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Electrical injuries

Don't Forget the Bubbles

This is supplied via alternating current (AC), increasing the risk of titanic contraction of skeletal muscle, leading to kids holding on to the electrical power source. AC and DC shocks may result in different injury patterns. Significant injuries can occur even in the absence of extensive burns or other signs of external injury.

ACS 80
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Choosing Wisely – Investigations for seizures that have returned to baseline

Don't Forget the Bubbles

The role of brain computed tomography in evaluating children with new onset of seizures in the emergency department. Emergency management of the paediatric patient with convulsive status epilepticus. doi:10.1177/0883073818786086 Young AC, Costanzi JB, Mohr PD, Forbes WS. 2000;41(8):950-954. doi:10.1111/j.1528-1157.2000.tb00277.x

E-9-1-1 131
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A man in his 40s with 3 days of stuttering chest pain

Dr. Smith's ECG Blog

The patient has ACS by history, active pain, and an elevated troponin. Treating angina with morphine and continuing non-emergent management is like taking the batteries out of an actively alarming smoke detector during a house fire and going back to sleep.) Smith : at this point, the ECG becomes irrelevant.

Coronary 108
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The 70th Bubble Wrap – DFTB x MSc in PEM

Don't Forget the Bubbles

Garabon JJW, Gunz AC, Ali A, Lim R. Prehosp Emerg Care. Adherence to NHLBI guidelines for the emergent management of vaso-occlusive episodes in children with sickle cell disease: A multicenter perspective. Reviewed by: Owen Hibberd Article 4: Intraosseous access success rates for pre-hospital paediatric resuscitations.

CPR 52
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Platelet-Lymphocyte Ratio and Neutrophil-Lymphocyte Ratio: Updates in Prognosticating Fournier Gangrene in the Emergency Department

AAEM RSA

Fournier's gangrene and its emergency management. Wysoki MG, Santora TA, Shah RM, Friedman AC. Management and Novel Adjuncts of Necrotizing Soft Tissue Infections. Sorensen MD, Krieger JN, Rivara FP, et al. Fournier's Gangrene: population based epidemiology and outcomes. 2009;181(5):2120-2126. Postgrad Med J.

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Can you localize the culprit lesion on angiogram without taking ECG findings into account?

Dr. Smith's ECG Blog

In ACS, chest pain is the warning sign of ongoing ischemia. I have said before, treating angina with morphine and continuing non-emergent management is like taking the batteries out of an actively alarming smoke detector during a house fire and going back to sleep. It has some morphologic features of LVH, but not the voltage.