Remove 2022 Remove Burns Remove Shock
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Chemical Burns

Mind The Bleep

Chemical burns are a unique subset of burns that require specialised management due to the nature of the substances involved. The majority of acid burns cause coagulative necrosis and cytotoxicity leading to skin and mucosal changes that limit deeper injury. Check temperature and blood glucose levels.

Burns 52
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Adjunctive Methylene Blue in Septic Shock?

RebelEM

septic shock). Limited, small studies on its use in septic shock do not make a clear argument for use. Early Adjunctive Methylene Blue in Patients with Septic Shock: A Randomized Controlled Trial. Background: Sepsis can induce numerous physiologic derangements. Paper: Ibarra-Estrada, M et al. Crit Care 2023. 95% CI 15.4

Shock 145
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But Can You Just PO?

Taming the SRU

Other conditions that lead to intravascular fluid depletion include but are not limited to starvation/dehydration, vomiting, diarrhea, burns/trauma, hyperglycemia, and hemorrhage. 2022 Sep 11;5(5):e827. Oral intake is the most preferred method for receiving fluids. Available from: [link] Aghsaeifard Z, Heidari G, Alizadeh R.

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ACMT Toxicology Visual Pearl: Salt, not Shock

ALiEM

2022 Jun;56:394.e1-394.e4. Epub 2022 Mar 9. Bruccoleri RE, Burns MM. Author information Timothy Harmon, MD Emergency Medicine Resident Inova Fairfax Medical Campus, George Washington University | The post ACMT Toxicology Visual Pearl: Salt, not Shock appeared first on ALiEM. Am J Emerg Med. doi: 10.1016/j.ajem.2022.03.006.

Shock 73
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The 90th Bubble wrap DFTB X The Bridge

Don't Forget the Bubbles

Some special patients (burns and trauma) were not described in the study. The primary outcome was to evaluate the impact of % FO in paediatric patients with sepsis or septic shock at any time after PICU admission. 41% of patients with septic shock had MODS. Emergency medicine updates: Management of sepsis and septic shock.

Sepsis 59
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Major Trauma – Injuries by Assault

Don't Forget the Bubbles

According to the latest figures (2022), there were approximately 6,000 recorded offences where a child was a victim of violence, including physical assault, sexual abuse, and homicide. E.g. burns, neurosurgery, interventional radiology. Since 2022, NFS has become a specific crime in its own right, separate from assault.

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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. Studies have compared IO to peripheral intravenous (PIV) and central venous (CVC) access for resuscitation. Labs can be drawn from an IO to help with rapid diagnosis in emergencies. References: 1 Astasio-Picado Á et al.