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. They sued the the county-operated EMS service for allegedly not dispatching the call fast enough. The family elected to switch to comfort care and she died.

EKG/ECG 93

EKG/ECG Documentation/Coding EMS Burns 93

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 92

Administration Resuscitation Fluid Resuscitation Research 92

RebelEM

APRIL 29, 2024

One may speculate that the US-guided CVC placement would have a higher first-pass success rate with fewer complications, however, this may potentially add time to the procedure depending on the operator and institution’s use of ultrasound during emergencies and maintaining sterile technique with the US probe.

Resuscitation 105

Resuscitation Administration Emergency Department Ultrasounds 105

RebelEM

AUGUST 7, 2023

What They Did: Prospective randomized clinical trial Patients randomized to: Delayed Sequence Intubation (DSI): IV ketamine 1.5mg/kg in 0.5 Re-oxygenation with BMV can increase airway-related adverse events (i.e.

Head Injuries 96

Head Injuries Airway Management Outcomes Burns 96

Taming the SRU

AUGUST 4, 2024

The largest retrospective cohort study to date (Beyde et al.) shows that most will improve with empiric antibiotics.

Dislocations 85

Dislocations Emergency Department Documentation/Coding Burns 85

Advanced Emergency Nursing from AENJ

DECEMBER 18, 2014

Thieme. Ten commandments of burn management Gupta J L. Ten commandments of burn management. Indian J Burns 2012;20:7-10 Transfusion ten commandments U.K. The Ten Commandments of Wound Management Ernst, A., Herzog, M., & Seidl, R. Head and Neck Trauma: An Interdisciplinary Approach.

Mass Casualty Incidents 40

Mass Casualty Incidents Burns Urgent Care Pediatrics 40

Northwestern EM Blog

SEPTEMBER 12, 2022

This post will discuss a brief overview of hospital planning and operational setup with key elements of a disaster response from events that cause high numbers of blunt trauma, penetrating trauma, burns or crush injuries that may be seen following explosive events, mass shootings, or large scale motor vehicle collisions, to name a few.

Mass Casualty Incidents 52

Mass Casualty Incidents EMS Hospitals Hazardous Materials 52

ACEP Now

OCTOBER 11, 2024

And it is not lost on me that, as a Black woman from Detroit, I was behind the scenes doing operations but also trying to lead the masses of people. What it meant for there to be a woman of color in that role, and working on operations but also working behind the scenes on policies and decisions that were being made.

Leadership 52

Leadership Operations Burns Emergency Department 52

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. He may need large amounts of fluid down the track as part of his burns management – we’ll calculate this a bit later. Airway compromised by burns. Keep him warm and covered.

Burns 52

Burns Hospitals Ambulance Services Wellness 52

ACEP Now

DECEMBER 10, 2023

Though the health educators often stay only two or three years, Dr. Calderon thinks that turnover rate is ideal because they can operate with full emotional commitment to the program and then move on to new roles in public health. It also allows her to get more underrepresented individuals involved in the program.

Research 52

Research Point-of-Care Testing Burns Academics 52

ACEP Now

JULY 7, 2023

An additional operator should be present at the airway for any intubation deemed to be difficult, notably when using the SALAD technique. Burns B, Habig K, Eason H, Ware S. The SALAD maneuver is an efficient approach to the airway where contamination with blood, secretions or emesis is suspected. Ann Am Thoracic Soc.

Airway Management 45

Airway Management EMS Burns Operations 45

Taming the SRU

AUGUST 30, 2023

However, PCT can be elevated in severe trauma, such as burns or surgery [5,25]. This finding was not significantly different among operators with different levels of experience, or between adults and children. Kinetics & Reference Range: Normal serum levels of PCT are < 0.05

Infectious Diseases 89

Infectious Diseases Sepsis Emergency Department Point-of-Care Testing 89

Pediatric Emergency Playbook

APRIL 1, 2017

11 Beware the “double-ring” sign: this is a button battery13 This is an emergency: the electrolyte-rich mucosa conducts a focal current from the narrow negative terminal of the battery, rapidly causing burn, necrosis, and possibly perforation. Coin en face – in the esophagus – lodged at the thoracic inlet.12 Emergent removal is required.

Pediatrics 52

Pediatrics CPR Operations Resuscitation 52

PEMBlog

JUNE 5, 2024

Central cord syndromes are from hyperextension, and you’ll see weakness that is greater in the upper as opposed to the lower extremities, and transient burning sensation of the hands and fingers. That’s a spine or neurosurgery operation.

Fractures 52

Fractures Pediatrics Radiology Radiology 52

Pediatric Emergency Playbook

JANUARY 1, 2017

Neonatal observational scales have been validated in the intensive care and post-operative settings; ED-specific quantitative scales are lacking. CRIES ( Table 1 ) was validated for post-operative patients; to adapt its use for the ED, the most conservative approach is to substitute “preoperative baseline” with normal range for age.

Pediatrics 40

Pediatrics Soft Tissue Injuries Burns Emergency Department 40

EB Medicine

DECEMBER 4, 2019

The authors note that the air is actually comparable to that of an operating room. Fun fact: planes also take off heavy - with tons of fuel that will be burned prior to landing. Alternatively, you may have to fly in circles for some time to burn fuel off in planes that cannot dump.

Dehydration 40

Dehydration EMS Wellness Burns 40

EMDocs

NOVEMBER 4, 2024

21 Case: A 40-year-old male presents to the ED with a burning epigastric pain that has been worsening over the past week. Pain can be gnawing, aching, burning, and located in the upper abdomen. Tension headaches are characterized by bilateral location and mild to moderate intensity. Pain can be improved or exacerbated with meals.

Emergency Department 105

Emergency Department Fractures Burns EMS 105

Taming the SRU

MARCH 3, 2025

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.

Burns 52

Burns Fluid Resuscitation Emergency Department Resuscitation 52

Sensible Medicine

MARCH 1, 2025

It is hard not to conclude that these changes were a slash and burn operation or, more aptly, an operation to remove a nose to spite a face. The recent layoffs are also penny wise and pound foolish as mostly younger and healthier people, the cheapest to employ and insure, are now gone.

Burns 134

Burns Academics Research Operations 134

EMDocs

MARCH 14, 2024

The Origins of Medicaid Expansion Medicaid is the insurance program for low-income Americans and operates as a federal-state partnership. link] Williams E, Rudowitz R, Burns A. However, not all states have adopted expanded eligibility criteria. Moral imperative”: House overwhelmingly passes Mississippi Medicaid expansion.

Administration 99

Administration Outcomes Burns Operations 99