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

2768 aka the SAVE act (introduced for the 3rd time 9/12/2023) which establishes a new criminal offense for knowingly assaulting or intimidating hospital personnel during the performance of their official duties in a manner that interferes with their performance of the duties or limits their ability to perform the duties. 2663 & S.1176

EKG/ECG 93

EKG/ECG Shock Fractures Dislocations 93

EMDocs

MARCH 30, 2024

Intervertebral disks lie between vertebrae and act as shock absorbers. Accessed June 23, 2023. Fracture-dislocation of the thoracolumbar spine without neurological deficit: a report of two cases and literature review. Treasure Island (FL): StatPearls Publishing; April 3, 2023. The spinal canal houses the spinal cord.

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. 2023 Jul 17.

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. J Emerg Trauma Shock. 10/2/2023 Penetrating wounds may allow air to flow into the pleural space from outside the body or from internal disruption of the visceral pleura. Ann Emerg Med. 1983;12(6):411-412. 2008;1(1):34-41. LaFollette, R.

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 64

Fractures Resuscitation Operations EMS 64