ALiEM

NOVEMBER 29, 2023

In patients with skin changes, consider topical wound care as well as further evaluation of deep tissue infections, osteomyelitis, and ischemia. Published May 2023. Published 2023 Mar 29. 2023 Jun 15;388(24):2209-2212. Epub 2023 Apr 26. Published 2023 June 30. 2023 Mar;61(3):173-180. N Engl J Med.

Forensics 67

Forensics Administration Poisoning Emergency Department 67

EMDocs

JUNE 8, 2024

Post septal (retrobulbar) is higher risk to vision and requires CT imaging to diagnose as well as thorough exam to check for proptosis, afferent pupillary defect, increased intraocular pressure [7]. 2023, www.uptodate.com/contents/overview-of-eye-injuries-in-the-emergency-department?search=traumatic+iritis&source=search_result&selectedTitle=2~150&usage_type=default&display_rank=2.

EMS 81

EMS Allergic Reactions Poisoning Emergency Department 81

Don't Forget the Bubbles

JANUARY 17, 2024

Forrester reported data from the Texas Poison Centers surrounding 110 cases of superabsorbent polymer bead ingestions between 2011 and 2016. Closer to home, the New South Wales Poisons Information Centre (NSWPIC) reported 129 incidents involving water-absorbing beads since 2004. From Mullens et al., Forrester, M.B., and Mudd, P.,

Pediatrics 111

Pediatrics Poisoning Ultrasounds Dehydration 111

RebelEM

FEBRUARY 15, 2024

Additionally, intubation can risk hemodynamic instability as well as hypoxemia from the procedure itself. There has been no high level evidence to help guide practice until now…the Non-Invasive Airway Management of Comatose Poisoned Emergency Patients (NICO) trial. Paper: Freund Y et al.

Poisoning 140

Poisoning Airway Management Seizures Shock 140

PulmCCM

DECEMBER 3, 2023

A European critical care society advised in 2023 against “sighs” resulting in pressure >35 cm H2O. Well, that would be ground-breaking and practice-changing, to say the least. This review in poisoned patients suggested early intubation was associated with lower rates of aspiration pneumonia, but most others did not.

Poisoning 64

Poisoning Outcomes Hospitals Academics 64

Emergency Medicine Ireland

MAY 27, 2024

This is a somewhat philosophical approach that reminds us that the PA pressures themselves don’t prognosticate especially well but a failure of flow from right to left will result in cardiogenic shock and death. The ventilator is a bit of a poisoned chalice. Well, take a step back to start with. 208 , 528–548 (2023).

Poisoning 52

Poisoning Wellness Shock 52

ACEP Now

FEBRUARY 11, 2024

4 It is believed that substantial gastrointestinal loss causes chloride and potassium depletion, as well as hypovolemia, acute kidney injury, and renal potassium loss. Poison centers see nearly 1,500% increase in calls related to injected weight-loss drugs as people accidentally overdose. Published December 18, 2023.

Seizures 52

Seizures Fluid Resuscitation Poisoning EKG/ECG 52

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. Denise Dowd, Robert D. Garry Gardner, Kyran P. Quinlan, Michele Burns Ewald, Beth E. Ebel, Richard Lichenstein, Marlene D.

Pediatrics 52

Pediatrics Wellness Poisoning Burns 52

Pediatric Education

MARCH 24, 2024

Some people recommend boiling these utensils for 5 minutes as well. Published online October 19, 2023. Wash with hot soapy water, rinse and dry all bottles, cups, nipples, rings or other equipment (including breast pumping equipment). For glass bottles, a dishwasher with heated water and hot drying cycle can be used. Front Nutr.

Pediatrics 40

Pediatrics Poisoning Research Wellness 40

Pediatric EM Morsels

JULY 21, 2023

We have mentioned the Glasgow Coma Scale in multiple delicious morsels: Minor closed head injuries in <3 month olds and in the rebaked morsel , Blunt cerebrovascular injury , Cerebral edema in DKA , Pediatric Trauma Pitfalls , and Carbon monoxide poisoning. Treasure Island (FL): StatPearls Publishing; 2023 Jan-. PMID: 57446.

Head Injuries 246

Head Injuries Pediatrics Outcomes Shock 246

Dr. Smith's ECG Blog

SEPTEMBER 2, 2024

Regarding my Systematic assessment of ECG #1: There is significant baseline artifact , as well as baseline wander. There are many ways to estimate the QTc ( ie, I illustrate a user-friendly method I developed and have used for decades in the October 25, 2023 post). To determine the QTc — We need to correct this 450 msec.

Seizures 106

Seizures EKG/ECG EMS Documentation/Coding 106

Taming the SRU

DECEMBER 11, 2023

In conjunction with the Drug and Poison Information Center (DPIC), intravenous methylene blue was initiated for suspected methemoglobinemia with moderate improvement of her symptoms over the next hour, including return of baseline mental status and resolution of hypoxia. Accessed March 6, 2023. link] Accessed April 16, 2023.

Psychiatric 95

Psychiatric EMS Emergency Department Poisoning 95

Mind The Bleep

SEPTEMBER 12, 2023

Trisomy 21 (T21) / Prader Willi Congenital infections, TORCH (or SCORTCH ) Acquired infections (sepsis) Peroxisomal disorders, e.g. neonatal adrenoleukodystrophy, Zellwegers syndrome Iatrogenic / poisoning, e.g. benzodiazepines / atracurium Congenital Hypothyroidism Hypoglycaemia Inborn errors of metabolism, e.g. mucopolysaccharidoses, amino acidurias, (..)

Sepsis 52

Sepsis Seizures Poisoning Wellness 52

EMDocs

AUGUST 31, 2023

On follow-up 1 week later, the patient was doing well, ambulating and playing without significant discomfort. Poison Control: The F(ab2)ulous Expanded Indication of Anavip | FCEP. Accessed August 17, 2023. link] Blue Ridge Poison Center, University of Virginia Health. References: Ubani C, DeGelorm A, Sollee D.

Allergic Reactions 72

Allergic Reactions Anaphylaxis Poisoning Hospitals 72

ACEP Now

SEPTEMBER 13, 2023

A multi-institutional, randomized, double-blinded, placebo-controlled trial (the BABY HUG trial) evaluated spleen size as well as serum labs and splenic dye uptake of technetium-labeled sulfur colloid. Accessed August 10, 2023. Practitioners have looked at splenic size on ultrasound and its association with splenic dysfunction.

Pediatrics 52

Pediatrics Ultrasounds Emergency Department Poisoning 52