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Bullous Skin Lesions, Meet Emergency Medicine

Taming the SRU

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 Emergency Department if suspected?

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Grand Rounds Recap 11.1.23

Taming the SRU

Eschars can form quickly and cause limited expansion of the torso and compartment syndrome of the extremities.

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Bubble Wrap PLUS – August 2024

Don't Forget the Bubbles

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.

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2086 The value of emergency care data set (ECDS) presentation codes for predicting mortality and inpatient admission

Emergency Medicine Journal

Aims and Objectives Early identification of patients at higher risk of death and hospital admission is an important problem in emergency departments. 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]

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Vasopressor Nonresponse

Northwestern EM Blog

Those at higher risk of hypocalcemia (vitamin D deficiency, ESRD, hyperparathyroidism, burns, multiple blood transfusions, etc.) Revised National Estimates of Emergency Department 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.

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Grand Rounds Recap 5.3.23

Taming the SRU

million presentation to ED’s throughout the US Usually occur due to falls Also commonly occur due to sports, MVC’s, etc.