Pediatric EM Morsels

SEPTEMBER 22, 2023

” Children compensate for blood and volume loss very well… until they don’t. Physical exam findings of occult shock in children can be subtle. Fortunately, there are screening tools for occult shock. It may, however, be seen preceding or concurrently with neurogenic shock.

Shock 300

Shock Pediatrics Hyperthermia / Hypothermia Dislocations 300

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. 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.

Fractures 86

Fractures Leadership Dislocations Resuscitation 86

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

Friends are getting joint replacements, cancer, and other illnesses, and I am now having some of those same ailments as well. 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.

Hospitals 52

Hospitals Documentation/Coding Fractures 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. J Emerg Trauma Shock. Ann Emerg Med. 1983;12(6):411-412.

Fractures 94

Fractures COPD Hospitals Emergency Department 94

EB Medicine

NOVEMBER 1, 2018

Nachi: Each year, in the US, approximately 10,000 patients present with electrical burns or shocks. Pay attention to the entry and exit sites, as the pathway of the shock is predictive of the potential for myocardial injury and arrhythmia. Jeff: Vascular injuries include coagulation necrosis as well as thrombosis.

Emergency Department 40

Emergency Department Burns EKG/ECG Shock 40

Northwestern EM Blog

DECEMBER 27, 2021

Marc Sala, summarize the current literature on the peripheral infusion of vasopressors, which is becoming more and more commonplace as the evidence evolves to support earlier initiation of pressors and more judicious use of crystalloid for many forms of shock.

Dislocations 52

Dislocations Emergency Department Burns Shock 52