Emergency Department, Hyperthermia / Hypothermia and Sepsis

emDOCs Revamp: Alcohol Withdrawal

EMDocs

DECEMBER 18, 2024

A 36-year-old male presents to the emergency department after being found down at home by his spouse. This series provides evidence-based updates to previous posts so you can stay current with what you need to know. Per the mans wife, the patient is a heavy drinker often consuming two to three pints of vodka daily.

Seizures

Seizures Emergency Department Hyperthermia / Hypothermia EMS

Bullous Skin Lesions, Meet Emergency Medicine

Taming the SRU

AUGUST 27, 2024

Mortality rates related to bullous skin lesions are typically related to disruption of the skin barrier and include subsequent dehydration, electrolyte imbalances, hypothermia, increased metabolic needs, and secondary infection leading to bacteremia and/or sepsis. What can you do from the Emergency Department if suspected?

Emergency Department

Emergency Department Dehydration Burns Sepsis

Penetrating chest trauma

Don't Forget the Bubbles

JUNE 30, 2023

Importantly, there were no differences between the groups regarding complications, including acute respiratory distress syndrome, multiple organ failure, venous thromboembolism, sepsis, and transfusion-related complications. b) Emergency thoracotomy Let’s be clear: YOU will not be doing any of this.

Resuscitation

Resuscitation Operations Sepsis Pediatrics

Bubble Wrap PLUS – August 2024

Don't Forget the Bubbles

AUGUST 4, 2024

Morris and colleagues investigated the efficacy of refrigerated gel packs for therapeutic hypothermia in neonatal retrieval. They used servo-controlled therapeutic hypothermia (versus passive hypothermia) and found no major difference in outcome. Neonatal bacterial sepsis. More studies on this topic will surely follow.

Hyperthermia / Hypothermia

Hyperthermia / Hypothermia Pediatrics Burns Sepsis

Bubble Wrap PLUS – May 2023

Don't Forget the Bubbles

MAY 17, 2023

This month’s list features answers to intriguing questions such as: ‘ Is the neonatal sepsis calculator useful if women were not screened for GBS? ’, ‘ Who can best score postoperative pain: parents or the children? ’, ‘ Is functional constipation associated with hypohydration? Diagnosis and Management of Pituitary Adenomas: A Review.

Pediatrics

Pediatrics X-Ray Interpretation Sepsis Fractures

Grand Rounds Recap 4.5.23

Taming the SRU

APRIL 13, 2023

Vaishnav Hyperthermia: abnormally high body temperature due to thermoregulatory failure Severe hyperthermia: temp greater than 40.5C stent, percutaneous nephrostomy) by urology or IR Hypokalemia evaluate for EKG changes assess for underlying cause and factors that may influence ability to replete (i.e.

Hyperthermia / Hypothermia

Hyperthermia / Hypothermia Poisoning EKG/ECG Seizures

Neonatal Hypotension

Don't Forget the Bubbles

NOVEMBER 18, 2024

Sepsis: This can induce widespread vasodilation and capillary leak, exacerbating hypotension. The other important moment to always think of the heart (sorry, cardiologists, I don’t think about the heart 24/7) is when a collapsed neonate presents to your emergency department, especially if blood pressure is present.

Sepsis

Sepsis Shock Hyperthermia / Hypothermia Administration

Bubble Wrap PLUS – October 2024

Don't Forget the Bubbles

OCTOBER 2, 2024

Children often spend many hours in the emergency department (ED) before being sent home or admitted. In this issue of Pediatrics , Leyenaar and colleagues reported on a trial to compare the effectiveness of direct admission to bypass their emergency departments. Pecenka C, et al. 2024 Sep 21;404(10458):1157-1170.

Pediatrics

Pediatrics Hyperthermia / Hypothermia Emergency Department Urgent Care

Grand Rounds Recap 4.19.23

Taming the SRU

MAY 1, 2023

A retrospective evaluation of phenobarbital versus benzodiazepines for the treatment of alcohol withdrawal in a regional Canadian emergency department Link: [link] Bottom Line: This study in a small regional ED showed a QI project rolling out a Phenobarbital or Diazepam for Alchohol withdrawal syndrome. and NPV(50%).

Poisoning

Poisoning Hyperthermia / Hypothermia Seizures Emergency Department

Issue #5: The Latest in Critical Care, 6/19/23

PulmCCM

JUNE 19, 2023

No drug or combination improved the primary outcome (a composite outcome of hypoxemia, visit to the emergency department, hospitalization, or death). Sepsis was a main trigger, and hypothermia and shock were as common (>50%) as coma. That was in NEJM Aug 18 2022. and FT4 (0-7.8

Infectious Diseases

Infectious Diseases Outcomes Hyperthermia / Hypothermia Sepsis

Vasopressor Nonresponse

Northwestern EM Blog

JANUARY 24, 2022

Acidosis Acidosis in shock states can present from multiple different sources, including sepsis, hypoxemia, ingestions, hyperlactatemia from hypoperfusion, amongst others. Hypothyroidism and Adrenal Insufficiency in Sepsis and Hemorrhagic Shock. Emergency Medicine Clinics of North America. Curr Opin Crit Care. 2008;14:379-83.

Anaphylaxis

Anaphylaxis Shock Sepsis Resuscitation

Going beyond the surface material: A podcast episode on cellulitis

PEMBlog

JANUARY 17, 2024

Full blown sepsis and toxic shock syndrome. So fever or hypothermia, extreme tachycardia, tachypnea, altered consciousness, a very unwell appearance, or even hypotension. Well, you definitely shouldn’t be sending a blood culture because if you’re worried about bacteremia and sepsis, that kid needs to stay in the hospital.

Infectious Diseases

Infectious Diseases Sepsis Wellness Pediatrics

Are we on the right TRACT?

Don't Forget the Bubbles

JANUARY 10, 2024

Let’s take the humble blood transfusion – used in emergency departments across the globe and playing a key role in critical care. Sepsis indicators and malaria positivity did not modify the risk. Transfusion Decisions in Severe Anaemia Reducing child mortality remains high on the global health agenda. Do you believe the results?

Blood Transfusions

Blood Transfusions Outcomes Research Hospitals

emDOCs Revamp – Acute Chest Syndrome

EMDocs

JUNE 27, 2024

Intranasal fentanyl and discharge from the emergency department among children with sickle cell disease and vaso-occlusive pain: A multicenter pediatric emergency medicine perspective. -smoke, high ozone levels, smog) Asthma/reactive airway disease (RAD) Diagnostic criteria 7,8 Respiratory symptoms +/- fever (at least 38.0

Pediatrics

Pediatrics Dehydration EMS Hospitals

Acute Hyperthermia in the Emergency Department

Taming the SRU

APRIL 26, 2023

First aid cooling techniques for heat stroke and exertional hyperthermia: A systematic review and meta-analysis. Classification of sepsis, severe sepsis and septic shock: the impact of minor variations in data capture and definition of SIRS criteria. Evidence-Based Heatstroke Management in the Emergency Department.

Hyperthermia / Hypothermia

Hyperthermia / Hypothermia Emergency Department Stroke Sepsis