Don't Forget the Bubbles

JUNE 30, 2023

Again, there was no increase in thrombotic stroke in the TXA group – TXA looks safe. Survival was better, both at 24 hours and six months, in the TXA group, although the primary outcome, a quality of life score at six months, called the Glasgow Outcome Scale Extended (GOS-E), was the same in both groups ( 53.7% in the placebo group).

Head Injuries 145

Head Injuries Seizures Pediatrics Outcomes 145

Taming the SRU

AUGUST 4, 2024

Wound healing is faster with Dermabond compared to sutures, and can be useful as a less-painful technique to repair certain wounds Dermabond differs from non-medicinal superglue because it is sterile, is more flexible, and ultimately less brittle than standard superglue There have been care reports of non-medicinal glue (superglue, nail glue, etc.)

Dislocations 85

Dislocations Emergency Department Documentation/Coding Burns 85

ACEP Now

APRIL 2, 2024

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. Oral exposure creates a spicy burning sensation (or pungency) in the mouth that can extend to the throat and stomach (and eventually the rectum—“ fire tuchus ”).

Burns 40

Burns Poisoning Seizures Stroke 40

Don't Forget the Bubbles

FEBRUARY 5, 2025

E.g. burns, neurosurgery, interventional radiology. It can cause significant internal injuries, including carotid artery dissection, stroke, and acquired brain injury, but in 50% of patients, there are no external signs of injury. Approximately 20,000 victims in the UK experience strangulation each year.

Domestic Violence 59

Domestic Violence Fluid Resuscitation Head Injuries Sexual Assault 59

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

FEMinEM

MARCH 3, 2021

Multiple strokes had left her paraplegic and a master of predicting her next urinary tract infection. My grandchildren no longer engage in conversation with me at the holiday dinner table and my daughter is afraid I’ll burn myself when I offer to help with the mash potatoes.

Emergency Department 52

Emergency Department Burns Stroke Hospitals 52

Pediatric Education

OCTOBER 29, 2023

Common fine particulate matter < 2.5 µm ( PM 2.5 ) sources include the natural sources of biomass burning, coal burning, road and soil dust, sea spray aerosols, wildfire particles, and volcanic dust. Human sources of PM 2.5 include residential cooking and heating, farming, fossil fuel combustion, heavy industry, and smoking.

Burns 40

Burns Pediatrics Stroke 40

PulmCCM

SEPTEMBER 13, 2021

This is analogous to a left ventricle with constant stroke volume and heart rate, respectively. Taylor KJW, Burns PN, Wells PNT: Clinical Applications of Doppler Ultrasound. However, the following model should dispel some of these half-truths. This pump is attached to a short steel tube with an internal diameter of, say, 6 millimetres.

Burns 40

Burns Stroke Ultrasounds Wellness 40

Pediatric Emergency Playbook

NOVEMBER 1, 2015

That is not usually a problem, but for those with preexisting or inducible hyperkalemia, it can precipitate an arrest, as in renal failure, underlying neurologic or myopathic conditions like multiple sclerosis, muscular dystrophy, ALS, or those who had a stroke or a burn more than 72 hours prior.

Shock 40

Shock Sepsis Airway Management Pediatrics 40

Taming the SRU

AUGUST 30, 2023

However, PCT can be elevated in severe trauma, such as burns or surgery [5,25]. Notably, PCT is not elevated in noninfectious inflammatory conditions including most rheumatological diseases, gout, SLE, and IBD. 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

JANUARY 1, 2017

Use soothing sensory measures: speak softly, offer a pacifier, and stroke the skin softly. Pediatric burns should be assessed carefully and treated aggressively. Minor burns can be treated topically and with oral medications. Minor burns can be treated topically and with oral medications. Emerg Med Australas.

Pediatrics 40

Pediatrics Soft Tissue Injuries Burns Emergency Department 40

Dr. Smith's ECG Blog

DECEMBER 5, 2023

References Law YM, Lal AK, Chen S, Čiháková D, Cooper LT Jr, Deshpande S, Godown J, Grosse-Wortmann L, Robinson JD, Towbin JA; American Heart Association Pediatric Heart Failure and Transplantation Committee of the Council on Lifelong Congenital Heart Disease and Heart Health in the Young and Stroke Council. Circulation. doi: 10.1161/CIR.0000000000001001.

Pediatrics 122

Pediatrics EKG/ECG Hospitals Burns 122

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

Sensible Medicine

MARCH 7, 2025

She is very anxious, almost distraught, because she thinks these symptoms are the same as the ones that her sister had before she died of a hemorrhagic stroke. She is worried she might be having a fatal stroke. FH is a 66-year-old woman who comes in for an urgent visit because she has been feeling woozy for two days.

Stroke 69

Stroke Burns 69

Taming the SRU

JUNE 6, 2023

MULLEN Case #1 Young male presenting with a left eye injury with concerns of wood particles in his eye On exam, reduced visual acuity and small amount of fluorescein uptake noted Initial concern for corneal FB First attempt for removal with a cotton swab Then called ophthalmology, who had concern for corneal laceration & subtle positive Seidel's (..)

Documentation/Coding 64

Documentation/Coding Seizures Psychiatric Wellness 64

ALiEM

NOVEMBER 18, 2024

A 48-year-old male with no significant past medical history presented to the Emergency Department with a left-sided facial rash and associated burning left eye pain that started four days prior. He was seen at an ophthalmology clinic when his symptoms started and given oral valacyclovir which he took for three days without improvement.

Burns 70

Burns Stroke Academics Emergency Department 70

EMDocs

JANUARY 6, 2025

These patients suffer from untreated physical injuries, including gunshot wounds, shrapnel, accidents, envenomations, sequelae of physical or sexual assault, and heat exhaustion/heat stroke. Physical injuries and burns among refugees in Lebanon: implications for programs and policies. In: CDC Yellow Book 2024. Confl Health.

Infectious Diseases 72

Infectious Diseases CDC PPE Rapid Diagnostic Testing 72