Pediatric EM Morsels

SEPTEMBER 22, 2023

Physical exam findings of occult shock in children can be subtle. Fortunately, there are screening tools for occult shock. A (sorta) Quick Blurb about Spinal Shock If you, like me, have recently had to go back to review the difference between spinal and neurogenic shock , here is a quick refresher on the topic.

Shock 304

Shock Pediatrics Dislocations Hyperthermia / Hypothermia 304

Taming the SRU

JANUARY 10, 2024

Physicians believe the biggest factors contributing to ED violence are a lack of adequate punitive consequences toward the attacker and the absence of adequate protective mechanisms for staff. Additionally, ED boarding is a now a larger factor than in 2018.

EKG/ECG 93

EKG/ECG Shock Fractures Dislocations 93

EMDocs

MARCH 30, 2024

Intervertebral disks lie between vertebrae and act as shock absorbers. Fracture-dislocation of the thoracolumbar spine without neurological deficit: a report of two cases and literature review. Treasure Island (FL): StatPearls Publishing; August 8, 2022. Treasure Island (FL): StatPearls Publishing; August 1, 2022.

EMS 105

EMS Fractures Emergency Department Dislocations 105

ACEP Now

MARCH 14, 2024

Electrical injuries—excluding lightning injuries—account for roughly 10,000 nonfatal shock incidents a year and 500 deaths a year. 4,5 High voltage injuries can throw a victim from the electrical source, lead to falls, and cause forceful tetany with spinal hyperextension injuries or joint dislocations. Click to enlarge.)

Burns 52

Burns Fluid Resuscitation EKG/ECG EMS 52

Taming the SRU

OCTOBER 1, 2023

Blunt trauma can cause rib fracture or dislocation that may injure the visceral pleura. Treasure Island (FL): StatPearls Publishing; November 28, 2022. J Emerg Trauma Shock. doi:10.1136/thorax-2022-219784 Chee CB, Abisheganaden J, Yeo JK, et al. Rojas R, Wasserberger J, Balasubramaniam S. Ann Emerg Med. 2008;1(1):34-41.

Fractures 96

Fractures COPD Hospitals Emergency Department 96

EMDocs

JUNE 3, 2023

4 Patients with pelvic fractures are considered unstable when systolic blood pressure < 90mmHg and heart rate >120bpm, or in those with dyspnea, altered mental status, or skin findings of shock. Limb-length discrepancy is not often apparent in pelvic fractures and would be more suggestive of a femoral fracture or dislocation.

Fractures 66

Fractures Resuscitation Operations EMS 66