Northwestern EM Blog

MAY 2, 2022

There is lower quality evidence for reduced myocardial infarction and mortality risk as well. 2022, May 2). In fact, HBOT is primarily used to reduce associated cognitive, behavioral, and neurologic changes (collectively known as delayed neuropsychiatric sequelae). However, several factors limit HBOT use. Wessling, E.

Burns 52

Burns Poisoning EKG/ECG Operations 52

Taming the SRU

DECEMBER 17, 2024

Other conditions that lead to intravascular fluid depletion include but are not limited to starvation/dehydration, vomiting, diarrhea, burns/trauma, hyperglycemia, and hemorrhage. Out of 18 patients receiving ORT, 4 failed to respond well and were escalated to IV therapy. 2022 Sep 11;5(5):e827. AtherlyJohn et al. Health Sci Rep.

Dehydration 82

Dehydration Fluid Resuscitation Administration Resuscitation 82

ALiEM

OCTOBER 11, 2023

Pufferfish, also known as fugu, is served as a delicacy and perioral numbness is a well-known effect [4]. 2022 Feb 8;14(2):123. Treasure Island (FL): StatPearls Publishing; August 8, 2022. 2022 Feb;60(2):262-266. 2022 Nov 8;19(22):146-8. Shebl E, Mirabile VS, Sankari A, Burns B. Toxins (Basel). Marine Drugs.

Poisoning 81

Poisoning Burns Wellness Outcomes 81

Don't Forget the Bubbles

JUNE 30, 2023

Next of interest is a secondary analysis of the MATIC study – the MA ssive T ransfusion I n C hildren study, published in 2022. Well, one study in Kornelson’s systematic review and meta-analysis is interesting. 2022 May;55:103-110. Epub 2022 Feb 7. 2022; 29: 862– 873. Or is there a risk TXA could cause harm?”

Head Injuries 145

Head Injuries Seizures Outcomes Pediatrics 145

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. 2022 PMID: 35206981 2. Labs can be drawn from an IO to help with rapid diagnosis in emergencies.

Resuscitation 105

Resuscitation Administration Emergency Department Ultrasounds 105

ACEP Now

MARCH 14, 2024

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

Burns Fluid Resuscitation EKG/ECG EMS 52

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. Circulation , vol.

Advances Cardiac Life Support (ACLS) 88

Advances Cardiac Life Support (ACLS) CPR Burns Resuscitation 88

Dr. Smith's ECG Blog

DECEMBER 3, 2024

This was written by one of our fine residents, who will soon be an EMS fellow: Michael Perlmutter Case A mid-50s male came to the ED with a burning sensation that was acutely worse while at home. When pressed, he endorsed mild, very brief periods of a retrosternal burning sensation and serial ECGs were obtained. Mobitz II is not.

EKG/ECG 96

EKG/ECG Burns Wellness Ultrasounds 96

Taming the SRU

JULY 21, 2023

Accessed April 15, 2022. link] A patient presents with an itchy and burning feeling on their eyelids. Accessed April 15, 2022. Accessed April 15, 2022. Patients will often have objective visual acuity impairment as well as a fever or leukocytosis. Accessed April 15, 2022. WHAT ARE TREATMENT OPTIONS?

Emergency Department 86

Emergency Department EMS Burns Wellness 86

EMDocs

JULY 9, 2024

2022 Aug;22(6):1049-1056. Epub 2022 Jan 5. Epub 2022 Sep 6. 2022 Mar;22(2):190-192. Gottlieb LM, Hessler D, Long D, Laves E, Burns AR, Amaya A, Sweeney P, Schudel C, Adler NE. Addressing social determinants of health at well child care visits: a cluster RCT. Acad Pediatr. doi: 10.1016/j.acap.2021.12.028.

Pediatrics 55

Pediatrics Emergency Department Research Burns 55

ACEP Now

APRIL 2, 2024

degress Fahrenheit), caustics (low pH), and voltage—causing a Ca++ and Na+ action potential influx that confers the sensation of pain and burning to the brain. They are found in large numbers in the mouth, throat, and stomach, as well as throughout the body. Referral for ophthalmology for patients with signs of corneal damage.

