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Neurogenic Shock in Children

Pediatric EM Morsels

Most commonly caused by fracture or dislocation of vertebrae. While we may allow permissive hypotension in damage control resuscitation of hemorrhagic shock, in neurogenic shock you should maintain an age-appropriate blood pressure. Treasure Island (FL): StatPearls Publishing; 2023 Jan-. 5 th Edition. Neurogenic Shock.

Shock 304
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Case Report: a High-Voltage Victim

ACEP Now

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. Treatment for burns should focus on fluid resuscitation as appropriate based on your institution’s burn protocol per Brooke, Parkland, Rule of 10s etc. 2023 Jul 17.

Burns 52
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Diagnostics and Therapeutics: Managing Pneumothorax

Taming the SRU

Blunt trauma can cause rib fracture or dislocation that may injure the visceral pleura. Unsuspected tension pneumothorax as a hidden cause of unsuccessful resuscitation. Resuscitation. 10/2/2023 Treasure Island (FL): StatPearls Publishing; November 28, 2022. Rojas R, Wasserberger J, Balasubramaniam S. Ann Emerg Med.

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Consultant Corner: Acute Management of the Dislocated Knee

Taming the SRU

Acute knee dislocations are rare orthopedic injuries that have high morbidity and need to be recognized quickly by the emergency physician; if unrecognized or inadequately treated, these injuries can lead to vascular and limb compromise (1,2). Knee dislocations make up less than 0.5% Knee dislocations make up less than 0.5%

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Unstable Pelvic Trauma Patient: ED Presentations, Evaluation, and Management

EMDocs

5 Initial Evaluation The key to the initial resuscitation of the unstable pelvic trauma patient is to rapidly identify and treat the most life-threatening pathology. Limb-length discrepancy is not often apparent in pelvic fractures and would be more suggestive of a femoral fracture or dislocation. Figure 2: Open book pelvic fracture.

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The 87th Bubble Wrap

Don't Forget the Bubbles

Yasuda M, Amagasa S, Kashiura M, et alDuration of prehospital and in-hospital cardiopulmonary resuscitation and neurological outcome in paediatric out-of-hospital cardiac arrestEmergency Medicine Journal 2024;41:742-748. However, there is limited evidence to guide decisions on when to stop resuscitation efforts in this population.