Pediatric EM Morsels

AUGUST 11, 2023

This is the 601st Ped EM Morsel ! The post Perichondritis of the Ear in Children appeared first on Pediatric EM Morsels. Having authored 575 ( well, now 576 ) of them, I am often quite convinced that there are no new topics to discuss. Recently, Dr. Teresa Crow encountered an important topic in children that deserves its own Morsel.

Burns 130

Burns Pediatrics EMS Outcomes 130

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

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 94

Poisoning Burns Resuscitation Pediatrics 94

Taming the SRU

FEBRUARY 7, 2024

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

PPE 98

PPE Administration Ultrasounds Poisoning 98

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 93

EKG/ECG Documentation/Coding EMS Burns 93

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

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

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

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 91

EMS Sepsis Burns EKG/ECG 91

Taming the SRU

JUNE 7, 2023

CPC: Rheumatic Fever - Carbon Monoxide Poisoning - Pediatrics: Toxicology - Combined EM/IM: Competency CPC: Rheumatic Fever WITH Drs.

Poisoning 76

Poisoning EKG/ECG Pediatrics Burns 76

Taming the SRU

MAY 11, 2024

r1 clinical knowledge - r4 capstone - research grand rounds - the art of em - Community corner - PEM Lecture r1 Clinical knowledge: transplant complications WITH dr. gabor Time-sensitive peri-transplant emergencies: Bleeding fistula- stop the bleed. Flood syndrome- start fluids, give antibiotics, consult surgery. Ways to get involved?

Administration 92

Administration Resuscitation Fluid Resuscitation Research 92

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) 90

Advances Cardiac Life Support (ACLS) CPR Burns Resuscitation 90

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

RebelEM

MAY 29, 2023

appeared first on REBEL EM - Emergency Medicine Blog. What They Did: Single-center, parallel, double blind, randomized controlled trial performed in a medical-surgical ICU (Mexico) Both groups received: Adjunctive vasopressin initiated at a dose of 0.03 NaCl over 6hrs once daily x3 doses Placebo: 500mL of 0.9% 95% CI 15.4

Shock 145

Shock Fluid Resuscitation Sepsis Resuscitation 145

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 85

Dislocations Emergency Department Documentation/Coding Burns 85

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 86

Sepsis Shock Resuscitation Fluid Resuscitation 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

EMDocs

DECEMBER 19, 2023

Possible early antibiotic treatment Minor Marine Trauma Mechanism: Bites, Stings, Nematocysts Envenomation Presentation: All can cause localized pain, erythema, and warmth Dermatologic: Urticaria, burning, pruritus, localized paresthesia. 2020, September 26) EM@3AM: Marine Animal Bites and Stings. link] Blohm E, Brush D.

Poisoning 105

Poisoning Seizures Anaphylaxis Burns 105

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

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 96

Head Injuries Airway Management Outcomes Burns 96

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 EMS Burns Shock 52

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

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 90

Ultrasounds Documentation/Coding Wellness EMS 90

EMDocs

OCTOBER 25, 2024

Burn center transfer for management of severe exfoliative dermatitis Predictive factors for serious cases have yet to be identified, however allopurinol associated DRESS has a higher associated progression to serious DRESS and death rate. and/or N-acetylcysteine (NAC). DRESS syndrome has a 10% mortality rate.

Sepsis 91

Sepsis Burns EKG/ECG EMS 91

Advanced Emergency Nursing from AENJ

DECEMBER 18, 2014

Classic Advice to New Interns (Commentary upon 10 Commandments of EM) Ten Commandments of Emergency Medicine Luke & Cusack Cork Emergency Medicine 2014 The Derriford twelve commandments of emergency medicine: a model for good practice in a changing world, or a survival guide for new medical staff Smith, J.

Mass Casualty Incidents 40

Mass Casualty Incidents Burns Urgent Care Pediatrics 40

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

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

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

RebelEM

JUNE 26, 2024

Rezaie, MD (Twitter/X: @srrezaie ) The post REBEL Core Cast 125.0 – Hyperkalemia appeared first on REBEL EM - Emergency Medicine Blog. Definition: A serum potassium level > 5.5 rhabdomyolysis -> hydration) Remove inciting factors (i.e. furosemide) Dialysis for anuric patients (i.e. Pharmacotherapy 2021; 41(7): 598-607.

EKG/ECG 58

EKG/ECG Administration Burns EMS 58