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Mortality rates related to bullous skin lesions are typically related to disruption of the skin barrier and include subsequent dehydration, electrolyte imbalances, hypothermia, increased metabolic needs, and secondary infection leading to bacteremia and/or sepsis. What can you do from the EmergencyDepartment if suspected?
Those at higher risk of hypocalcemia (vitamin D deficiency, ESRD, hyperparathyroidism, burns, multiple blood transfusions, etc.) Revised National Estimates of EmergencyDepartment Visits for Sepsis in the United States. Hypocalcemia can be hinted at through history or by hints such as a prolonged QTc on an ECG.
Aims and Objectives Early identification of patients at higher risk of death and hospital admission is an important problem in emergencydepartments. Drowsy (11.97%), Hypothermia (13.04%) and Cyanosis (10%) were also high risk categories. BURN 478 0 35 7.3 0[0 , 12] HYPOTHERMIA 23 3 11 47.8 0.65 , 2.7] 5.2 , 9.9]
Morris and colleagues investigated the efficacy of refrigerated gel packs for therapeutic hypothermia in neonatal retrieval. They used servo-controlled therapeutic hypothermia (versus passive hypothermia) and found no major difference in outcome. More studies on this topic will surely follow. Eur J Pediatr. 2024 Jul 8.
Signs of malnutrition – which places patients at higher risk for infection – can include cachexia, muscular wasting, sunken eyes, redundant skin folds, edema, brittle skin and hair, bradycardia, hypotension, and hypothermia. HIV Prevention and Treatment: The Evolving Role of the EmergencyDepartment. Ann Emerg Med.
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