Remove Burns Remove Fractures Remove Wellness
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emDOCs Podcast – Episode 103: Thermal Burn Injury

EMDocs

Today on the emDOCs cast with Brit Long, MD ( @long_brit) , we cover the evaluation and management of the patient with a burn injury. Episode 103: Thermal Burn Injury Initial evaluation of thermal burns Range of burn severities and types: minor sunburns to full thickness burns and severe inhalation injury.

Burns 98
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Back to basics: what's going on here?

Dr. Smith's ECG Blog

The patient was found to have a fractured lead, which was replaced successfully without complications and with resolution of symptoms. He did well. No P wave and no QRS ever follows any of the regular pacing spikes ( a result of the fractured pacing lead ). Smith: this can usually be seen on chest x-ray.

EKG/ECG 110
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Facial Trauma

Mind The Bleep

Patients with orbital fractures will present with swelling and periorbital bruising. Examination of possible orbital floor fracture: Presence of proptosis/exophthalmos, enophthalmos or hypoglobus Visual acuity in both eyes Check eye movements Presence of diplopia and in which gaze? This normally resolves once the swelling improves.

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Grand Rounds Recap 9.6.23

Taming the SRU

Limited availability of radiology-performed US services in certain hospitals, especially overnight Can avoid unnecessary anticoagulation in patients Reduce time in ED to disposition In terms of workflow, when there is suspicion for a DVT, you need to first calculate a Wells’ Score for a DVT If low/moderate risk, can start with a D-dimer prior to committing (..)

CPR 90
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Grand Rounds 5.8.24

Taming the SRU

For mid-shaft femur fractures, traction appears to may reduce blood loss and pulmonary complications, but the available data is very scarce. Of note, HTS is more effective in trauma patients because it is used as a resuscitative fluid as well. Should it be given in the prehospital setting?

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

RebelEM

CVC vs PIV The critically ill patient is often associated with pathology that makes IV access difficult such as shock state, hypovolemia, obesity, IV drug abuse, end-stage renal disease, cardiac arrest, as well as other conditions. Studies have compared IO to peripheral intravenous (PIV) and central venous (CVC) access for resuscitation.

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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.

Burns 52