Sensible Medicine

DECEMBER 18, 2023

That is my conclusion as well, and I favor large, pragmatic randomized trials in adults and kids with staggered starting times (adults first — to protect kids from harms we may not yet know). If the AAP continues in this direction, they will burn through any remaining credibility. Better food? An exercise coach?

Pediatrics 141

Pediatrics Documentation/Coding Burns Academics 141

Dr. Smith's ECG Blog

JANUARY 5, 2024

Written by Willy Frick A 46 year old man with a history of type 2 diabetes mellitus presented to urgent care with complaint of "chest burning." Smith comment: No patient over 25 years of age with unexplained chest burning should be discharged without a troponin rule out, no matter how normal the ECG. The following ECG was obtained.

EKG/ECG 95

EKG/ECG Burns Urgent Care Documentation/Coding 95

Pediatric EM Morsels

AUGUST 11, 2023

Having authored 575 ( well, now 576 ) of them, I am often quite convinced that there are no new topics to discuss. This is the 601st Ped EM Morsel ! Then July happens and we get 14 more amazing interns who help educate me and remind me that there is always more to learn.

Burns 130

Burns Pediatrics EMS Outcomes 130

Taming the SRU

FEBRUARY 7, 2024

Vaughan SJS/TEN and DRESS are life-threatening drug reactions that require immediate discontinuation of the drug and specialist involvement In SJS/TEN, if >10% skin involvement or worsening symptoms, transfer the patient to a Burn Center DRESS has characteristic multi organ involvement, so a high level of suspicion for complications should be maintained (..)

Administration 87

Administration PPE Ultrasounds Poisoning 87

ACEP Now

AUGUST 29, 2023

Our program pairs training at one of the busiest emergency departments in the country at a nationally recognized county, safety-net, Level I Trauma and Regional Burn Center (MetroHealth) with a world-renowned quaternary academic referral center (Cleveland Clinic). What does your program offer that residents can’t get anywhere else?

Academics 52

Academics Burns Emergency Department Ultrasounds 52

Medagadget

OCTOBER 31, 2023

This brings us to the burning question: does it work? It works pretty well, especially with the up-to-40X digital amplification. But what’s more critical is the ability to visualize and analyze data in real-time, as well as the options to record, save data, and share data. In short, yes.

EKG/ECG 91

EKG/ECG Burns Wellness Telemedicine 91

Pediatric Education

JULY 16, 2023

The pertinent physical exam showed a well-appearing female with growth parameters between 10-25% and normal vital signs. They are common after burns and develop within 3 months of skin injury. In addition to mechanical problems due to their location or size, they often cause pain, tenderness, burning or pruritis.

Burns 40

Burns Pediatrics Wellness 40

EMDocs

DECEMBER 4, 2023

The Wells’ Criteria for DVT can help risk stratify [2,3]. If the patient’s Wells score is ≤ 0, DVT is nearly clinically excluded and no further immediate lab or ultrasound is necessary. In patients with a Wells’ score of 1-2 (moderate risk), DVT can be ruled out with a negative d-dimer rather than an US.

Ultrasounds 69

Ultrasounds Wellness Documentation/Coding EMS 69

The Skeptics' Guide to EM

OCTOBER 31, 2020

She is the host of EM Bootcamp in Las Vegas, as well as a usual speaker and faculty member for The Center for Continuing Medical Education (CCME). She is the host of EM Bootcamp in Las Vegas, as well as a usual speaker and faculty member for The Center for Continuing Medical Education ( CCME ).

Burns 52

Burns Emergency Department EMS Wellness 52

RebelEM

JULY 20, 2023

EMS radios in for a burn patient and to anticipate a difficult airway. The patient is horribly burned. She was smoking with her home O2 on and has severe mixed partial and full thickness burns to the chest, neck, face, and airway. INTRODUCTION You’re moonlighting in a remote access hospital. They’re rolling up now.

EMS 65

EMS Burns Airway Management Wellness 65

Emergency Medicine Journal

NOVEMBER 28, 2023

Journals reviewed were Archives of Disease in Childhood, BMJ Emergency Medicine, and the Lancet Adolescent and Child Health; as well as published studies by the Paediatric Emergency Research in the UK and Ireland (PERUKI) Network. Frayne SM, Burns RB, Hardt EJ, Rosen AK, Moskowitz MA. 2015 [cited 2022 Nov 17]. Available from: [link] 2.

Research 40

Research Burns Wellness 40

Taming the SRU

NOVEMBER 4, 2023

D Thompson and Goel C-spine Imaging: NEXUS is a large, well-done study validating criteria for low-risk of cervical injury that are easy to remember and use at the bedside, and is used in our clinical decision guidelines on AgileMD. Eschars can form quickly and cause limited expansion of the torso and compartment syndrome of the extremities.

