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His CT scan showed extensive cranial fractures, traumatic subarachnoid haemorrhage, and intraparenchymal haemorrhage. Targeted temperature management (TTM) is the induction of varying degrees of patient temperature targeting within Paediatric Intensive Care Unit (PICU): Therapeutic hypothermia- induction of varying degrees of hypothermia.
The post EM Quick Hits 30 Scaphoid Fracture, Therapeutic Hypothermia, HEADS-ED, Pelvic Trauma, Kratom, Femoral Lines appeared first on Emergency Medicine Cases.
Most commonly caused by fracture or dislocation of vertebrae. Shunting of blood to the extremities results in thermal dysregulation and subsequent hypothermia. Pathophysiology Primary injury happens at the time of the traumatic event or shortly after in the high cervical to mid-thoracic spine.
Most common traumatic injuries are fractures, TBIs, and thoracic or abdominal injuries. Severely burned patients have impaired thermoregulation and are at risk of hypothermia. Immediate goals are addressing the airway and hemodynamic instability. Always consider trauma and toxic exposure in the burn patient.
Distribution and pattern of hand fractures in children and adolescents. Increased fracture risk among children diagnosed with attention- deficit/hyperactivity disorder: a large matched cohort study. To feed or not to feed during therapeutic hypothermia in asphyxiated neonates: a systematic review and meta-analysis. Pediatrics.
He sustained a femur fracture, splenic laceration, and blunt head trauma – the so-called Waddell’s triad. The Trauma Death Spiral Lethal triad of hypothermia, acidosis, and coagulopathy. Rib fractures on CXR predict pulmonary contusions. On arrival, he was in compensated shock, with tachycardia. He decompensates and needs blood.
A more detailed but voluntary reporting of medical care indicated (note only a quarter of rescues had this information gathered) that 32% were suspected lower limb fractures (the casualty can no longer mobilise hence the callout), and soft tissue injuries making up the rest of lower limb issues.
This appears to be immediately beneath the sternal fracture. However, his cardiac MRI shows scar that is also possibly associated with his sternal fracture given his location. At this point, recommend a short-term follow-up cardiac MRI tailored to evaluation of the right ventricle, in a few days after patient recovery.
Neil Long Merry Funtabulously Frivolous Friday Five 354 Funtabulously Frivolous Friday Five 354 - Christmas - Just when you thought your brain could unwind, enter the medical trivia of FFFF.
Pull straight any fractures & splint them. Of course any fluids given should be warmed to help avoid the lethal triad – acidosis, coagulopathy and hypothermia. Belly needs to be evaluated for bleeding – there was initial concern re; LUQ pain – perhaps a splenic injury? Remember to apply splints to skin!
Acute and reversible J waves are called "Osborn waves" and are often associated with hypothermia which can also induce ventricular arrhythmias (3), where their size correlates with colder temperatures and resolves with warming (5). Hypothermia can also produce bradycardia and J waves, with a pseudo-STEMI pattern. J wave syndromes.
doxycycline Consider a splint/cast window to allow direct monitoring mainly used for fracture blisters and/or open wounds yet takes away from the strength of the splint/cast Case #3 43yo with FOOSH injury and closed wrist deformity, yet no x-ray machine is available to you Least likely injuries to need an x-ray in a resource-limiting setting?
Recovery from profound lactic acidosis, hyperthermia, and rhabdomyolysis. tetani infection is also indicated. Clin Toxicol. 1970;3(2):267-273. doi:10.3109/15563657008990475 Boyd RE, Brennan PT, Deng JF, Rochester DF, Spyker DA. Strychnine poisoning. 1983;74(3):507-512. doi:10.1016/0002-9343(83)90999-3 Hardin J, Griggs R. The Lancet.
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