [7]. The discomfort has a burning character, though he has never been diagnosed with reflux before. 2021 May 14;42(19):1908] [published correction appears in Eur Heart J. 2021 May 14;42(19):1925] [published correction appears in Eur Heart J.

EKG/ECG 110

EKG/ECG Emergency Department Burns Wellness 110

Taming the SRU

JUNE 24, 2024

Skin burns and irritation can also result from the pacing pads and cause pain. Published on November 4, 2021. AP placement was proven to be capture at a lower current than the AL placement in the same patients, thus more effective. [5] Sedation can be adequately achieved with benzodiazepines. EMCrit 310 – Transvenous Pacemakers.

Advances Cardiac Life Support (ACLS) 90

Advances Cardiac Life Support (ACLS) CPR Burns Resuscitation 90

EMDocs

JULY 9, 2024

Epub 2021 Sep 24. Gottlieb LM, Hessler D, Long D, Laves E, Burns AR, Amaya A, Sweeney P, Schudel C, Adler NE. What can we do about this in the pediatric ED? If we don’t, it’s possible no one will. Pediatric Social Risk Screening: Leveraging Research to Ensure Equity. Acad Pediatr. 2022 Mar;22(2):190-192. doi: 10.1016/j.acap.2021.09.013.

Pediatrics 75

Pediatrics Emergency Department Research Burns 75

PEMBlog

OCTOBER 17, 2023

Patients often describe a sensation of burning or stinging pain rather than itching. 2021 Jan 29;7(3):290-297. It presents with acute onset, rapidly progressive, symmetric swelling and erythema of the hands and feet, often with petechiae or purpura. The diagnosis can be made clinically. Sridharan M, Ali U, Hook CC, et al.

Urgent Care 69

Urgent Care Burns Pediatrics Emergency Department 69

RebelEM

APRIL 29, 2024

2021 PMID: 34273470 12 Petitpas F et al. Resusc Plus. 2023 PMID: 37502742 11 Schwalbach KT et al. Impact of intraosseous versus intravenous resuscitation during in-hospital cardiac arrest: A retrospective study. Resuscitation. Use of intra-osseous access in adults: a systematic review. 2016 PMID:27075364 13 Astasio-Picado Á et al.

Resuscitation 105

Resuscitation Administration Emergency Department Ultrasounds 105

Emergency Medicine Journal

OCTOBER 26, 2023

Methods Victorian State Trauma Registry data on all adult major trauma patients from 1 January 2018 to 31 December 2021 were used. In this study, we aimed to understand potential biases in current data on the completion of blood alcohol tests for major trauma patients at hospitals in Victoria, Australia. to 3.48).

Burns 52

Burns Hospitals 52

Taming the SRU

AUGUST 27, 2024

J Am Acad Dermatol 2021; 84:1782. Nature 2004; 428:486. Chen CB, Hsu TH, Chung-Yee Hui R, et al. Disseminated intravascular coagulation in Stevens-Johnson syndrome and toxic epidermal necrolysis. MRCP (n.d.). Stevens-Johnson syndrome and toxic epidermal necrolysis: Pathogenesis, clinical manifestations, and diagnosis.

Emergency Department 83

Emergency Department Dehydration Burns Sepsis 83

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. Case Resolution Given the location of the burn, pediatric burn surgery was consulted.

Forensics 40

Forensics Domestic Violence Burns Pediatrics 40

RebelEM

JUNE 26, 2024

Pharmacotherapy 2021; 41(7): 598-607. Definition: A serum potassium level > 5.5 patients can jump from peaked T waves to sine wave) Management Basics: ABCs, IV, O 2 , Cardiac Monitor and, 12-lead EKG Identify + treat underlying cause of hyperkalemia (i.e. rhabdomyolysis -> hydration) Remove inciting factors (i.e.

EKG/ECG 58

EKG/ECG Administration Burns EMS 58

Don't Forget the Bubbles

MARCH 31, 2025

Some special patients (burns and trauma) were not described in the study. There was also an interview of 23 bereaved parents of 22 children (aged 0 -18 years) who died between January 2021 and December 2022, either during hospital admission or under palliative care (at home or hospice). Why does it matter?

