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Bullous Skin Lesions, Meet Emergency Medicine

Taming the SRU

Mortality rates related to bullous skin lesions are typically related to disruption of the skin barrier and include subsequent dehydration, electrolyte imbalances, hypothermia, increased metabolic needs, and secondary infection leading to bacteremia and/or sepsis. J Am Acad Dermatol 2021; 84:1782. Nature 2004; 428:486. MRCP (n.d.).

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Pain Management of Common Chief Complaints in the ED

EMDocs

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.

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IV fluids in the ED: When do we really need them?

EMDocs

For patients who are elderly, orthostasis is an unreliable clinical finding and may be present in the absence of dehydration. 36-37 There is little evidence regarding oral rehydration in adults with gastroenteritis, though it seems reasonable that adults with mild dehydration could be safely hydrated orally. Modified from: Pringle, K.,

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ED care of refugee populations from sub-Saharan Africa

EMDocs

92 Refugee patients with SAM, dehydration, or shock should be admitted for further management. 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. 2024;77:7-16.