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Chemical Burns

Mind The Bleep

Chemical burns are a unique subset of burns that require specialised management due to the nature of the substances involved. The majority of acid burns cause coagulative necrosis and cytotoxicity leading to skin and mucosal changes that limit deeper injury. Keep the patient warm using force air warmers such as Bairhugger.

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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 73
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REBEL Core Cast 103.0 – Caustic Ingestions

RebelEM

Clinicians are encouraged to call their local regional toxicologist and poison control center whenever a caustic ingestion poisoning is suspected. Management Always consider calling your local toxicologist or regional poison control center, as even substances with a neutral pH may have caustic potential. N Engl J Med.

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Beyond the Burns: Toxic House Fire Gases

Northwestern EM Blog

The post goes into detail on the pathophysiology, signs, symptoms, and diagnosis of both carbon monoxide and cyanide poisonings, so this commentary will focus on the clinical approach. An elevated lactic acid is a surrogate for cyanide poisoning, specifically a level of 8-10 mmol/L or greater is sensitive and should prompt intervention.

Burns 52
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ACMT Toxicology Visual Pearls: A Meal Worth Dying For

ALiEM

Pufferfish, also known as fugu, is served as a delicacy and perioral numbness is a well-known effect [4]. What is the clinical presentation of tetrodotoxin poisoning following pufferfish ingestion? [4, A cluster of tetrodotoxin poisoning in Oman. Case Report of Tetrodotoxin Poisoning from Lagocephalus sceleratus in Lebanon.

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Grand Rounds Recap 1.31.24

Taming the SRU

Vaughan SJS/TEN and DRESS are life-threatening drug reactions that require immediate discontinuation of the drug and specialist involvement In SJS/TEN, if >10% skin involvement or worsening symptoms, transfer the patient to a Burn Center DRESS has characteristic multi organ involvement, so a high level of suspicion for complications should be maintained (..)

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Toxicology Answer: The Capsaicin Found in Hot Peppers and Chilis

ACEP Now

degress Fahrenheit), caustics (low pH), and voltage—causing a Ca++ and Na+ action potential influx that confers the sensation of pain and burning to the brain. They are found in large numbers in the mouth, throat, and stomach, as well as throughout the body. Referral for ophthalmology for patients with signs of corneal damage.

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