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REBEL Core Cast 102.0 – Burn Management

RebelEM

Take Home Points The Parkland formula can be used to be a guide for initial fluid resuscitation. This is based on second- and third-degree burns (not first-degree). Utilize response to treatment as a guide to continue fluid resuscitation. Prophylactic antibiotics can be avoided in most burn cases. Read more

Burns 98
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Ep 124 Burn and Inhalation Injuries: ED Wound Care, Resuscitation and Airway Management

Emergency Medicine Cases

It turns out that for all burn patients—from minor to severe—there is a lot of room for improvement in ED management, counselling and disposition. The post Ep 124 Burn and Inhalation Injuries: ED Wound Care, Resuscitation and Airway Management appeared first on Emergency Medicine Cases.

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REBEL Core Cast 103.0 – Caustic Ingestions

RebelEM

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

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Don’t Forget About the IO in the Critically Ill Patient

RebelEM

Critically ill patients requiring resuscitation often present with many challenges including the ability to secure safe, sterile, fast, and reliable intravenous (IV) access. This can often lead to significant delays in proper resuscitation. Studies reviewed landmark-based CVC compared to IO; using IJ, subclavian, and femoral CVC sites.

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52 in 52 – #41: The CENSER Trial

EMDocs

Additionally, 80% of patients in the control group required open label NE use indicating that NE was going to be needed in most of these patients regardless of initial resuscitation method. I will continue to reach for pressors early in resuscitation of the septic shock patient. Today we look at the CENSER trial. vs 48.4% (OR 3.4,

Sepsis 94
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Therapeutics: Pacing Through Skin and Vein

Taming the SRU

Skin burns and irritation can also result from the pacing pads and cause pain. Resuscitation , Volume 181,2022,Pages 140-146,ISSN 0300-9572, [link] Scott Weingart, MD FCCM. AP placement was proven to be capture at a lower current than the AL placement in the same patients, thus more effective. [5] EMCrit 310 – Transvenous Pacemakers.

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Ep 125 Electrical Injuries – The Tip of the Iceberg

Emergency Medicine Cases

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.