Hyperthermia / Hypothermia 74

Hyperthermia / Hypothermia Resuscitation Burns Emergency Department 74

Ziqitza HealthCare Ltd

JULY 19, 2023

In this blog, we will discuss indoor exercise routines for rainy days, outdoor activities and safety precautions, the importance of warm-up and stretching, cardiovascular and strength training exercises, and yoga and meditation for wellness with Ziqitza Health care limited. Set up a serene space in your home and follow online yoga classes.

Ambulance Services 52

Ambulance Services Wellness Burns 52

ALiEM

OCTOBER 11, 2023

Pufferfish, also known as fugu, is served as a delicacy and perioral numbness is a well-known effect [4]. Shebl E, Mirabile VS, Sankari A, Burns B. It is thought that the “spread” of toxicity from pufferfish across the world may be secondary to increasing global water temperatures [8]. How CK, Chern CH, Huang YC, Wang LM, Lee CH.

Poisoning 81

Poisoning Burns Wellness Outcomes 81

American Medical Compliance

JULY 31, 2023

Symptoms of Dysphagia Signs and symptoms associated with dysphagia can include: pain while swallowing, inability to swallow, drooling, hoarseness, regurgitation, weight loss, frequent heart burn, among others. Flexible Endoscopic Evaluation of Swallowing with Sensory Testing (FEESST) will be used initially by HCP.

Stroke 52

Stroke Burns Wellness 52

RebelEM

APRIL 29, 2024

CVC vs PIV The critically ill patient is often associated with pathology that makes IV access difficult such as shock state, hypovolemia, obesity, IV drug abuse, end-stage renal disease, cardiac arrest, as well as other conditions. Studies have compared IO to peripheral intravenous (PIV) and central venous (CVC) access for resuscitation.

Resuscitation 102

Resuscitation Administration Emergency Department Hospitals 102

Ziqitza HealthCare Ltd

APRIL 29, 2024

People usually complain of a feeling of burn or heaviness in the chest. Another way to make healthy lifestyle choices is by maintaining a proper sleep schedule, engaging in regular exercise, and avoiding habits that disrupt your mental health and well-being. Let us learn about some typical ones.

Stroke 52

Stroke Ambulance Services Burns EKG/ECG 52

ACEP Now

AUGUST 15, 2023

While there has been ample discussion of “the practice of mindfulness” in health care workers that improves mental well-being, when do we have this time? However, expressing genuine gratitude for yourself and others is powerful for your mental and physical well-being. However, they should not define our wellness. Acta Clin Belg.

Emergency Department 90

Emergency Department Military Wellness Resuscitation 90

Taming the SRU

MAY 11, 2024

Of note, HTS is more effective in trauma patients because it is used as a resuscitative fluid as well. 3% HTS will lower ICP about 25-30% in about 15 minutes and does not appear to be more efficacious compared to mannitol. Should it be given in the prehospital setting?

Administration 81

Administration Resuscitation Research Fluid Resuscitation 81

Emergency Medicine Ireland

DECEMBER 3, 2020

All that being said it’s worth being aware that there are some major pieces of guidance out there and you would do well to have a passing correspondence with them. I would highly recommend attending an excellent lecture given by your ICU dietician which is just possibly where this entire summary came from.

Burns 52

Burns Sepsis EMS Wellness 52

RebelEM

AUGUST 7, 2023

This helps relieve agitation/pain while maintaining spontaneous breathing and airway reflexes allowing for adequate pre-oxygenation as well as facilitates other resuscitation interventions including IV access, vasopressors, fluids, etc. that would not be possible in an agitated/combative patient.

Head Injuries 85

Head Injuries Outcomes Airway Management Burns 85

Pediatric Emergency Playbook

DECEMBER 1, 2015

Victims of electrical injuries present either in extremis or as the seeming well patient with insidious, developing disease. Most patients do well, and the burn heals by secondary intention. Most patients do well, and the burn heals by secondary intention. Injury from electrical burns can be subtle.

Burns 40

Burns Emergency Department EKG/ECG Shock 40

EB Medicine

APRIL 30, 2017

In it, co-authors Emily Singer Fisher, MD, and Boyd Burns, DO, FACEP, FAAEM, both of the University of Oklahoma School of Community Medicine, cover evidence published in 190 articles, and 10 reviews from the Cochrane database, as well as current guidelines issued by the American Heart Association and the American College of Cardiology Foundation.

Outcomes 40

Outcomes Best Practices Burns Ultrasounds 40

Mind The Bleep

NOVEMBER 21, 2023

They have straight and well defines edges. Bites Burns and chemical Injuries Management of wound Wounds can either heal by primary intention when they are held together by artificial means, or by secondary intention when they heal spontaneously through granulation pulling the wound together. Cut/Incision: Wounds made by sharp objects.

Fractures 40

Fractures Burns Hospitals Documentation/Coding 40

Critical Care Now

APRIL 21, 2022

Because HD, and subsequently CRRT, have been around for many years, dosing recommendations for medications are generally well established when using these modalities. However, there is another modality which is a hybrid of HD and CRRT – prolonged intermittent renal replacement therapy (PIRRT). BMC Nephrol 2015;16:127.

