Remove Airway Management Remove EKG/ECG Remove Fluid Resuscitation
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Diabetic Ketoacidosis in Paediatrics

Mind The Bleep

ECG: to monitor T wave changes due to hypokalaemia. ECG features of Hypokalaemia: Increased P wave amplitude (peaked P waves) Prolonged PR interval Widespread ST depression T wave flattening or inversion Prominent U waves (most noticeable in the precordial leads) Figure 2 : ECG of a patient with serum K+ of 1.9

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emDOCs Revamp: Esophageal Perforation

EMDocs

ECG – May show tachycardia or rate related ST depressions Laboratory evaluation: CBC w/ differential – may reveal leukocytosis with left shift CMP, Lipase – can reveal alternative intra-abdominal diagnoses as well as show findings of end-organ hypoperfusion (elevated serum creatinine, transaminitis, etc.)

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Episode 22 - Electrical Injuries in the Emergency Department An Evidence-Based Review

EB Medicine

As always, it’s ABC and IV, O2, monitor first with early airway management in those with head and neck burns being a top priority. Jeff: Next, make sure that all patients with high voltage injuries have an EKG and continuous cardiac monitoring. Those with low voltage injuries and a normal EKG do not require monitoring.