Pediatric EM Morsels

SEPTEMBER 22, 2023

Physical exam findings of occult shock in children can be subtle. Fortunately, there are screening tools for occult shock. A (sorta) Quick Blurb about Spinal Shock If you, like me, have recently had to go back to review the difference between spinal and neurogenic shock , here is a quick refresher on the topic.

Shock 304

Shock Pediatrics Hyperthermia / Hypothermia Dislocations 304

Taming the SRU

JANUARY 24, 2024

ETT Depth = ETT size x3 initial defibrillation: 2J/kg (next shock is 4J/kg) Toxicology Quick Hits Fomepizole is the treatment for both polyethylene glycol and methanol toxicity. Orthopedic Injuries Quick Hits Upper Extremity Injuries Galeazzi Fracture How? reduction, elbow cast, +/- ORIF Monteggia Fracture How? FOOSH What?

Fractures 89

Fractures Leadership Dislocations Resuscitation 89

EMDocs

MARCH 30, 2024

3,4 Risk factors include engaging in high energy activities, consumption of large amounts of alcohol, osteoporosis, and previous thoracic or lumbar fractures. Intervertebral disks lie between vertebrae and act as shock absorbers. 10 Spinal Fracture Classification 11 There are multiple different classification systems available.

EMS 104

EMS Fractures Emergency Department Dislocations 104

Taming the SRU

JANUARY 10, 2024

Therefore this should remain high on the differential if a patient with history of SCAD presents with similar symptoms. della porta & Hajdu Alcohol withdrawal syndrome is a highly prevalent and morbid condition.

EKG/ECG 93

EKG/ECG Shock Fractures Dislocations 93

Taming the SRU

OCTOBER 1, 2023

Blunt trauma can cause rib fracture or dislocation that may injure the visceral pleura. PPV, rib fractures, and decreased GCS were predictive of conservative management failure [23]. J Emerg Trauma Shock. 89% of patients with PTX under this cutoff were successfully observed. Ann Emerg Med. 1983;12(6):411-412.

Fractures 96

Fractures COPD Hospitals Emergency Department 96

ACEP Now

MARCH 14, 2024

Electrical injuries—excluding lightning injuries—account for roughly 10,000 nonfatal shock incidents a year and 500 deaths a year. 4,5 High voltage injuries can throw a victim from the electrical source, lead to falls, and cause forceful tetany with spinal hyperextension injuries or joint dislocations. Click to enlarge.)

Burns 52

Burns Fluid Resuscitation EKG/ECG EMS 52

ACEP Now

AUGUST 15, 2023

When I fracture-dislocated my ankle on Mount Rainier, there was no one to do the emergency reduction; so, aided by a rush of endorphins and the lack of swelling, I did it myself. This was shocking to me. On the other hand, being a do-it-yourself physician can come in handy. Many of these occurred at “world class” institutions.

Hospitals 52

Hospitals Documentation/Coding Fractures Dislocations 52