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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. Keep the patient warm using force air warmers such as Bairhugger.

Burns 52
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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. Updated 2023 Oct 22]. Oral intake is the most preferred method for receiving fluids. References Castera MR, Borhade MB. Fluid Management.

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Toxicology Answer: the Lionfish, a Dangerous, Non-Native Invader

ACEP Now

More severe systemic reactions like delirium, seizures, limb paralysis, blood pressure changes, respiratory distress, dysrhythmia, myocardial ischemia, and syncope are rare. This excruciating pain is described by many victims as a continuous burning, tingling, and numbness. Understanding the pain experience of lionfish envenomation.

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TXA in head injuries

Don't Forget the Bubbles

And hot off the press… the international PATCH ( P rehospital A ntifibrinolytics to T rauma C oagulopathy and H aemorrhage) study (just published on 14th June 2023) compared a prehospital TXA bolus, followed by an eight-hour infusion with placebo in more than 1300 adult patients from 21 hospitals across three countries. 2023 Jun 14.

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Major Trauma – Injuries by Assault

Don't Forget the Bubbles

E.g. burns, neurosurgery, interventional radiology. Other considerations in significant TBI would be the temporary use of anti-epileptic drugs as prophylaxis to prevent early post-traumatic seizures to aid neuroprotection; the most commonly used would be levetiracetam. Don’t Forget the Bubbles, 2023. TXA in head injuries.

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Pain Management of Common Chief Complaints in the ED

EMDocs

Headache red-flag characteristics include neurological symptoms, thunderclap nature, syncope, trauma, immunocompromised, coagulopathy, fever, rash, seizure, nuchal rigidity, altered mental status, pregnancy, temporal tenderness, jaw claudication, and cancer history. Pain can be gnawing, aching, burning, and located in the upper abdomen.

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A Podcast on Inhalant Misuse: From Glue to Galaxy Gas

PEMBlog

References Perry H, Burns MM. Clin Toxicol (Phila) 2023; 61:453. with symptoms ranging from headache to cyanosis and seizures. Formulate effective strategies for identifying, managing, and preventing inhalant misuse in pediatric patients. Inhalant misuse in children and adolescents. Ganetsky M (ed). Updated February 26, 2024.