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

Emergency Medicine Cases

SEPTEMBER 12, 2023

The post EM Quick Hits 51 – Methylene Blue in Septic Shock, TMJ Dislocation, Crohn’s Disease, Analgesia for Renal Colic, Inhaled Steroids for Asthma, Hypocalcemia in Bleeding Trauma Patients appeared first on Emergency Medicine Cases.

Dislocations 91

Dislocations Shock EMS Sepsis 91

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. fracture of proximal 1/3 of ulna w/ radial head dislocation Management? fracture of distal 1/3 of radial shaft w/ distal radioulnar joint injury Management?

Fractures 89

Fractures Leadership Dislocations Resuscitation 89

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

Taming the SRU

OCTOBER 1, 2023

Blunt trauma can cause rib fracture or dislocation that may injure the visceral pleura. Unsuspected tension pneumothorax as a hidden cause of unsuccessful resuscitation. J Emerg Trauma Shock. Resuscitation. Rojas R, Wasserberger J, Balasubramaniam S. Ann Emerg Med. 1983;12(6):411-412. 2008;1(1):34-41. 2020;4(1):21-25.

Fractures 96

Fractures COPD Hospitals Emergency Department 96

EB Medicine

NOVEMBER 1, 2018

Thankfully, that gentleman was successfully resuscitated despite no bystander CPR, and if you listen carefully, we hope to arm you with the tools to do so similarly. Nachi: Each year, in the US, approximately 10,000 patients present with electrical burns or shocks. Thankfully, fatalities are declining, with just 565 in 2015.

Emergency Department 40

Emergency Department Burns EKG/ECG Shock 40

EMDocs

JUNE 3, 2023

4 Patients with pelvic fractures are considered unstable when systolic blood pressure < 90mmHg and heart rate >120bpm, or in those with dyspnea, altered mental status, or skin findings of shock. Limb-length discrepancy is not often apparent in pelvic fractures and would be more suggestive of a femoral fracture or dislocation.

Fractures 60

Fractures Resuscitation Operations EMS 60