RebelEM

JUNE 7, 2023

In that population, it is essential to recognize that the absence of oropharyngeal lesions/burns cannot exclude the presence of gastrointestinal injury internally. References Hoffman RS, Burns MM, Gosselin S. General resuscitation with broad spectrum antibiotics and volume resuscitation if the patient appears to be septic.

Poisoning 98

Poisoning Burns Resuscitation Pediatrics 98

Ken Grauer, MD

JULY 22, 2023

The ECG in Figure-1 was obtained from an elderly man with a history of coronary disease — who contacted EMS for "burning" chest discomfort that woke him at 3am. C ASE C onclusion : On their way to the hospital, the EMS crew requested cath lab activation — because they recognized the above "dynamic" ST-T wave changes.

EKG/ECG 195

EKG/ECG Burns EMS Wellness 195

FEMinEM

FEBRUARY 8, 2021

Navy prior to starting medical school and pursuing a career as an emergency medicine (EM) physician. Few of us would thrive in EM if we did not have some sense of the value of teamwork. Lastly, our environment in EM relies on clear and effective communication—often when stakes are highest.

EMS 52

EMS Leadership Teamwork Military 52

EMergucate

MAY 17, 2016

– Abdominal Trauma – Ankle & Foot Fractures – Blast Injury – Burns – C-Spine Trauma – Chest Trauma – … Continue reading →

EMS 40

EMS Burns Fractures 40

EM Curious

MAY 21, 2015

The idea of the FOAMed review is to give you a digestible selection of reliable content from the online EM/CC world that you can fit into your busy weekly schedule. Over a year's span we will be sure to include topics from all core EM content areas.even the ones that may not be the coolest. Watch here @ EM in 5. Simply awesome.

Burns 52

Burns EMS Ultrasounds 52

EM Curious

AUGUST 26, 2015

The idea of the FOAMed review is to give you a digestible selection of reliable content from the online EM/CC world, including interesting and relevant evidence based medicine, that you can fit into your busy weekly schedule. Welcome to the 58th edition of the #FOAMed Review! Read more, here at Dr. Smith's ECG Blog.

Burns 52

Burns Dislocations EMS Ultrasounds 52

Taming the SRU

JUNE 24, 2024

Skin burns and irritation can also result from the pacing pads and cause pain. AP placement was proven to be capture at a lower current than the AL placement in the same patients, thus more effective. [5] Sedation can be adequately achieved with benzodiazepines. Opioid pain medications are most effective for analgesia while pacing.

Advances Cardiac Life Support (ACLS) 91

Advances Cardiac Life Support (ACLS) CPR Burns Resuscitation 91

EM Curious

MAY 14, 2015

The idea of the FOAMed review is to give you a digestible selection of reliable content from the online EM/CC world that you can fit into your busy weekly schedule. Over a year's span we will be sure to include topics from all core EM content areas.even the ones that may not be the coolest. The breakdown on the evidence @ The SGEM.

Ultrasounds 52

Ultrasounds Poisoning EMS Burns 52

EMDocs

AUGUST 17, 2023

Welcome back to the “52 in 52” series. This collection of posts features recently published must-know articles. Today we look at the CENSER trial. vs 48.4% (OR 3.4, 5.53) Takeaways: Positive trial => there was a statistically significant rate of shock control attained with the treatment arm.

Sepsis 92

Sepsis Shock Resuscitation Fluid Resuscitation 92

The Skeptics' Guide to EM

OCTOBER 31, 2020

She is the host of EM Bootcamp in Las Vegas, as well as a usual speaker and faculty member for The Center for Continuing Medical Education (CCME). She is the host of EM Bootcamp in Las Vegas, as well as a usual speaker and faculty member for The Center for Continuing Medical Education ( CCME ).

Burns 52

Burns Emergency Department EMS Wellness 52

Taming the SRU

AUGUST 4, 2024

Wound healing is faster with Dermabond compared to sutures, and can be useful as a less-painful technique to repair certain wounds Dermabond differs from non-medicinal superglue because it is sterile, is more flexible, and ultimately less brittle than standard superglue There have been care reports of non-medicinal glue (superglue, nail glue, etc.)

Dislocations 86

Dislocations Emergency Department Documentation/Coding Burns 86

RebelEM

APRIL 29, 2024

Rezaie, MD (Twitter/X: @srrezaie ) The post Don’t Forget About the IO in the Critically Ill Patient appeared first on REBEL EM - Emergency Medicine Blog. Healthcare 2022 PMID: 35206981 Post Peer Reviewed By: Frank Lodeserto, MD & Salim R.

Resuscitation 105

Resuscitation Administration Emergency Department Ultrasounds 105

RebelEM

AUGUST 7, 2023

PMID: 37058727 Post Peer Reviewed By: Anand Swaminathan, MD (Twitter: @EMSwami ) The post REBEL Cast Ep122 – Delayed vs Rapid Sequence Intubation in Agitated Trauma Patients appeared first on REBEL EM - Emergency Medicine Blog. Background: Getting a definitive airway in a critically ill trauma patient can be a stressful situation.