Sepsis 59

Sepsis Fluid Resuscitation Shock Resuscitation 59

Mind The Bleep

NOVEMBER 6, 2023

2021 Key aspects of management: Check eye pressure if confident and open globe injury ruled out (see information above) Shield the eye Raise the head of the bed to allow the blood to drain If the patient has a bleeding disorder, sickle cell disease or is anticoagulated discuss with haematology Analgesia – topical (0.5% 2021) Hyphema.

Emergency Department 52

Emergency Department Dislocations Burns Fractures 52

Emergency Medicine Journal

NOVEMBER 28, 2023

Method and Design Structured review of PEM studies published in three major journals between 2016-2021. Frayne SM, Burns RB, Hardt EJ, Rosen AK, Moskowitz MA. Improving health literacy to reduce health inequalities. Practice resource summary: September 2015 [Internet]. 2015 [cited 2022 Nov 17]. Available from: [link] 2.

Research 40

Research Burns Wellness 40

Taming the SRU

AUGUST 30, 2023

However, PCT can be elevated in severe trauma, such as burns or surgery [5,25]. Despite these results, the 2021 Surviving Sepsis guidelines recommend against using PCT to guide initiation of antimicrobial therapy due to multiple meta-analyses demonstrating no improvement in outcomes using PCT-guided antibiotic therapy [46,54].

Infectious Diseases 89

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

ACEP Now

APRIL 4, 2024

July 19, 2021. Burns E, Buttner R. February 8, 2021. Dextrocardia. life in the fast lane. Accessed December 1, 2023. Available at: [link]. Kong B, Wang N, Dou L, Cao D. Coronary Artery Disease. 2019;30(5):390-392. Right Ventricular Infarction. Right Ventricular Infarction. Life in the Fast Lane. Accessed December 1, 2023.

EKG/ECG 40

EKG/ECG Burns Documentation/Coding Emergency Department 40

ALiEM

JULY 17, 2023

2021 was an unusual outlier in the EM Match, likely fueled by the unique circumstances surrounding the COVID pandemic. Comparison of today’s applicant numbers to data from 2021 gives a false impression of applicant numbers. Murano T, Weizberg M, Burns B, Hopson LR. Ann Emerg Med. 2023 Jul 11:S0196-0644(23)00429-8.

EMS 52

EMS Burns Emergency Department Shock 52

RebelEM

MARCH 23, 2023

2021 Feb 11;13(2):e13282. Buell D, Filewod N, Ailon J, Burns KEA. Filewod N, Hwang S, Turner CJ, Rizvi L, Gray S, Klaiman M, Buell D, Ailon J, Caudarella A, Ginocchio GF, Santos M, Sandhu G, Dewhurst N, Sequeira K, Burns KEA. Paper : Hawa F et al. doi: 10.7759/cureus.13282. PMID: 33728215. J Intensive Care Med. Epub 2015 Dec 8.

Emergency Department 52

Emergency Department Burns Outcomes Hospitals 52

Don't Forget the Bubbles

FEBRUARY 5, 2025

E.g. burns, neurosurgery, interventional radiology. Don’t Forget the Bubbles, 2021. (All hospitals will have different makeups of trauma teams and possibly different levels of activation) Do I need any additional expertise outside of who would typically be in the trauma team? Crisis Medicine. Karl Kavanagh and Nuala Quinn.

Fluid Resuscitation 59

Fluid Resuscitation Domestic Violence Head Injuries Sexual Assault 59

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

Emergency Medicine Journal

NOVEMBER 28, 2023

Method and Design We conducted an observational retrospective cohort study on patients who visited ED in 2021. Abstract 2086 Table 1 Presentations Total first presentation over 2021 Total deaths (within 30 days ) Admission Admission (%) Percentage of deaths [CI ] INJURY OF SHOULDER/ARM/ELBOW/WRIST/HAND 8416 4 424 5 0.05[0.018

Documentation/Coding 40

Documentation/Coding Sexual Assault Hyperthermia / Hypothermia Head Injuries 40

Dr. Smith's ECG Blog

NOVEMBER 13, 2022

2021 Sep;49(6):488-500. Having been "burned" by this subtle form of lead misplacement on several occasions in the past — my attention was captured by the presence of a P wave in lead I larger than the P wave in lead II. Aslanger EK, Meyers HP, Smith SW. Turk Kardiyol Dern Ars. doi: 10.5543/tkda.2021.21026. 2021.21026.