Burns 52

Burns Administration Outcomes Hospitals 52

EMDocs

NOVEMBER 27, 2023

Burn center transfer for management of severe exfoliative dermatitis Predictive factors for serious cases have yet to be identified, however allopurinol associated DRESS has a higher associated progression to serious DRESS and death rate. and/or N-acetylcysteine (NAC).

EMS 70

EMS Sepsis Burns EKG/ECG 70

Sensible Medicine

MAY 31, 2023

Her outpatient follow-up appointments were scheduled; we had reviewed her safety plan; she felt well and ready to leave the hospital. Barely thirty years old, and she had just burned her last bridge and had nowhere to go. Well, for what it’s worth, I think it’s excellent. “No, I’m doing another one.

Psychiatric 80

Psychiatric Hospitals Wellness Military 80

Mind The Bleep

DECEMBER 10, 2023

Take home messages -Autism Spectrum Disorder (ASD) is a neurodevelopmental disorder that commonly persists into adulthood -Individuals present with difficulties with social communication and interaction, restricted and repetitive patterns of behaviour and interests, and hyper/hypo-sensitivity to sensory stimuli -Individuals commonly present with comorbid (..)

Seizures 52

Seizures Best Practices Burns Academics 52

PEMBlog

APRIL 26, 2023

Kit Carney and Dr. Kristen Humphrey discuss gun violence, its impact on our patients and their families, as well as practical tips on advocating for safe storage of firearms, and how we can support victims of violence. Quinlan, Michele Burns Ewald, Beth E. Denise Dowd, Robert D. Garry Gardner, Kyran P. Pomerantz, Elizabeth C.

Pediatrics 52

Pediatrics Wellness Poisoning Research 52

RebelEM

MARCH 23, 2023

Our Conclusion : Although not the subject of this study, across multiple medical conditions, lower hospital lengths of stay are associated with lower morbidity and mortality as well as lower healthcare costs. Buell D, Filewod N, Ailon J, Burns KEA. 2021 Feb 11;13(2):e13282. doi: 10.7759/cureus.13282. PMID: 33728215. Epub 2015 Dec 8.

Emergency Department 52

Emergency Department Outcomes Hospitals Burns 52

Downeast Emergency Medicine

MARCH 24, 2021

Well, patients have a greater potential to be sicker, and even though there is a higher chance of a bacterial infection these patients should NOT be started empirically on antibiotics. In this patient population, well appearing children can have stool cultures ordered and be referred to follow up as an outpatient. Sudbury, Mass.:

Pediatrics 52

Pediatrics Dehydration Emergency Department Wellness 52

ALiEM

JULY 17, 2023

as well as an analysis of the 2023 Match by Pupazan and Cook in Emergency Medicine News [3,4]. Murano T, Weizberg M, Burns B, Hopson LR. Program type, length, proximity to other programs, and first accreditation year were not predictive characteristics. Ann Emerg Med. 2023 Jul 11:S0196-0644(23)00429-8. PMID: 37436344. West J Emerg Med.

EMS 52

EMS Burns Emergency Department Shock 52

Taming the SRU

JULY 21, 2023

link] A patient presents with an itchy and burning feeling on their eyelids. Patients will often have objective visual acuity impairment as well as a fever or leukocytosis. saline eyedrops for “burning” or “gritty” feeling of discomfort. They report blurred vision as well as photophobia and redness / watery discharge of the eye.

Emergency Department 76

Emergency Department EMS Burns Wellness 76

EM Curious

MAY 14, 2015

ER Cast BURN THIS INTO YOUR MEMORY BLOATED & UPSET [BLOG POST]: An excellent imaging case regarding x-ray findings that should concern you in a patient presenting with abdominal pain, bloating and vomiting. Is CT only in 6 hours is ready for prime time? Listen here. Do you know the causes of methemoglobinemia?

Ultrasounds 52

Ultrasounds Poisoning EMS Burns 52

AED Leader

OCTOBER 11, 2023

If you are hosting a meal at your home, consider brushing up on your CPR, the Heimlich Maneuver, and the steps to take for cuts and burns. The clever recipes we’ve shared using heart-healthy ingredients are delicious and are sure to be crowd-pleasers while helping to keep everyone healthy and well.

CPR 52

CPR Burns Hospitals Wellness 52

AED Leader

OCTOBER 11, 2023

If you are hosting a meal at your home, consider brushing up on your CPR, the Heimlich Maneuver, and the steps to take for cuts and burns. The clever recipes we’ve shared using heart-healthy ingredients are delicious and are sure to be crowd-pleasers while helping to keep everyone healthy and well.

CPR 52

CPR Burns Hospitals Wellness 52

Mind The Bleep

FEBRUARY 29, 2024

Push the rice to the side of the pan and make a well for your eggs Break in eggs and mix them together with the spoon in the pan until the yolks and whites combine. If you want to microwave the sauce do so carefully so it doesn’t burn. I buy one from Lidl that includes chopped carrots, green beans and peas and sweetcorn).

Burns 52

Burns Wellness 52