Head Injuries 98

Head Injuries Airway Management Outcomes Burns 98

Emergency Medicine Cases

JUNE 4, 2019

Electrical injuries are rare, representing less than 1% of burn center admissions. So there is a paucity of robust evidence for the management of these patients.

Fluid Resuscitation 52

Fluid Resuscitation Burns Resuscitation EMS 52

ACEP Now

OCTOBER 10, 2024

It is 0715 hours, and you have just come onto shift when EMS calls that they are bringing in an 11-month-old female who won’t stop crying. On physical exam, you notice what appears to be a blister from a burn on her right palm (see photo on cover). Case Resolution Given the location of the burn, pediatric burn surgery was consulted.

Forensics 40

Forensics Domestic Violence Burns Pediatrics 40

Emergency Medicine Ireland

JUNE 10, 2024

We’re going to cover a bit of an environmental/tox topic today and look at carbon monoxide poisoning from Oh’s manual chapter 83 on burns. I have previously covered this on the old tasty morsels of EM series back when i was doing my EM fellowship exams. We’re likely to see this in a couple of contexts.

Poisoning 52

Poisoning Burns EMS Shock 52

EMDocs

DECEMBER 4, 2023

Johnson, MD ( Community EM, Salina Regional Health Center) // Reviewed by: Joshua Lowe, MD (EM Attending Physician, USAF); Marina Boushra, MD (Cleveland Clinic Foundation, EM-CCM); Brit Long, MD (@long_brit) Case A 40-year-old woman presents to a rural emergency department (ED) with left leg pain and swelling for the past 5 days.

Ultrasounds 95

Ultrasounds Documentation/Coding Wellness EMS 95

ALiEM

JULY 17, 2023

sought to identify program factors associated with unfilled post-graduate year 1 (PGY-1) emergency medicine (EM) positions in the 2023 Match [1]. Many of these findings were similar to a study of the 2022 EM Match results by Murano et al., A staggering 131 (47%) EM residency programs had unfilled PGY-1 positions among in 2023 [7].

EMS 52

EMS Burns Emergency Department Shock 52

Emergency Medicine Ireland

DECEMBER 3, 2020

As an EM trainee doing intensive care I will confess that I struggle to work up the enthusiasm to cover a nutrition guideline. As an EM trainee doing intensive care I will confess that I struggle to work up the enthusiasm to cover a nutrition guideline. Welcome back to the tasty morsels of critical care podcast.

Burns 52

Burns Sepsis EMS Wellness 52

ACEP Now

AUGUST 29, 2023

Our program pairs training at one of the busiest emergency departments in the country at a nationally recognized county, safety-net, Level I Trauma and Regional Burn Center (MetroHealth) with a world-renowned quaternary academic referral center (Cleveland Clinic). What does your program offer that residents can’t get anywhere else?

Academics 52

Academics Burns Emergency Department Ultrasounds 52

ACEP Now

AUGUST 29, 2023

Burns, professor of management at the Wharton School, University of Pennsylvania, will pull back the curtain on the evolving world of private equity in health care and how it is trending. 8—NFL Watch Party featuring the Dallas Cowboys vs. the San Francisco 49ers Oct. 9—Kickoff Party with a speakeasy theme at the Old Reading Terminal Oct.

Burns 52

Burns Emergency Department EMS 52

RebelEM

OCTOBER 19, 2022

Rezaie, MD (Twitter: @srrezaie ) The post REBEL Core Cast 88.0 – Hypocalcemia appeared first on REBEL EM - Emergency Medicine Blog. mg/dL or an ionized calcium level < 2.0 mEq/L Background Exists in two states Free ionized form (approx. mg/dL Correct for hypoalbuminemia:1 g/dL drop in serum albumin below 4 g/dL = 0.8

EKG/ECG 52

EKG/ECG Blood Transfusions Burns EMS 52

EMergucate

APRIL 15, 2014

Possible airway and ventilation compromise Concerns: Burns – … Continue reading → Critically unwell patient with 1. Altered GCS 2. Tissue hypoxia 4.

Burns 40

Burns Shock EMS 40

EMergucate

APRIL 14, 2014

A 60 year old man is brought to your ED from a burning factory. He was found uncoscious in the building. His Observations: PR 115/min BP 100/60 RR 8/min, O2 sats 99, on 15litres non rebreather GCS …

Burns 40

Burns EMS 40

EMDocs

JULY 9, 2024

Gottlieb LM, Hessler D, Long D, Laves E, Burns AR, Amaya A, Sweeney P, Schudel C, Adler NE. Pediatric Social Risk Screening: Leveraging Research to Ensure Equity. Acad Pediatr. 2022 Mar;22(2):190-192. doi: 10.1016/j.acap.2021.09.013. 2021.09.013. Epub 2021 Sep 24. PMID: 34571253; PMCID: PMC8479442. JAMA Pediatr. 2016 Nov 7;170(11):e162521.