Burns 40

Burns Poisoning Seizures Stroke 40

ALiEM

JULY 17, 2023

Many of these findings were similar to a study of the 2022 EM Match results by Murano et al., as well as an analysis of the 2023 Match by Pupazan and Cook in Emergency Medicine News [3,4]. Many of these findings were similar to a study of the 2022 EM Match results by Murano et al., Murano T, Weizberg M, Burns B, Hopson LR.

EMS 52

EMS Burns Emergency Department Shock 52

Mind The Bleep

AUGUST 18, 2024

They commonly present with a ‘flattened cheekbone’ and can involve orbital rim as well. Examination Use a systematic approach to ensure you do not miss any key areas. Below is one approach you can use; it lists common pathologies and deformities to look out for. Goodson, A.M., Payne, K.F., Tahim, A.S. and Brennan, P.A.,

Fractures 91

Fractures Soft Tissue Injuries Burns Emergency Department 91

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. 2022, August 10). Retrieved October 7, 2022, from [link] Goldstick, J.

Pediatrics 52

Pediatrics Wellness Poisoning Burns 52

Emergency Medicine Journal

NOVEMBER 28, 2023

Journals reviewed were Archives of Disease in Childhood, BMJ Emergency Medicine, and the Lancet Adolescent and Child Health; as well as published studies by the Paediatric Emergency Research in the UK and Ireland (PERUKI) Network. 2015 [cited 2022 Nov 17]. Frayne SM, Burns RB, Hardt EJ, Rosen AK, Moskowitz MA. J Gen Intern Med.

Research 40

Research Burns Wellness 40

Northwestern EM Blog

JANUARY 24, 2022

Due to its extremely high morbidity and mortality as well as high healthcare costs, the prompt recognition, diagnosis and resuscitation of shock is key. To reverse these effects as well as refractory hypotension, hydrocortisone is the preferred agent due to both its glucocorticoid and mineralocorticoid properties.

Anaphylaxis 52

Anaphylaxis Shock Sepsis Resuscitation 52

ACEP Now

DECEMBER 10, 2023

Her new community has a higher prevalence of Hepatitis C than HIV, so they began screening for that in the ED as well. In 2022, Dr. Calderon received one of the highest honors in health care when she was elected to the National Academy of Medicine. Today, their patients can be screened for HIV, Hepatitis C and substance use disorder.

Research 52

Research Point-of-Care Testing Burns Academics 52

RebelEM

MARCH 23, 2023

Our Conclusion : Although not the subject of this study, across multiple medical conditions, lower hospital lengths of stay are associated with lower morbidity and mortality as well as lower healthcare costs. Buell D, Filewod N, Ailon J, Burns KEA. 2022 Jan 22;8(1):14. 2021 Feb 11;13(2):e13282. doi: 10.7759/cureus.13282.

Emergency Department 52

Emergency Department Outcomes Burns Hospitals 52

Pediatric Education

MAY 14, 2023

Trauma Burns Chest Inhalation Neurogenic due to increased intracranial pressure. The pathophysiology is not well understood but is thought to begin with increased intracranial pressure leading to increased catecholamines and sympathetic storm, which then leads to systemic vasoconstriction and accumulating blood in the pulmonary system.

Pediatrics 40

Pediatrics Infectious Diseases Burns Wellness 40

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]. 2022 Jul 11;11(14):2163. 2022 Jan;28(1):13-22. They are used clinically to detect pathological inflammation or measure response to treatment [1-2].

Infectious Diseases 87

Infectious Diseases Sepsis Emergency Department Point-of-Care Testing 87

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? JAMA Netw Open. 2023 Feb 1;6(2):e230023.

Burns 129

Burns Academics Hospitals Outcomes 129

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. The patient reported feeling better, pain and other symptoms were well controlled 24 hours after starting antibiotics and pain medication. Updated 2022 Aug 8]. Michael Y, Shaukat NM.

EMS 66

EMS Infectious Diseases Ultrasounds Shock 66

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. 2022 May;33(2):307-333. 2022.01.011.

Emergency Department 99

Emergency Department Fractures Burns EMS 99

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 May 3, 2022. 6 By the end the of 2016, 32 states had adopted expansion.

Administration 81

Administration Outcomes Burns Operations 81