RebelEM

APRIL 29, 2024

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.

Resuscitation 105

Resuscitation Administration Emergency Department Hospitals 105

Taming the SRU

JUNE 24, 2024

Conduction Abnormalities AV blocks, which can also be seen in patients with MI, may require pacing as well, due to ischemia affecting the electrical pathways of the heart. Skin burns and irritation can also result from the pacing pads and cause pain. Sedation can be adequately achieved with benzodiazepines.

Advances Cardiac Life Support (ACLS) 89

Advances Cardiac Life Support (ACLS) CPR Burns Resuscitation 89

EM Curious

MAY 14, 2015

Onto the FOAMed USING ULTRASOUND TO IDENTIFY THE CRICOTHYROID MEMBRANE: [VIDEO]: Thank you PHARM for finding this excellent instructional video by AirwayOnDemand on ultrasound anatomy of the trachea for surgical airway planning. Is CT only in 6 hours is ready for prime time? Listen here. Do you know the causes of methemoglobinemia?

Ultrasounds 52

Ultrasounds Poisoning EMS Burns 52

Taming the SRU

AUGUST 4, 2024

We discussed some practices to push learners outside of their comfort zone and promote learning, based on their level as well as their goals for the shift.

Emergency Department 85

Emergency Department Dislocations Documentation/Coding Burns 85

EB Medicine

APRIL 30, 2017

In it, co-authors Emily Singer Fisher, MD, and Boyd Burns, DO, FACEP, FAAEM, both of the University of Oklahoma School of Community Medicine, cover evidence published in 190 articles, and 10 reviews from the Cochrane database, as well as current guidelines issued by the American Heart Association and the American College of Cardiology Foundation.

Outcomes 40

Outcomes Best Practices Burns Ultrasounds 40

ACEP Now

AUGUST 29, 2023

Our program pairs training at one of the busiest emergency departments in the country at a nationally recognized county, safety-net, Level I Trauma and Regional Burn Center (MetroHealth) with a world-renowned quaternary academic referral center (Cleveland Clinic). What does your program offer that residents can’t get anywhere else?

Academics 52

Academics Burns Emergency Department Ultrasounds 52

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

Pediatric Emergency Playbook

DECEMBER 1, 2015

Victims of electrical injuries present either in extremis or as the seeming well patient with insidious, developing disease. Most patients do well, and the burn heals by secondary intention. Most patients do well, and the burn heals by secondary intention. Ultrasound can be used to troubleshoot when needed.

Burns 40

Burns Emergency Department EKG/ECG Shock 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. Intubation for humanitarian reasons is also reasonable – he’ll be in pain and this is not the time to be faffing around with the ultrasound or nerve stimulator doing blocks!

Burns 52

Burns Hospitals Wellness Ambulance Services 52

Northwestern EM Blog

DECEMBER 27, 2021

Take-Home Point: Bedside pericardiocentesis is a rare but important procedure that can be performed emergently using ultrasound or landmark guidance. Despite previous black box warnings on droperidol causing it to fall out of favor, it is safe and well-tolerated at the doses typically used in an emergency department setting.

Dislocations 52

Dislocations Emergency Department Burns Shock 52

PEMBlog

OCTOBER 2, 2024

Children with respiratory conditions and chronic lung disease like asthma are more prone to GERD as well. It’s a burning sensation in the chest or epigastrium, and that is the classic symptom in this age group. So, the parents may say, well, he Doesn’t ever seem full. Well, baby doesn’t know how to be full.

Pediatrics 52

Pediatrics Emergency Department Ultrasounds Wellness 52

PulmCCM

SEPTEMBER 13, 2021

While more detailed analyses are available for the keen reader [1-3], this brief approach will consider a simplified model first proposed well over a century ago. Taylor KJW, Burns PN, Wells PNT: Clinical Applications of Doppler Ultrasound. The pulse is not blood pressure , nor is the pulse blood flow.

Burns 40

Burns Stroke Ultrasounds Wellness 40

Pediatric Education

JUNE 16, 2024

She denied any actual pain or burning sensations, nausea, emesis, or abnormal tastes in her mouth. ” The patient’s clinical course 1 month later when she returned for her well examination showed that her symptoms had improved but hadn’t totally resolved. She had no voice changes or hoarseness.

Psychiatric 40

Psychiatric Pediatrics Burns Ultrasounds 40

Pediatric Emergency Playbook

JANUARY 1, 2017

Tachycardia, tachypnea, and a change in behavior can be indicators not only to the presence of pain, but possibly to its etiology as well. For children greater than one year who are preverbal, a well performing scale is the FLACC score: Face, Legs, Activity, Cry, Consolability ( Table 3 ).

Pediatrics 40

Pediatrics Soft Tissue Injuries Burns Emergency Department 40

Taming the SRU

AUGUST 30, 2023

As the name would suggest, inflammatory markers are biological markers of, well, inflammation. However, PCT can be elevated in severe trauma, such as burns or surgery [5,25]. Instead, they strongly advocated for the use of lung ultrasound to diagnose bacterial CAP [45].

Infectious Diseases 88

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

EMDocs

JULY 15, 2023

She has had pruritus and swelling to the site accompanied by a painful burning sensation and a couple “painful knots” on her right inguinal region. The patient reported feeling better, pain and other symptoms were well controlled 24 hours after starting antibiotics and pain medication. No fungal infections are identified on the feet.

EMS 66

EMS Infectious Diseases Shock Ultrasounds 66

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. She denies any trauma, swelling, or redness in the joints, as well as fever or weight loss. Journal of Osteopathic Medicine.

Emergency Department 99

Emergency Department Fractures Burns EMS 99