Pediatric EM Morsels

SEPTEMBER 22, 2023

” Children compensate for blood and volume loss very well… until they don’t. Most commonly caused by fracture or dislocation of vertebrae. While we may allow permissive hypotension in damage control resuscitation of hemorrhagic shock, in neurogenic shock you should maintain an age-appropriate blood pressure.

Shock 304

Shock Pediatrics Dislocations Hyperthermia / Hypothermia 304

Taming the SRU

JANUARY 24, 2024

The case highlights how we as providers can grieve the loss of our patients, as well as the profound relationships with can make with their family members. 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? FOOSH What?

Fractures 89

Fractures Leadership Dislocations Resuscitation 89

RCEM Learning

APRIL 9, 2024

Ensure that you have a solid understanding of the core subjects, including emergency medicine, clinical skills, critical care, resuscitation, and trauma management. Take care of your physical and mental well-being, and ensure you get adequate rest and relaxation.

Infectious Diseases 52

Infectious Diseases Airway Management Dislocations Poisoning 52

Taming the SRU

FEBRUARY 23, 2024

Total RBC count (<500 RBCs in last tube), as well as clearance by the last tube (decrease in RBC count by at least 70% by the last tube), can be used to differentiate between traumatic taps and a SAH. If assessing for SAH, xanthochromia may not appear until 12 hours after onset, though may appear after 2-4 hours.

Pediatrics 75

Pediatrics Ultrasounds Fractures Wellness 75

Mind The Bleep

MAY 1, 2024

If the limb is pale and pulseless this needs urgent referral to vascular as well as orthopaedics and the fracture needs reducing immediately. Appropriate first line management will help protect and resuscitate the soft tissues and keep the fracture still either to allow healing or until definitive management (operative fixation) is possible.

Fractures 52

Fractures Head Injuries Documentation/Coding Dislocations 52

Taming the SRU

OCTOBER 1, 2023

This topic is additionally complicated by the development of multiple diagnostic tools now available for diagnosis as well as variable sizing algorithms used around the world. Blunt trauma can cause rib fracture or dislocation that may injure the visceral pleura. Resuscitation. Rojas R, Wasserberger J, Balasubramaniam S.

Fractures 96

Fractures COPD Hospitals Emergency Department 96

ACEP Now

MARCH 14, 2024

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. Treatment for burns should focus on fluid resuscitation as appropriate based on your institution’s burn protocol per Brooke, Parkland, Rule of 10s etc.

Burns 52

Burns Fluid Resuscitation EKG/ECG EMS 52