EMDocs

JUNE 25, 2024

Today on the emDOCs cast with Brit Long, MD ( @long_brit) , we cover the evaluation and management of the patient with a burn injury. Episode 103: Thermal Burn Injury Initial evaluation of thermal burns Range of burn severities and types: minor sunburns to full thickness burns and severe inhalation injury.

Burns 92

Burns Fluid Resuscitation Resuscitation Poisoning 92

Taming the SRU

MAY 11, 2024

For mid-shaft femur fractures, traction appears to may reduce blood loss and pulmonary complications, but the available data is very scarce. 3% HTS appears to be safe for peripheral IV administration and does not require a central line. Hypertonic saline in TBI Is it safe? Is it effective? Should it be given in the prehospital setting?

Administration 92

Administration Resuscitation Fluid Resuscitation Research 92

RebelEM

APRIL 29, 2024

In cardiac arrest, a delay in IV access subsequently results in a delay in epinephrine administration. Intravenous vs intraosseous adrenaline administration in cardiac arrest: A protocol for systematic review and meta-analysis. Resuscitation. 2012 PMID: 21893125. 9 Zhang W et al. Medicine (Baltimore). PMID: 33350794 10 Meilandt C.

Resuscitation 105

Resuscitation Administration Emergency Department Ultrasounds 105

Taming the SRU

JANUARY 1, 2024

Establishing reliable vascular access is absolutely critical for ED patients requiring resuscitation, airway management, or medication administration. Contraindications for USGIV are the same as for any PIV: overlying skin infection, AV fistula in the extremity, previous surgery impacting vasculature, proximal trauma, or burns.

Emergency Department 92

Emergency Department Ultrasounds Administration Burns 92

Don't Forget the Bubbles

JUNE 30, 2023

She has a right parietal-occipital region haematoma, and you think you might be able to feel a step – you’re pretty convinced she has a palpable skull fracture. Tranexamic acid administration to pediatric trauma patients in a combat setting: the pediatric trauma and tranexamic acid study (PED-TRAX). Pupils are equal and reactive.

Head Injuries 145

Head Injuries Seizures Pediatrics Outcomes 145

ACEP Now

AUGUST 9, 2024

7 Depending on velocity of contact, this action can fracture the spike and leave foreign body fragments of the spine within the tissue. This excruciating pain is described by many victims as a continuous burning, tingling, and numbness. 5,8 Interestingly, the break forms a new point that can be used for future defense.

Poisoning 52

Poisoning Burns Seizures Fractures 52

Pediatric Emergency Playbook

JANUARY 1, 2017

CRIES is a 10-point scale, using a physiologic basis similar to APGAR: Crying; Requires increased oxygen administration (distress and breath-holding); Increased vital signs; Expression; and Sleeplessness ( Krechel 1995 ). Once the pain is controlled, less frequent administration of medications, with frequent reassessments, are indicated.

Pediatrics 40

Pediatrics Soft Tissue Injuries Burns Emergency Department 40