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Approach to Shock

Pediatric Emergency Playbook

Do we recognize shock early enough? World wide, shock is a leading cause of morbidity and mortality in children, mostly for failure to recognize or to treat adequately. So, what is shock? Simply put, shock is the inadequate delivery of oxygen to your tissues. How do we prioritize our interventions? Pericardial Effusion?

Shock 40
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Grand Rounds Recap 8.16.23

Taming the SRU

to divert the plane).

Sepsis 84
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Grand Rounds Recap 4.19.23

Taming the SRU

Subsequent exposure results in a T-cell mediated response (Type IV hypersensitivity reaction) Plants: Toxicodendron species (poison ivy, poison oak, poison sumac) Also present in foods, including pistachio, cashew, and mango.

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Etomidate: a perspective on a current controversy.

Thinking Critical Care

In 1983 I was an Englishman abroad, the London anaesthetist who was appointed to be the English anaesthetist on the Shock Team only because the outstanding candidate from Oxford had preferred to take up a job doing muscle relaxant research with Kitz and Katz in the USA. 4] The research agenda at the time was broad.

Shock 40
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Episode 36 - Diagnosis and Management of Acute Gastroenteritis in the Emergency Department

EB Medicine

not ED specific) Food poisoning is responsible for 5% of AGE but results in 30% of deaths. Ciguatera Fish Poisoning Toxin produced by algae consumed by reef fish like grouper, red snapper, sea bass and Spanish mackerel. IV hydration for patients with severe dehydration, hypovolemic shock, septic shock, or failed oral rehydration.

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Grand Rounds Recap 4.5.23

Taming the SRU

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. Vaishnav Hyperthermia: abnormally high body temperature due to thermoregulatory failure Severe hyperthermia: temp greater than 40.5C

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Diffuse Subendocardial Ischemia on the ECG. Left main? 3-vessel disease? No!

Dr. Smith's ECG Blog

2) Hypoxia, including poisons of oxidative phosphorylation such as HS, CO, CN. 3) Anemia, or poisons of hemoglobin such as methemoglobin or CO 4) Fixed coronary stenosis that limits flow. Authors' commentary: Cardiogenic shock in the setting of severe aortic stenosis. If you can use Doppler, then you can diagnose it.

EKG/ECG 52