EKG/ECG 52

EKG/ECG Burns Documentation/Coding Hospitals 52

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. 2021, May 18). She denies any prior history of deep vein thrombosis (DVT, IV drug use, or any history of vascular surgeries to the lower extremities. Barton, E., & Featherstone, P.

EMS 94

EMS Infectious Diseases Shock Ultrasounds 94

ACEP Now

APRIL 5, 2024

Antoinette Burns was the twelfth victim, a 14-year-old girl without any evidence of cocaine consumption at all. 10 This shift followed publication of a new 2021 position paper adopted by the Council and authored by a new task force convened to reexamine the issue. Jul 3, 2021. Published Jun 23, 2021. Kurmelovs R.

Forensics 49

Forensics Psychiatric Burns Hospitals 49

Dr. Smith's ECG Blog

DECEMBER 5, 2023

2021 Aug 10;144(6):e123-e135. Epub 2021 Jul 7. 2021 Aug 10;144(6):e149. Newburger JW, Takahashi M, Burns JC. 2021 Apr 18;13(4):700. 2021 Aug;17(4):335-340. 2021 Aug;17(4):335-340. Epub 2021 May 20. Circulation. doi: 10.1161/CIR.0000000000001001. 0000000000001001. Erratum in: Circulation.

Pediatrics 121

Pediatrics EKG/ECG Burns Hospitals 121

Taming the SRU

JULY 21, 2023

link] A patient presents with an itchy and burning feeling on their eyelids. saline eyedrops for “burning” or “gritty” feeling of discomfort. Louis in Emergency Medicine and a graduate of the UC EM Class of 2021. English: Crusting at the Base of the Lashes Is Shown in This Image of a Patient with Seborrheic Blepharitis.

Emergency Department 88

Emergency Department EMS Burns Wellness 88

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. 2021 Apr;28(4):444-454. Epub 2021 Jan 2. 2021 Feb;60(2):165-174. 2021 Feb;60(2):165-174. Sep 2015;66(3):222-229.e1.

Emergency Department 105

Emergency Department Fractures Burns EMS 105

Don't Forget the Bubbles

JANUARY 4, 2024

This retrospective, observational study used data from the UK Trauma Audit & Research Network (TARN) between 2012 and 2021. in 2021 across all age groups. Reviewed by: Sian Venables and Ashwin Mahtani Article 4: Does being admitted with a burn impact school performance? Of concern, requests for WBCT increased from 2.4%

Burns 129

Burns Academics Hospitals Outcomes 129

EMDocs

JANUARY 20, 2025

The latest Society of Critical Care Medicine (SCCM) sepsis guidelines from 2021 recommend giving patients with signs of hypoperfusion an initial 30 ml/kg bolus as a best practice statement 13 based on the PROCESS, 14 ARISE, 15 and PROMISE 16 trials. 2021 May 26;13(5):e15253. 2021 Nov;47(11):1181-1247 The ProCESS Investigators.

Dehydration 75

Dehydration Fluid Resuscitation Sepsis Resuscitation 75

PEMBlog

JANUARY 16, 2025

References Perry H, Burns MM. Inhalant misuse reported to Americas Poison Centers, 2001-2021. Formulate effective strategies for identifying, managing, and preventing inhalant misuse in pediatric patients. Inhalant misuse in children and adolescents. Ganetsky M (ed). Updated February 26, 2024. Accessed January 13, 2025.

Pediatrics 52

Pediatrics Poisoning Wellness Burns 52

EMDocs

MARCH 14, 2024

link] Williams E, Rudowitz R, Burns A. Accessed March 5, 2024. Medicaid Financing: The Basics. Published April 13, 2023. link] Centers for Medicare and Medicaid Services. List of Medicaid Eligibility Groups.; link] Congressional Research Service. Overview of the ACA Medicaid Expansion.; link] National Federation of Independent Business v.

Administration 105

Administration Outcomes Burns Operations 105

EMDocs

JANUARY 6, 2025

2021-0784 Long B, MacDonald A, Liang SY, et al. Published online July 1, 2021. Physical injuries and burns among refugees in Lebanon: implications for programs and policies. Leptospirosis Fact Sheet for Clinicians. Published online January 30, 2018. Accessed October 15, 2024. link] Rajapakse S. Leptospirosis: clinical aspects.

Infectious Diseases 75

Infectious Diseases CDC PPE Rapid Diagnostic Testing 75