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. World J Emerg Surg 2023 PMID: 36918947 3. 2023 PMID: 37502742 11 Schwalbach KT et al. Healthcare.

Resuscitation 105

Resuscitation Administration Emergency Department Ultrasounds 105

RebelEM

AUGUST 7, 2023

This helps relieve agitation/pain while maintaining spontaneous breathing and airway reflexes allowing for adequate pre-oxygenation as well as facilitates other resuscitation interventions including IV access, vasopressors, fluids, etc. Anesth Analg 2023. Anesth Analg 2023.

Head Injuries 98

Head Injuries Airway Management Outcomes Burns 98

EMDocs

DECEMBER 4, 2023

The Wells’ Criteria for DVT can help risk stratify [2,3]. If the patient’s Wells score is ≤ 0, DVT is nearly clinically excluded and no further immediate lab or ultrasound is necessary. In patients with a Wells’ score of 1-2 (moderate risk), DVT can be ruled out with a negative d-dimer rather than an US.

Ultrasounds 96

Ultrasounds Documentation/Coding Wellness EMS 96

EMDocs

JULY 9, 2024

2023 Jan-Feb;23(1):93-101. 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. Kanak MM, Fleegler EW, Chang L, Curt AM, Burdick KJ, Monuteaux MC, Deane M, Warrington P, Stewart AM. Acad Pediatr. 2022.08.011.

Pediatrics 74

Pediatrics Emergency Department Research Burns 74

Taming the SRU

JANUARY 1, 2024

However, in at least 10% of patients, blind insertion of a peripheral IV may be unsuccessful for a variety of reasons including obesity, edema, IV drug use, surgical scars, dialysis, burns, and others (1,2). In this post, we will review multiple alternative sites and techniques available for establishing peripheral access. Emerg Med J.

Emergency Department 92

Emergency Department Ultrasounds Administration Burns 92

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]. 2023 Feb 2;388(5):439-452. Updated 2023 Apr 24]. Treasure Island (FL): StatPearls Publishing; 2023 Jan-. 2023 Jul 10. N Engl J Med.

Infectious Diseases 89

Infectious Diseases Sepsis Emergency Department Point-of-Care Testing 89

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

Pediatric EM Morsels

AUGUST 4, 2023

Oka, 2023) Female to male predominance with a ratio of 3:2. Oka, 2023) It has various other names but one is Cast Syndrome due to a slight increased risk with patients in hip spica casts. Ganss, 2018) There are additional associations with scoliosis, burn injuries, and spinal cord injuries. (Oka, Record, 2015).

Pediatrics 246

Pediatrics Burns Operations Ultrasounds 246

ACEP Now

DECEMBER 17, 2024

But we should not have to sacrifice our own well-being in the process. In spring 2023, nearly 95 percent of house staff voted to unionize with the Committee of Interns and Residents (CIR), a branch of the Service Employees International Union (SEIU) and the largest and oldest house staff union in the country. In Washington, D.C.,

Burns 105

Burns Hospitals Documentation/Coding Emergency Department 105

Don't Forget the Bubbles

OCTOBER 7, 2024

Up to 5% of burns occur secondary to electrical injuries, and this rises to 27% in developing countries. Significant injuries can occur even in the absence of extensive burns or other signs of external injury. Children, especially toddlers, may insert objects into outlets, leading to shocks or burns.

Burns 80

Burns Fluid Resuscitation Shock Resuscitation 80

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. Retrieved March 2, 2023, from [link] Levine, B.

EMS 92

EMS Infectious Diseases Shock Ultrasounds 92

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

EMDocs

NOVEMBER 27, 2023

Burn center transfer for management of severe exfoliative dermatitis Predictive factors for serious cases have yet to be identified, however allopurinol associated DRESS has a higher associated progression to serious DRESS and death rate. McGraw-Hill Education; 2023. and/or N-acetylcysteine (NAC). Adverse Cutaneous Drug Reactions.

EMS 96

EMS Sepsis Burns EKG/ECG 96

Don't Forget the Bubbles

JUNE 30, 2023

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.

Head Injuries 145

Head Injuries Seizures Pediatrics Outcomes 145

Don't Forget the Bubbles

JULY 31, 2023

Our team have scoured what’s new (well, mostly new!) 2023 May 31;12(5):290-297. Pediatric Emergency Care March 15, 2023. | The author reviewed this article after having a burning desire to question where the guidance came from! 2023 Jun 25. 2023 May;182(5):2205-2214. Epub 2023 Mar 3.

