Don't Forget the Bubbles

MAY 24, 2023

A 5-year-old boy with a past medical history of Crouzon syndrome presents in the Pediatric ED. He is febrile and tachypnoeic, with low blood pressure and a capillary refill time of 4 seconds. His oxygen saturations are 86% in air, and he has a GCS of 8/15. His notes suggest that he was a difficult intubation in the neonatal intensive care unit. While you prepare the difficult airway cart, a young trainee asks about cannot intubate cannot oxygenate scenarios.

Airway Management 98

Airway Management Teamwork Pediatrics Emergency Department 98

ALiEM

MAY 24, 2023

A young boy is brought to the pediatric emergency screaming at the top of his lungs by his parents. His penile skin is trapped in the zipper of his jeans. On a busy shift, you want a simple way to handle zipper injuries that minimizes pain, doesn’t require resource-intensive procedural sedation, and is quick. Background The 4 most common types of zippers are nylon coil zip, plastic mold zip, metal zip, and invisible zip.

Pediatrics 93

Pediatrics 93

RebelEM

MAY 24, 2023

Take Home Points The Parkland formula can be used to be a guide for initial fluid resuscitation. This is based on second- and third-degree burns (not first-degree). Utilize response to treatment as a guide to continue fluid resuscitation. Patients in fires in closed spaces for a prolonged time are at risk for airway edema and need for intubation. History of fire is very important and please monitor patient condition, patients’ voice, and repeat physical exam.

Burns 77

Burns Fluid Resuscitation Resuscitation EMS 77

ECG Guru

MAY 24, 2023

Welcome to Dr. Andreas Roeschl, who is a cardiologist and ECG instructor in Germany. He will have a recurring blog on the Guru, contributing his knowledge about ECG and teaching, along with ECGs from his collection. His ECGs are digitized and beautiful quality for reproduction, and his contributions will be a great asset to any student or teacher of ECG.

EKG/ECG 64

EKG/ECG 64

EMDocs

MAY 24, 2023

Here’s another case from Medical Malpractice Insights – Learning from Lawsuits , a monthly email newsletter for ED physicians. The goal of MMI-LFL is to improve patient safety, educate physicians and reduce the cost and stress of medical malpractice lawsuits. To opt in to the free subscriber list, click here. Stories of med mal lawsuits can save lives.

Radiology 63

Radiology Radiology EKG/ECG Hospitals 63

University of Maryland Department of Emergency Med

MAY 24, 2023

Neck pain and trouble swalowing. No trauma. ANSWER: Osteomyelitis of the cervical spine is the least common location to find spinal infection. “Osteomyelitis of the cervical.

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Ziqitza HealthCare Ltd

MAY 24, 2023

Traveling for work can be exciting, but it can also take a toll on your health and well-being. Long flights, unhealthy airport food, and a disrupted sleep schedule can all contribute to feeling run down and unwell. However, with some simple tips and tricks from Ziqitza Health care limited can help you to stay healthy, it is possible to stay healthy while traveling for work.

Dehydration 52

Dehydration Ambulance Services Wellness Research 52

University of Maryland Department of Emergency Med

MAY 24, 2023

This study looked at 20 years of death by firearm and stratified the location of death from urban to rural. The authors concluded: &ldqu.

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PEMBlog

MAY 24, 2023

Patient that are agitated should always be treated with dignity and respect. This entails utilizing the least invasive non-pharmacologic means of assisting them, before moving to physical or chemical restraints. This podcast episode hosted by Brad Sobolewski ( @PEMTweets ) and co-authored by Dennis Ren ( @DennisRenMD ) is all about age-appropriate non pharmacologic management strategies for agitated children.

Emergency Department 59

Emergency Department Pediatrics Psychiatric Administration 59

University of Maryland Department of Emergency Med

MAY 24, 2023

Intersection syndrome Intersection syndrome is an overuse injury of the forearm. Pain is located approximately 2 finger breaths (4c.

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