Remove Burns Remove Fluid Resuscitation Remove Operations
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CICM Second Part Exam Practice SAQs 22082024

Intensive Blog

Outline the initial assessment of severe burns injury, including how you will calculate fluid resuscitation requirements. Outline the key considerations for the early post-operative ICU care of a patient who had open surgery for Type A aortic dissection. Operative course? Pericardial tamponade? Surgery AVR?

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Case Report: a High-Voltage Victim

ACEP Now

Per EMS, the patient was found at the bottom of a high voltage line with diffuse burns and amputation of his left forearm. FIGURE 1: Electrical burns of the patient’s bilateral feet. FIGURE 2: Traumatic amputation and electrical burn of the patient’s left arm. He was intubated by EMS due to the extent of his injuries.

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Grand Rounds 5.8.24

Taming the SRU

Flood syndrome- start fluids, give antibiotics, consult surgery. Be careful with fluid resuscitation in renal transplant patients who can be at risk for volume overload. Have a high suspicion for infection in transplant patients. Immunosuppression can blunt the typical immune response.

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Diagnostics and Therapeutics: Inhalation Injuries

Taming the SRU

million fires in 2020, with some studies quoting over 500,000 emergency room visits annually for burn and inhalation injuries (4). Because inhalational injuries often co-occur with large cutaneous burns, aggressive fluid resuscitation can rapidly worsen upper airway edema making airway management especially challenging.

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