Taming the SRU

MARCH 17, 2023

COPD patients) Use color doppler to evaluate path of needle to make sure there are no vascular structures in the way Superior Trunk Block Regional anesthesia for analgesia of the shoulder C5/C6 roots Lower risk of hemidiaphragmatic paresis Fascial plane is closer to the nerve sheath More challenging block compared to interscalene/supraclavicular Forearm (..)

Seizures 40

Seizures Fractures Burns Pediatrics 40

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

Taming the SRU

MAY 11, 2024

For mid-shaft femur fractures, traction appears to may reduce blood loss and pulmonary complications, but the available data is very scarce.

Administration 91

Administration Resuscitation Fluid Resuscitation Research 91

RebelEM

APRIL 29, 2024

Contraindications to IO placement include: • Skin infection or cellulitis at the insertion site • Fractured bone proximal to IO insertion • Severe underlying bone disease (osteogenesis imperfecta, osteoporosis, osteomyelitis, compartment syndrome) • Burns • A recent failed IO attempt in the same bone IO access can be complicated by extravasation, bone (..)

Resuscitation 105

Resuscitation Administration Emergency Department Hospitals 105

Taming the SRU

SEPTEMBER 15, 2023

ETT onto a fiberoptic scope. ETT onto a fiberoptic scope.

CPR 89

CPR Burns Airway Management Wellness 89

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.

Poisoning 92

Poisoning Seizures Anaphylaxis Burns 92

PEMBlog

JUNE 5, 2024

The most common injuries seen in these younger patients are growth plate fractures and ligamentous injuries. You more often will see vertebral body and arch fractures as opposed to the growth plate fractures and ligamentous injuries in the younger children. Axial load can cause burst fracture, so someone that dives into a pool.

Fractures 52

Fractures Pediatrics Radiology Radiology 52

Taming the SRU

JANUARY 1, 2024

However, in at least 10% of patients, blind insertion of a peripheral IV may be unsuccessful for a variety of reasons including obesity, edema, IV drug use, surgical scars, dialysis, burns, and others (1,2). In this post, we will review multiple alternative sites and techniques available for establishing peripheral access.

Emergency Department 91

Emergency Department Ultrasounds Administration Burns 91

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

Don't Forget the Bubbles

JUNE 30, 2023

She has a right parietal-occipital region haematoma, and you think you might be able to feel a step – you’re pretty convinced she has a palpable skull fracture. Two IVs go in, one in each antecubital fossa. D – here, we have a problem. Polly’s drowsy, and a formal GCS is 12 – E3, V4, M5. Pupils are equal and reactive.

Head Injuries 145

Head Injuries Seizures Outcomes Pediatrics 145

ACEP Now

AUGUST 9, 2024

7 Depending on velocity of contact, this action can fracture the spike and leave foreign body fragments of the spine within the tissue. This excruciating pain is described by many victims as a continuous burning, tingling, and numbness. 5,8 Interestingly, the break forms a new point that can be used for future defense.

Poisoning 52

Poisoning Burns Seizures Fractures 52

American Medical Compliance

FEBRUARY 28, 2023

Physical abuse can range from minor bruises to severe fractures, and can even be deadly in some cases. These could include burns, bites, or bruises. Types of physical abuse include punching, beating, and kicking. It is important to understand the difference between physical discipline and abuse, which this course covers.

Burns 52

Burns Patient Safety Outcomes Fractures 52

Mind The Bleep

NOVEMBER 6, 2023

Importance: the medial wall is thin and most easily fractured. Bony orbit Seven bones form the lateral and medial walls, orbital roof and floor.

Emergency Department 52

Emergency Department Dislocations Burns Fractures 52

Don't Forget the Bubbles

JULY 31, 2023

Radiographs from children with fractures, or disease processes affecting bone growth, were excluded. The author reviewed this article after having a burning desire to question where the guidance came from! For the remaining images, a paediatric radiologist measured bone and soft tissue thickness 10mm from the femoral and tibial physes.

Rapid Diagnostic Testing 98

Rapid Diagnostic Testing Resuscitation Emergency Department Pediatrics 98

Pediatric Emergency Playbook

JANUARY 1, 2017

Some are simple comfort measures such as splinting (fracture or sprain), applying cold (acute soft tissue injury) or heat (non-traumatic, non-specific pain), or other targeted non-pharmacology. Long-bone injuries Fracture pain should be addressed immediately with splinting and analgesia. Management of Pain in Children with Burns.

Pediatrics 40

Pediatrics Soft Tissue Injuries Burns Emergency Department 40

Pediatric Emergency Playbook

OCTOBER 1, 2015

The two most common complications of VP shunts are malfunction (due to obstruction, fracture, or kinking) or infection. Increased demand may be temporary, such as in burns, s/p cardiac surgery, or ay prolonged recovery. The most common causes are tumor, congenital anomalies, hemorrhage, or post-infectious obstructions.

Pediatrics 40

Pediatrics Fractures Resuscitation Burns 40

Rural Doctors Net

AUGUST 30, 2013

The visual confrontation of a man in pain with an obvious amputation and airway burns will induce a catecholamine surge in all but the psychopathic. Pull straight any fractures & splint them. He may need large amounts of fluid down the track as part of his burns management – we’ll calculate this a bit later.

Burns 52

Burns Hospitals Wellness Ambulance Services 52

Taming the SRU

AUGUST 30, 2023

However, PCT can be elevated in severe trauma, such as burns or surgery [5,25]. Identifying serious causes of back pain: cancer, infection, fracture. Notably, PCT is not elevated in noninfectious inflammatory conditions including most rheumatological diseases, gout, SLE, and IBD. Cleve Clin J Med. 2008 Aug;75(8):557-66. PMID: 18756836.

Infectious Diseases 88

Infectious Diseases Sepsis Emergency Department Point-of-Care Testing 88

HQ Med Ed

APRIL 18, 2019

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Burns 52

Burns Fractures 52

EMDocs

NOVEMBER 4, 2024

Costochondritis, rib fractures, and pericarditis are common causes of chest pain that can be treated with multimodal regimens. 7 Rib and Sternal Fractures: Rib fractures are often caused by blunt chest trauma. Up to two-thirds of rib fractures are missed on initial chest radiographs. Most cases abate by one year.

Emergency Department 99

Emergency Department Fractures Burns EMS 99

Taming the SRU

JUNE 6, 2023

then need further evaluation Usually with CTA imaging If normal physical exam & ABI>0.9,

Documentation/Coding 64

Documentation/Coding Seizures Psychiatric Wellness 64