Remove 2022 Remove Burns Remove Fractures
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Back Braces: Are They Really Needed?

The Trauma Pro

Many vertebral fractures can be treated non-operatively. So I would like to concentrate on some papers that examined the use of back braces on patients who underwent pedicle screw fixation of their thoracic and/or lumbar spine fractures. Int J Burns Trauma 12(4):168-174, 2022. First, the reviews. NCT03097081.

Fractures 203
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Back to basics: what's going on here?

Dr. Smith's ECG Blog

The patient was found to have a fractured lead, which was replaced successfully without complications and with resolution of symptoms. No P wave and no QRS ever follows any of the regular pacing spikes ( a result of the fractured pacing lead ). He did well. Smith: this can usually be seen on chest x-ray.

EKG/ECG 110
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Facial Trauma

Mind The Bleep

Patients with orbital fractures will present with swelling and periorbital bruising. Examination of possible orbital floor fracture: Presence of proptosis/exophthalmos, enophthalmos or hypoglobus Visual acuity in both eyes Check eye movements Presence of diplopia and in which gaze? This normally resolves once the swelling improves.

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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. Accessed August 25, 2022. Accessed August 25, 2022. McGraw Hill; 2022.

Poisoning 105
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TXA in head injuries

Don't Forget the Bubbles

She has a right parietal-occipital region haematoma, and you think you might be able to feel a step – you’re pretty convinced she has a palpable skull fracture. Next of interest is a secondary analysis of the MATIC study – the MA ssive T ransfusion I n C hildren study, published in 2022. 2022 May;55:103-110.

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Don’t Forget About the IO in the Critically Ill Patient

RebelEM

2022 PMID: 35206981 2. Healthcare 2022 PMID: 35206981 Post Peer Reviewed By: Frank Lodeserto, MD & Salim R. Labs can be drawn from an IO to help with rapid diagnosis in emergencies. References: 1 Astasio-Picado Á et al. Clinical Management of Intraosseous Access in Adults in Critical Situations for Health Professionals. Healthcare.

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Case Report: a High-Voltage Victim

ACEP Now

Per EMS, the patient was found at the bottom of a high voltage line with diffuse burns and amputation of his left forearm. FIGURE 1: Electrical burns of the patient’s bilateral feet. FIGURE 2: Traumatic amputation and electrical burn of the patient’s left arm. He was intubated by EMS due to the extent of his injuries.

Burns 52