Rapid Diagnostic Testing 98

Rapid Diagnostic Testing Resuscitation Emergency Department Pediatrics 98

ACEP Now

AUGUST 15, 2023

While there has been ample discussion of “the practice of mindfulness” in health care workers that improves mental well-being, when do we have this time? However, expressing genuine gratitude for yourself and others is powerful for your mental and physical well-being. However, they should not define our wellness. Acta Clin Belg.

Emergency Department 90

Emergency Department Military Resuscitation Wellness 90

Don't Forget the Bubbles

MARCH 31, 2025

2023 Nov;7(1):e002094. doi: 10.1136/bmjpo-2023-002094. Some special patients (burns and trauma) were not described in the study. Infants who died while in a neonatal care unit were excluded (these have a well-defined process of review using the Post Mortem Review Tool, PMRT). BMJ Paediatr Open. Whats it about?

Sepsis 59

Sepsis Fluid Resuscitation Shock Resuscitation 59

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. Denise Dowd, Robert D. Garry Gardner, Kyran P. Pomerantz, Elizabeth C.

Pediatrics 52

Pediatrics Wellness Poisoning Burns 52

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. 2023 Nov;82(5):615-623. 2023.04.011.

Emergency Department 105

Emergency Department Fractures Burns EMS 105

Taming the SRU

JULY 21, 2023

link] A patient presents with an itchy and burning feeling on their eyelids. Accessed June 11, 2023. Patients will often have objective visual acuity impairment as well as a fever or leukocytosis. saline eyedrops for “burning” or “gritty” feeling of discomfort. licensed under a Creative Commons Attribution 3.0

Emergency Department 88

Emergency Department EMS Burns Wellness 88

EMDocs

JANUARY 20, 2025

1,2 For hypervolemia in heart failure patients, orthopnea >2 pillows is the most reliable clinical finding, 3,4 though an increase in peripheral edema and increased weight can be useful as well. 6-8 In patients who are on long-term hemodialysis, typical non-invasive signs of volume assessment seem to be unreliable as well.

Dehydration 75

Dehydration Fluid Resuscitation Sepsis Resuscitation 75

EMDocs

FEBRUARY 8, 2025

Well keep it short, while you keep that EM brain sharp. neoformans mortality: 41-61% (2023) 1,3 Invasive Cryptococcus spp. neoformans mortality: 41-61% (2023) 1,3 Invasive Cryptococcus spp. neoformans mortality: 41-61% (2023) 1,3 Invasive Cryptococcus spp. She is well appearing with otherwise normal vital signs.

Infectious Diseases 72

Infectious Diseases EMS COPD Research 72

Pediatric EM Morsels

JUNE 21, 2024

The management of pediatric thermal burns always seems to be a hot topic , whether we are caring for a little future chef who splashed a scalding microwaved noodle cup on himself, or a toddling youngster who pulled a pot of boiling water on herself. Topical Therapies for Pediatric Burns: The options?

Burns 173

Burns Pediatrics Hospitals Wellness 173

PEMBlog

JANUARY 16, 2025

Well dive into the clinical presentations, including acute and chronic symptoms, the dangers of sudden sniffing death, and the specific risks associated with nitrites, hydrocarbons, and nitrous oxide. References Perry H, Burns MM. Clin Toxicol (Phila) 2023; 61:453. If you found this episode helpful, well let me know about it.

Pediatrics 52

Pediatrics Poisoning Wellness Burns 52

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 April 13, 2023. Published December 1, 2023. link] Published April 9, 2023.

Administration 104

Administration Outcomes Burns Operations 104

Don't Forget the Bubbles

JANUARY 4, 2024

2023; 4:e13041. Given the well-understood potential harms of ionizing radiation exposure in children (particularly lifetime cancer risk), adherence to diagnostic imaging protocols is crucial. 2023 Feb 14;329(6):472-481. 2023 Apr 4;329(13):1123. 2023 Feb 1;6(2):e230023. JACEP Open. link] What’s it about? 2022.24162.

Burns 129

Burns Academics Hospitals Outcomes 129

EMDocs

JANUARY 6, 2025

She receives IV calcium gluconate and bicarbonate as well as oral potassium binders for hyperkalemia. 1 By the end of 2023, 117.3 4,5 Of particular concern is the Sudanese conflict, which began in April 2023, and which has caused the largest internal displacement of a population in documented history. Accessed June 11, 2023.

Infectious Diseases 75

Infectious Diseases CDC PPE Rapid Diagnostic Testing 75