Pediatrics 73

Pediatrics Emergency Department Research Burns 73

Mind The Bleep

AUGUST 31, 2024

Stinging: Sensations of burning or stinging, often worsened by environmental conditions or extended periods of visual focus. Messmer EM. Eye watering: Paradoxically, some individuals may produce excessive tears as a reflex response to irritation to the ocular surface, however, these tears do not adequately relieve symptoms.

Burns 52

Burns EMS Outcomes 52

Dr. Smith's ECG Blog

APRIL 20, 2019

EMS showed us their ECG on arrival at her house: What do you think? The cardiologist arrived quickly and was skeptical about these findings on EMS ECG. Make sure to burn the morphology of lead V2 from the initial ECG into your brain so that you can recognize this pattern in the future. We called for emergent cath lab activation.

EKG/ECG 52

EKG/ECG EMS Burns 52

RebelEM

MARCH 23, 2023

Buell D, Filewod N, Ailon J, Burns KEA. Filewod N, Hwang S, Turner CJ, Rizvi L, Gray S, Klaiman M, Buell D, Ailon J, Caudarella A, Ginocchio GF, Santos M, Sandhu G, Dewhurst N, Sequeira K, Burns KEA. Phenobarbital Versus Lorazepam for Management of Alcohol Withdrawal Syndrome: A Retrospective Cohort Study. 2021 Feb 11;13(2):e13282.

Emergency Department 52

Emergency Department Burns Outcomes Hospitals 52

ACEP Now

JULY 7, 2023

She was reported to have had a mechanical fall, landing face forward without loss of consciousness, and has had a continuous nosebleed since then, per EMS and the home care provider. On EMS arrival, it was noted that the patient had what seemed to be a controllable nosebleed with difficulty locating the source due to constant oozing.

Airway Management 45

Airway Management EMS Burns Operations 45

Pediatric Emergency Playbook

OCTOBER 1, 2015

EMS is bringing you a child with a VP shunt, port-a-cath, trached on a vent, seizing, hypotensive, and now desaturating – ETA – 3 minutes. Increased demand may be temporary, such as in burns, s/p cardiac surgery, or ay prolonged recovery. Are you ready? Medicine is evolving.

Pediatrics 40

Pediatrics Fractures Resuscitation Burns 40

EMDocs

JULY 15, 2023

We’ll keep it short, while you keep that EM brain sharp. She has had pruritus and swelling to the site accompanied by a painful burning sensation and a couple “painful knots” on her right inguinal region. link] The post EM@3AM: Erysipelas appeared first on emDOCs.net - Emergency Medicine Education. dailymed.nlm.nih.gov.

EMS 91

EMS Infectious Diseases Shock Ultrasounds 91

Pediatric EM Morsels

AUGUST 4, 2023

Ganss, 2018) There are additional associations with scoliosis, burn injuries, and spinal cord injuries. (Oka, PMID: 31451453 The post Superior Mesenteric Artery Syndrome (SMA Syndrome) in Children appeared first on Pediatric EM Morsels. Superior mesenteric artery syndrome in a healthy active adolescent. BMJ Case Rep. 12(8): e228758.

Pediatrics 246

Pediatrics Burns Operations Ultrasounds 246

EMDocs

NOVEMBER 27, 2023

Authors: Katey DG Osborne, MD (EM Attending Physician; Tacoma, WA), Rachel Bridwell, MD (EM Attending Physician; Tacoma, WA) // Reviewed by: Alex Koyfman, MD (@EMHighAK, EM Attending Physician, UTSW / Parkland Memorial Hospital) and Brit Long, MD (@long_brit, EM Attending Physician, San Antonio, TX) Welcome to emDOCs revamp!

EMS 96

EMS Sepsis Burns EKG/ECG 96

Dr. Smith's ECG Blog

JUNE 13, 2024

Click here to sign up for Queen of Hearts Access Case A 58-year-old woman presented to the ED with burning chest pain that started 2-3 hours earlier while sitting on a porch swing. EMS arrived to a pulseless patient in V fib. They sued the the county-operated EMS service for allegedly not dispatching the call fast enough.

EKG/ECG 92

EKG/ECG Documentation/Coding EMS Burns 92

Taming the SRU

FEBRUARY 7, 2024

AirCare - Derm Emergencies - R4 Capstone - Landmarks of EM - Global Health - Toxicology Aircare Grand ROunds WITH Drs.

PPE 99

PPE Administration Ultrasounds Poisoning 99

ACEP Now

MARCH 14, 2024

A 44 year-old male with unknown past medical history came by emergency medical services (EMS) to the emergency department (ED) for an electrical injury and fall from a high voltage electrical pole. Per EMS, the patient was found at the bottom of a high voltage line with diffuse burns and amputation of his left forearm.

Burns 52

Burns Fluid Resuscitation EKG/ECG EMS 52

EB Medicine

NOVEMBER 1, 2018

Nachi: Each year, in the US, approximately 10,000 patients present with electrical burns or shocks. You’re probably familiar with this concept when you see high voltages arcing through the air without direct contact with the actual electrical source, leading to diffuse burns. Most electrical injuries present with burns to the skin.

Emergency Department 40

Emergency Department Burns EKG/ECG Shock 40